Follow-up of elderly patients with urogenital cancers: Evaluation of geriatric care needs and related actions. Issue 4 (July 2017)

• Record Type: Journal Article
• Authors: Monfardini, Silvio; Morlino, Sara; Valdagni, Riccardo; Catanzaro, Mario; Tafa, Ardit; Bortolato, Barbara; Petralia, Giovanni; Bonetto, Elisa; Villa, Elisa; Picozzi, Stefano; Locatelli, Maria Cristina; Galetti, Giuseppe; Millul, Andrea; Albanese, Yasmin; Bianchi, Elisa; Panzarino, Claudia; Gerardi, Francesca; Beghi, Ettore
• Is Part Of: Journal of geriatric oncology. Volume 8:Issue 4(2017)
• Page Start: 289
• Page End: 295
• Publication Date: 2017-07
• Subjects: Prostate cancer -- Renal cancer -- Bladder cancer -- Urogenital cancer -- Elderly -- Geriatric assessment; Geriatric oncology -- Periodicals; Neoplasms -- Periodicals; Aged -- Periodicals; Geriatric oncology; Electronic journals; Periodicals; 618.976994005
• DOI: 10.1016/j.jgo.2017.02.011
• Languages: English
• ISSNs: 1879-4068

Abstract

Abstract: Objectives : To investigate a comprehensive geriatric assessment (CGA) with subsequent investigation of healthcare patterns in older patients with urological cancers undergoing initial surgery or radiotherapy, to verify the usefulness of the incorporation of geriatric principles in future care plans. Material and Methods : This is a prospective cohort study. From November 2011 to March 2015, CGA was offered to all patients aged 70 + years treated with radiotherapy or surgery at seven tertiary centers. Patients were classified as fit, vulnerable, or frail according to Balducci's definition. CGA and follow-up data were collected by two trained evaluators at 6 and 12 months. The information collected was not available to the caring physicians during follow-up. Results : CGA was performed in 453 patients with prostate cancer (295), bladder cancer (126), or kidney cancer (32). 40% of patients with prostate cancer were fit, 47% vulnerable, and 13% frail. The corresponding values for renal cancer were 25%, 40%, and 34%, and for bladder cancer, 21%, 42%, and 37%. During follow-up, 60% of patients with cardiac diseases, 42% of those with diabetes/other metabolic disorders, 35% of those with hypertension, and 35% of those with respiratory diseases were followed by a specialist (for these severe/extremely severe comorbidities). Of 16 patients with ADL impairment and 63 with IADL impairment, only 4 (25%) and 6 (10%), respectively, were referred to a rehabilitation service. Only one case was referred to a geriatrician. Conclusions : Appropriate clinical care patterns are advisable to improve quality of survivorship in older patients with urological cancers.