scholarly journals Frailty assessment tools and geriatric assessment in older patients with hepatobiliary and pancreatic malignancies

2020 ◽  
Author(s):  
Siri Rostoft ◽  
Barbara van Leeuwen
Keyword(s):  
Geriatric Assessment ◽  
Older Patients ◽  
Assessment Tools ◽  
Frailty Assessment

scholarly journals Feminist approach to geriatric care: comprehensive geriatric assessment, diversity and intersectionality

2021 ◽  
Author(s):  
Merle Weßel
Keyword(s):  
Standardized Testing ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Patients ◽  
Geriatric Medicine ◽  
Assessment Tools ◽  
Assessment Process ◽  
Social Category ◽  
Social Categories ◽  
The Social

AbstractDespite being a collection of holistic assessment tools, the comprehensive geriatric assessment primarily focuses on the social category of age during the assessment and disregards for example gender. This article critically reviews the standardized testing process of the comprehensive geriatric assessment in regard to diversity-sensitivity. I show that the focus on age as social category during the assessment process might potentially hinder positive outcomes for people with diverse backgrounds of older patients in relation to other social categories, such as race, gender or socio-economic background and their influence on the health of the patient as well as the assessment and its outcomes. I suggest that the feminist perspective of intersectionality with its multicategorical approach can enhance the diversity-sensitivity of the comprehensive geriatric assessment, and thus improve the treatment of older patients and their quality of life. By suggesting an intersectional-based approach, this article contributes to debates about justice and diversity in medical philosophy and advocates for the normative value of diversity in geriatric medicine.

scholarly journals Prospective clinical trial evaluating vulnerability and chemotherapy risk using geriatric assessment tools in older patients with lung cancer

2019 ◽  
Vol 19 (11) ◽  
pp. 1108-1111
Author(s):  
Yukari Tsubata ◽  
Yohei Shiratsuki ◽  
Takae Okuno ◽  
Akari Tanino ◽  
Mika Nakao ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Clinical Trial ◽  
Geriatric Assessment ◽  
Older Patients ◽  
Assessment Tools ◽  
Prospective Clinical Trial

scholarly journals Frailty Scores and Their Utility in Older Patients with Cardiovascular Disease

2021 ◽  
Vol 16 ◽  
Author(s):  
Kenneth Jordan Ng Cheong Chung ◽  
Chris Wilkinson ◽  
Murugapathy Veerasamy ◽  
Vijay Kunadian
Keyword(s):  
Cardiovascular Disease ◽  
Older Patients ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Clinical Settings ◽  
Transcatheter Aortic Valve ◽  
Frailty Assessment ◽  
Growing Body ◽  
Aortic Valve Implantation ◽  
Valve Implantation

The world’s population is ageing, resulting in more people with frailty receiving treatment for cardiovascular disease (CVD). The emergence of novel interventions, such as transcatheter aortic valve implantation, has also increased the proportion of older patients being treated in later stages of life. This increasing population burden makes the assessment of frailty of utmost importance, especially in patients with CVD. Despite a growing body of evidence on the association between frailty and CVD, there is no consensus on the optimal frailty assessment tool for use in clinical settings. Previous studies have shown limited concordance between validated frailty instruments. This review evaluates the evidence on the utility of frailty assessment tools in patients with CVD, and the effect of frailty on different outcomes measured.

Geriatric Assessments Can Predict Functional Outcome and Mortality after Urological Tumor Surgery

2021 ◽  
pp. 1-10
Author(s):  
Andreas Kahlmeyer ◽  
Christian Fiebig ◽  
Marco Mueller ◽  
Matthias Kraulich ◽  
Jonas Brendel-Suchanek ◽  
...  
Keyword(s):  
Geriatric Assessment ◽  
Functional Recovery ◽  
Functional Outcomes ◽  
Older Patients ◽  
Assessment Tool ◽  
Assessment Tools ◽  
High Grade ◽  
Tumor Surgery ◽  
Care Dependency ◽  
Complications And Mortality

<b><i>Introduction:</i></b> Older patients undergoing major urological tumor surgery are at severe risk of functional deterioration, complications, and mortality. We prospectively evaluated geriatric assessment tools and developed a novel easy-to-use assessment tool for clinical use. <b><i>Methods:</i></b> In 159 patients, geriatric assessment tools were used prior to cystectomy, prostatectomy, and renal tumor surgery, and their peri- and postoperative courses were recorded. Using all the tests, a short and easy-to-use assessment tool was developed, and nomograms were generated to predict functional outcomes and mortality. <b><i>Results:</i></b> Of all the patients, 13.8% underwent radical cystectomy, 37.7% underwent radical prostatectomy, and 48.4% underwent tumor surgery of the kidney at the age of 70 years or older. The average age was 75.6 years. Incomplete functional recovery at day 30 and day 180 was observed in 37.7% and 36.1% of the patients, respectively, and incomplete functional recovery was associated with impaired mobility, previous care dependency, frailty, comorbidities, and a high ASA score. The only predictor for high-grade complications was comorbidities, whereas mortality was associated with the geriatric screening tool scores, impaired mobility, preoperative care dependency, and comorbidities. The Erlangen Index (EI), a combination of the selected assessment tools, showed a good prediction of early (<i>p</i> = 0.002) and medium-term (<i>p</i> = 0.002) functional outcomes and mortality (<i>p</i> = 0.001). <b><i>Conclusion:</i></b> Our prospective evaluation confirms the high risk of incomplete functional recovery, high-grade complications, and mortality in older patients undergoing major urological tumor surgery. The EI is an easy-to-use preoperative assessment tool and therefore should be used in preoperative patient counseling.

scholarly journals Treatment of Older Adult Patients with Glioblastoma: Moving towards the Inclusion of a Comprehensive Geriatric Assessment for Guiding Management

2022 ◽  
Vol 29 (1) ◽  
pp. 360-376
Author(s):  
Manik Chahal ◽  
Brian Thiessen ◽  
Caroline Mariano
Keyword(s):  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Patients ◽  
Adult Population ◽  
Treatment Strategies ◽  
Current Treatment ◽  
Assessment Tools ◽  
Combined Modality Treatment ◽  
General Adult Population ◽  
Predictive Role

Glioblastoma (GBM) is the most common primary malignant brain tumor in adults, and over half of patients with newly diagnosed GBM are over the age of 65. Management of glioblastoma in older patients includes maximal safe resection followed by either radiation, chemotherapy, or combined modality treatment. Despite recent advances in the treatment of older patients with GBM, survival is still only approximately 9 months compared to approximately 15 months for the general adult population, suggesting that further research is required to optimize management in the older population. The Comprehensive Geriatric Assessment (CGA) has been shown to have a prognostic and predictive role in the management of older patients with other cancers, and domains of the CGA have demonstrated an association with outcomes in GBM in retrospective studies. Furthermore, the CGA and other geriatric assessment tools are now starting to be prospectively investigated in older GBM populations. This review aims to outline current treatment strategies for older patients with GBM, explore the rationale for inclusion of geriatric assessment in GBM management, and highlight recent data investigating its implementation into practice.

scholarly journals Predictive Value of Geriatric Oncology Screening and Geriatric Assessment in Older Patients with Solid Cancers: Protocol for a Danish prospective cohort study (PROGNOSIS-G8)

2021 ◽  
Author(s):  
Helena Møgelbjerg Ditzel ◽  
Ann-Kristine Weber Giger ◽  
Cecilia Margareta Lund ◽  
Henrik Jørn Ditzel ◽  
Afsaneh Mohammadnejad ◽  
...  
Keyword(s):  
Cohort Study ◽  
Geriatric Assessment ◽  
Prospective Cohort Study ◽  
Predictive Value ◽  
Prospective Cohort ◽  
Older Patients ◽  
Geriatric Oncology
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