dostęp otwarty

Tom 5, Nr 5 (2020)
Artykuły przeglądowe / Review articles
Opublikowany online: 2020-09-10
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Oncogeriatrics (part 8.). Frailty screening tools

Jakub Kenig1
Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory 2020;5(5):252-254.
Afiliacje
  1. Department of General, Oncologic and Geriatric Surgery, III Chair of General Surgery, Jagiellonian University Medical College, Krakow

dostęp otwarty

Tom 5, Nr 5 (2020)
Artykuły przeglądowe / Review articles
Opublikowany online: 2020-09-10

Streszczenie

Various frailty screening tools have been developed. However, there is currently no single ideal model; some scores are better for population-level, whereas others are best suited for clinical screening and preoperative assessment. Therefore, the choice of the score might relay on specific clinical condition, the aim of the tool and department resources. The G8 and the aCGA seem to be the the most suitable in the case of preoperative frailty assessments of older patients with solid abdominal cancer who are undergoing high-risk surgery. They also may be used to identify patients at risk for adverse postoperative outcomes. They may support the decision process particularly in situations of lack of experience in full Geriatric Assessment (easy to master and implement), in acute admitted patients (time pressure or some of the domains cannot be assessed) and in case of low-/moderate-risk surgery (where extensive frailty evaluation may not influence the postoperative outcome).

Streszczenie

Various frailty screening tools have been developed. However, there is currently no single ideal model; some scores are better for population-level, whereas others are best suited for clinical screening and preoperative assessment. Therefore, the choice of the score might relay on specific clinical condition, the aim of the tool and department resources. The G8 and the aCGA seem to be the the most suitable in the case of preoperative frailty assessments of older patients with solid abdominal cancer who are undergoing high-risk surgery. They also may be used to identify patients at risk for adverse postoperative outcomes. They may support the decision process particularly in situations of lack of experience in full Geriatric Assessment (easy to master and implement), in acute admitted patients (time pressure or some of the domains cannot be assessed) and in case of low-/moderate-risk surgery (where extensive frailty evaluation may not influence the postoperative outcome).

Pobierz cytowanie

Słowa kluczowe

older cancer patients; frailty screening; G8; aCGA; VES-13; TRST; Fried; GFI; Rockwood; Balducci

Informacje o artykule
Tytuł

Oncogeriatrics (part 8.). Frailty screening tools

Czasopismo

Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory

Numer

Tom 5, Nr 5 (2020)

Strony

252-254

Opublikowany online

2020-09-10

Wyświetlenia strony

205

Wyświetlenia/pobrania artykułu

113

Rekord bibliograficzny

Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory 2020;5(5):252-254.

Słowa kluczowe

older cancer patients
frailty screening
G8
aCGA
VES-13
TRST
Fried
GFI
Rockwood
Balducci

Autorzy

Jakub Kenig

Referencje (18)
  1. Kenig J, Szabat K. Oncogeriatric (part 7). Geriatric Assessment for older patients with cancer. NOWOTWORY J Oncol. 2020; 70: 85–91.
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  3. Eamer G, Taheri A, Chen SS, et al. Comprehensive geriatric assessment for older people admitted to a surgical service. Cochrane Database Syst Rev. 2018; 1: CD012485.
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  13. Kenig J, Szabat K, Mituś J, et al. Usefulness of eight screening tools for predicting frailty and postoperative short- and long-term outcomes among older patients with cancer who qualify for abdominal surgery. Eur J Surg Oncol. 2020 [Epub ahead of print].
  14. Dent E, Kowal P, Hoogendijk EO. Frailty measurement in research and clinical practice: A review. Eur J Intern Med. 2016; 31: 3–10.
  15. Biganzoli L, Mislang AR, Di Donato S, et al. Screening for Frailty in Older Patients With Early-Stage Solid Tumors: A Prospective Longitudinal Evaluation of Three Different Geriatric Tools. J Gerontol A Biol Sci Med Sci. 2017; 72(7): 922–928.
  16. Bongue B, Buisson A, Dupre C, et al. Predictive performance of four frailty screening tools in community-dwelling elderly. BMC Geriatr. 2017; 17(1): 262.
  17. Hall DE, Arya S, Schmid KK, et al. Association of a Frailty Screening Initiative With Postoperative Survival at 30, 180, and 365 Days. JAMA Surg. 2017; 152(3): 233–240.
  18. Huisman MG, Audisio RA, Ugolini G, et al. Screening for predictors of adverse outcome in onco-geriatric surgical patients: A multicenter prospective cohort study. Eur J Surg Oncol. 2015; 41(7): 844–851.

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