open access

Vol 69, No 2 (2019)
Review articles
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Oncogeriatrics (part 1.). Frailty in older adults with cancer

Jakub Kenig
DOI: 10.5603/2019.0010
·
Nowotwory. Journal of Oncology 2019;69(2):55-57.

open access

Vol 69, No 2 (2019)
Review articles

Abstract

About onehalf of cancer cases and two-thirds of cancer deaths occur in patients 65 years of age or older. Therefore, understanding the health status of an older patient is just as important as staging of the cancer.
Frailty is a complex, multidimensional syndrome of increased vulnerability and loss of adaptive capacity/resistance to external stressors, resulting in an increased risk of adverse outcomes. Clinical presentation is non-specific: fatigue, unexplained weight loss, frequent infections, decline in physical mobility/balance/gait speed. Therefore, the routine format of preoperative investigations often does not allow for adequate frailty identification. There are two principal models of frailty: the phenotype model and the accumulation of deficits model. There is no consensus on an operational definition of frailty. However, it has been demonstrated that frailty, not chronological age, is the most important risk factor for poor outcome. Therefore, frailty identification should be obligatory before the beginning of the oncologic treatment.

Abstract

About onehalf of cancer cases and two-thirds of cancer deaths occur in patients 65 years of age or older. Therefore, understanding the health status of an older patient is just as important as staging of the cancer.
Frailty is a complex, multidimensional syndrome of increased vulnerability and loss of adaptive capacity/resistance to external stressors, resulting in an increased risk of adverse outcomes. Clinical presentation is non-specific: fatigue, unexplained weight loss, frequent infections, decline in physical mobility/balance/gait speed. Therefore, the routine format of preoperative investigations often does not allow for adequate frailty identification. There are two principal models of frailty: the phenotype model and the accumulation of deficits model. There is no consensus on an operational definition of frailty. However, it has been demonstrated that frailty, not chronological age, is the most important risk factor for poor outcome. Therefore, frailty identification should be obligatory before the beginning of the oncologic treatment.

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Keywords

oral cancer, knowledge, risk factors, HPV, high school students, tobacco smoking, electronic cigarettes smoking, alcohol consumption, health education

About this article
Title

Oncogeriatrics (part 1.). Frailty in older adults with cancer

Journal

Nowotwory. Journal of Oncology

Issue

Vol 69, No 2 (2019)

Pages

55-57

DOI

10.5603/2019.0010

Bibliographic record

Nowotwory. Journal of Oncology 2019;69(2):55-57.

Keywords

oral cancer
knowledge
risk factors
HPV
high school students
tobacco smoking
electronic cigarettes smoking
alcohol consumption
health education

Authors

Jakub Kenig

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