ABSTRACT
With the ageing of the population and the increase in the incidence of cancer in the population over 75 years of age, a partnership between geriatricians and oncologists is becoming necessary to optimise the management of these patients. There is great variability in the profiles of elderly patients and age cannot be the only criterion of the decision making. Thus, it is necessary to identify patients who will benefit from an in-depth geriatric assessment (IGA) and the G8 screening tool used in oncology consultations allows to do so. The EGA offers a multidisciplinary approach to functional, psychological, nutritional, cognitive and social status of the person, and has been shown to have prognostic value for survival and relevance in guiding treatment choices.
Subject(s)
Colorectal Neoplasms , Neoplasms , Aged , Aging , Colorectal Neoplasms/diagnosis , Colorectal Neoplasms/surgery , Geriatric Assessment , Geriatricians , Humans , Medical Oncology , Neoplasms/therapyABSTRACT
The ageing of the French population and the high occurrence of cancers in the population of patients aged over 75 has resulted in the convergence of the competences of two specialties, oncology and geriatrics, in order to optimise the quality of the care provided. Geriatric oncology care must be adapted to the medical, psychological and social situation of each patient.
Subject(s)
Geriatrics/organization & administration , Medical Oncology/organization & administration , Neoplasms/therapy , Aged , France/epidemiology , Humans , Neoplasms/epidemiology , Quality of Health CareABSTRACT
The assessment of the risks involved in the surgical treatment of cancer in an elderly patient is necessary. It makes it possible to identify and sometimes anticipate the occurrence of complications observed in the perioperative period. It also enables patients to be given sound information regarding treatment methods, their medical situation and the expectations and risks of the surgical procedure envisaged.
Subject(s)
Neoplasms/surgery , Aged , Humans , Risk AssessmentABSTRACT
Given its high frequency in elderly people and the lack of organised national screening after the age of 74, it is essential for caregivers to be aware of the symptoms and the tests which can lead to a diagnosis of cancer of the colon or rectum. It is also necessary to know which asssessment to carry out in order to gather all the elements concerning the cancer and to carry out a global evaluation of the patient before discussing treatment options through cross-disciplinary consultation.
Subject(s)
Colorectal Neoplasms/diagnosis , Colorectal Neoplasms/therapy , Aged , Colonoscopy , Humans , Risk FactorsABSTRACT
Epidemiological data relating to cancer and the ageing of the population highlight the need for oncology, geriatrics and palliative care to work more closely together. Geriatric and palliative care assessments in oncology are complex procedures and result in the modification of the oncological therapeutic choices. They have a significant impact on the methods of treatment of the patients concerned.
Subject(s)
Neoplasms/epidemiology , Neoplasms/therapy , Palliative Care , Aged , Algorithms , Clinical Decision-Making , France/epidemiology , Geriatric Assessment , Humans , Life Expectancy , Population DynamicsSubject(s)
Cheek , Facial Neoplasms/nursing , Geriatric Nursing , Interdisciplinary Communication , Intersectoral Collaboration , Neoplasm Recurrence, Local/nursing , Skin Neoplasms/nursing , Aged, 80 and over , Disease Progression , Female , Humans , Palliative Care/psychology , Personal Autonomy , Referral and Consultation , Treatment RefusalABSTRACT
Ageing is an individual process. Chronological age does not reflect life expectancy or functional capacity. That is why, in geriatric oncology, the estimation of this capacity is a determining factor. An inter-disciplinary approach is necessary in order to coordinate the different players in the care and optimise the hospitalisation of elderly patients with multiple pathologies, all the more so when they are suffering from cancer.