As the world population ages, the incidence of gynecologic cancer in older adults
is increasing more rapidly than in younger patients [
[1]
]. Surgery is the cornerstone of gynecologic cancer treatment, but little is known
about optimal therapy in older adults. Preoperative assessment of older patients is
challenging not only due to cancer related factors, but also because comorbidity,
functional status, social network and geriatric syndromes could play a role in determining
the final outcome. Comprehensive Geriatric Assessment (CGA) is a multidimensional
evaluation of patients' global health status and consists of validated scales to identify
impairments in geriatric domains. In different Geriatric Oncology (GO) settings, it
has proved to be useful in identifying and managing underlying undetected medical,
functional, and psycho-social impairments that may interfere with treatment [
[2]
].To read this article in full you will need to make a payment
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References
- Improving outcomes for older women with gynaecological malignancies.Cancer Treat Rev. 2016; 50: 99-108https://doi.org/10.1016/j.ctrv.2016.08.007
- Comprehensive geriatric assessment and its clinical impact in oncology.Eur J Cancer Oxf Engl. 2007; 1990: 2161-2169https://doi.org/10.1016/j.ejca.2007.08.002
- Screening for vulnerability in older cancer patients: the ONCODAGE prospective multicenter cohort study.PLoS One. 2014; 9e115060https://doi.org/10.1371/journal.pone.0115060
- Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function.JAMA. 1963; 185: 914-919https://doi.org/10.1001/jama.1963.03060120024016
- Assessment of older people: self-maintaining and instrumental activities of daily living.Gerontologist. 1969; 9: 179-186
- Toxicity and response criteria of the eastern cooperative oncology group.Am J Clin Oncol. 1982; 5: 649-655
- ‘Timed up & go’: a screening tool for predicting 30-day morbidity in onco-geriatric surgical patients? A Multicenter Cohort Study.PLoS One. 2014; 9e0086863https://doi.org/10.1371/journal.pone.0086863
- Rating chronic medical illness burden in geropsychiatric practice and research: application of the cumulative illness rating scale.Psychiatry Res. 1992; 41: 237-248https://doi.org/10.1016/0165-1781(92)90005-n
- Mini nutritional assessment: a practical assessment tool for grading the nutritional state of elderly patients.Facts Res Geyontol. 1994; 4: 15-59
- ‘Mini-mental state’. A practical method for grading the cognitive state of patients for the clinician.J Psychiatr Res. 1975; 12: 189-198https://doi.org/10.1016/0022-3956(75)90026-6
- Validation of the five-item geriatric depression scale in elderly subjects in three different settings.J Am Geriatr Soc. 2003; 51: 694-698https://doi.org/10.1034/j.1600- 0579.2003.00216.x
- The ASA classification of physical status - a recapitulation.Anesthesiology. 1978; 49: 233-236https://doi.org/10.1097/00000542-197810000-00001
- Relationship among surgical complexity, short-term morbidity, and overall survival in primary surgery for advanced ovarian cancer.Am J Obstet Gynecol. 2007; 197: e1-676.e7https://doi.org/10.1016/j.ajog.2007.10.495
- Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey.Ann Surg. 2004; 240: 205-213https://doi.org/10.1097/01.sla.0000133083.54934.ae
- Pre- and intra-operative variables associated with surgical complications in elderly patients with gynecologic cancer: the clinical value of comprehensive geriatric assessment.J Geriatr Oncol. 2014; 5: 315-322https://doi.org/10.1016/j.jgo.2014.03.004
Article info
Publication history
Published online: January 18, 2023
Accepted:
December 19,
2022
Received in revised form:
December 2,
2022
Received:
December 1,
2021
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 Elsevier Ltd. All rights reserved.
