A joint geriatric oncology clinic for the management of elderly women diagnosed with breast cancer: The Brighton experience

Ugolini, Fiammetta; Zammit, Charles; Wright, Juliet; Reed, M.

doi:10.1016/j.ejso.2017.01.091

Cited by 2 publications

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“…57% of patients had subsequent assessments/reviews (between 1 and 6 times), which averaged 25 minutes duration. Regarding their outcomes, 13% of patients were referred for surgery, and in 35%, the medical management was changed, typically for treatment optimisation, further investigations or referral to other specialists [16].…”

Section: Brightonmentioning

confidence: 99%

The care of older cancer patients in the United Kingdom

Gomes¹,

Lewis²,

Morris³

et al. 2020

ecancer

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The ageing population poses new challenges globally. Cancer care for older patients is one of these challenges, and it has a significant impact on societies. In the United Kingdom (UK), as the number of older cancer patients increases, the management of this group has become part of daily practice for most oncology teams in every geographical area. Older cancer patients are at a higher risk of both under-and over-treatment. Therefore, the assessment of a patient's biological age and effective organ functional reserve becomes paramount. This may then guide treatment decisions by better estimating a prognosis and the risk-to-benefit ratio of a given therapy to anticipate and mitigate against potential toxicities/difficulties. Moreover, older cancer patients are often affected by geriatric syndromes and other issues that impact their overall health, function and quality of life. Comprehensive geriatric assessments offer an opportunity to identify and address health problems which may then optimise one's fitness and well-being. Whilst it is widely accepted that older cancer patients may benefit from such an approach, resources are often scarce, and access to dedicated services and research remains limited to specific Review

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Section: Brightonmentioning

confidence: 99%

The care of older cancer patients in the United Kingdom

Gomes¹,

Lewis²,

Morris³

et al. 2020

ecancer

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“…Oral abstracts: a joint geriatric oncology clinic for the management of elderly women diagnosed with breast cancer -the Brighton experience Following Korc-Grodzicki's talk we were presented with a series of four oral abstracts, the first of which was on the topic of 'A joint geriatric oncology clinic for the management of older women diagnosed with breast cancer: the Brighton experience', presented by Fiammetta Ugolini (Brighton and Sussex University Hospital, UK) [42].…”

Section: Geriatrician In the Preoperative Assessment Clinicmentioning

confidence: 99%

4th Symposium on Primary Breast Cancer in Older Women. Theme: Putting Personalized Care Into Practice (Held: 3 March 2017)

Cheung

Morgan

Brain

et al. 2017

Breast Cancer Manag.

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This is the only meeting of its kind in the UK, now held biennially, aiming at a multidisciplinary audience, including patients, their carers and advocates. With a theme on 'Putting personalising care into practice', this Symposium included sessions on 'local and systemic therapies', 'new ideas', 'patients and carers', and 'challenging areas', covered by an international and local faculty, interviewing patients and carers, and abstract presentations. Topics covered were practical and wide-ranging, including selectng for chemotherapy, radiotherapy and breast reconstruction, treating HER2-positive disease, and the roles of the geriatrician and geriatric oncology nurse.Keywords: breast cancer • geriatric oncology • older women • primary breast cancer • symposiumThe symposium began with a welcome and introduction from Kwok-Leung Cheung (Clinical Associate Professor, University of Nottingham, Consultant Breast Surgeon, Royal Derby Hospital; UK National Representative, International Society of Geriatric Oncology [SIOG], Symposium co-chair). Cheung began by extending a warm welcome to everyone to the East Midlands Conference Centre and the University of Nottingham. He explained how the symposium, first started in 2010, began in a very small room in the postgraduate education center in City Hospital, Nottingham, with only about 20-30 people in attendance. He was pleased to say that things had certainly moved on, and the biennial symposium was now a multidisciplinary event with an emphasis on patient perspectives, as a direct response to delegate feedback ranking patient sessions the best! The symposium has continuous professional development accreditation from the Royal Colleges and is basically the only event in the country to be dedicated to a multidisciplinary focus on older women with primary breast cancer. Cheung was also happy to announce that since the event is under the auspices of SIOG, senior members of SIOG will be speaking and presenting also.Since the previous symposium, organizers have been giving a theme to the event, this year's theme being, 'Putting personalized care into practice', with an emphasis on the word 'personalizing', since it is well known that older women with primary breast cancer tend to be under-or overtreated sometimes due to a lack of knowledge and other times due to over enthusiasm or failure to include them in clinical trials. Also based on requests and feedback from previous conferences, Cheung explained the addition of a 'students and patient advocates' category at registration for the conference to encourage their attendance.The speaker list went beyond just oncological representations of surgeons and oncologists, including an epidemiologist and a geriatrician from the previous symposium and in the 2015 event, the geriatrician being particularly inspiring -especially for the UK delegates, since it is not really a standard practice in the UK to include a geriatrician in the care of older women with primary breast cancer. For the first time, there was a geriatric oncology nurse in th...

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A joint geriatric oncology clinic for the management of elderly women diagnosed with breast cancer: The Brighton experience

Cited by 2 publications

References 0 publications

The care of older cancer patients in the United Kingdom

The care of older cancer patients in the United Kingdom

4th Symposium on Primary Breast Cancer in Older Women. Theme: Putting Personalized Care Into Practice (Held: 3 March 2017)

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