Clinical frailty in advanced lung cancer patients: an opportunity to improve outcomes

Gomes, Fábio; Baker, Katie; Eaton, M.; Garbett, A.; Woods, J.; Bruce, Jeffrey; Higham, P.; Cove-Smith, Laura; Bayman, N.; Blackhall, F.

doi:10.1016/s0169-5002(20)30132-x

Cited by 2 publications

(2 citation statements)

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“…Over 1000 patients have been screened since then with about 40% being vulnerable or frail (CFS 4+). Frailty correlated with ageing (p < 0.01) and a worse ECOG PS (p < 0.01) [24]. These patients were also 20%-30% less likely to be offered systemic anticancer treatment and less likely to continue beyond one cycle of treatment with more admissions.…”

Section: Manchestermentioning

confidence: 96%

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: Manchestermentioning

confidence: 96%

The care of older cancer patients in the United Kingdom

Gomes¹,

Lewis²,

Morris³

et al. 2020

ecancer

View full text Add to dashboard Cite

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“…Many sites developed case studies to share project outcomes, and a number have shared learning at national specialty conferences and published their projects in specialty journals. 5,[30][31][32][33]…”

Section: Developing Whole System Approaches To Frailtymentioning

confidence: 99%

Developing frailty friendly hospitals: the Specialised Clinical Frailty Network

Hall¹,

Fluck²,

Imam³

et al. 2022

Future Healthcare Journal

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The aim of the Specialised Clinical Frailty Network (SCFN) was to develop frailty-attuned pathways in specialised services in England. MethodsWe developed a breakthrough series collaborative involving a range of specialised services, using quality improvement methods (including experience-based design) to implement improvements designed to enhance the experience and outcomes of older people living with frailty who have specialised healthcare needs. ResultsSpecialised teams responded positively to the SCFN, many implementing process changes aligned to the needs of older people living with frailty. Some were able to demonstrate improvements in service and/or patient outcomes, including greater identification of frailty, more holistic care and increased use of shared decision making. DiscussionThe network has successfully demonstrated how frailty can be assessed both at individual, as well as population level, to support both local teams and systems to best manage the health of their patients.

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Clinical frailty in advanced lung cancer patients: an opportunity to improve outcomes

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

Developing frailty friendly hospitals: the Specialised Clinical Frailty Network

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