The utility of G8 screening for clinical practice of chemotherapy in older patients with gastrointestinal cancer

Doi, Ayako; Mizukami, Takuro; Takeda, Hiroyuki; Umemoto, Kumiko; Arai, Hiroyuki; Horie, Yoshiki; Izawa, Naoki; Ogura, Takashi; Sunakawa, Yu

doi:10.21203/rs.3.rs-1519232/v1

Cited by 1 publication

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“…Survivorship science encompasses the physical, psychological, social, economic, and spiritual health of survivors across the cancer continuum, with special emphasis on long-term wellbeing, including disease prevention and health promotion over the life course. Older cancer survivors have unique survivorship needs, including multiple chronic conditions (Parekh and Goodman, 2013), decreased functional status, polypharmacy, and risk for social isolation and financial toxicity; therefore, having relevant, comprehensive assessment of their needs, and information and resources designed to meet these needs is critically important (Rowland and Bellizzi, 2008;Rowland and Bellizzi, 2014;Doi et al, 2023).…”

Section: Introductionmentioning

confidence: 99%

“…CGAs provide a means for identifying these needs early so that appropriate intervention and care planning can occur (Culakova et al, 2023;Doi et al, 2023;Lin et al, 2023;Singhal et al, 2023). CGAs are "multidimensional, interdisciplinary diagnostic process [es] focusing on determining an older person's medical, psychosocial, and functional capabilities to develop a coordinated and integrated plan for treatment and long-term follow-up" (Ellis et al, 2017;Hamaker et al, 2022;Outlaw et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

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Examining provider perceptions and practices for comprehensive geriatric assessment among cancer survivors: a qualitative study with an implementation science focus

Seaman,

Rowland,

Werts

et al. 2023

Front. Aging

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Introduction: Cancer rates increase with age, and older cancer survivors have unique medical care needs, making assessment of health status and identification of appropriate supportive resources key to delivery of optimal cancer care. Comprehensive geriatric assessments (CGAs) help determine an older person’s functional capabilities as cancer care providers plan treatment and follow-up care. Despite its proven utility, research on implementation of CGA is lacking.Methods: Guided by a qualitative description approach and through interviews with primary care providers and oncologists, our goal was to better understand barriers and facilitators of CGA use and identify training and support needs for implementation. Participants were identified through Cancer Prevention and Control Research Network partner listservs and a national cancer and aging organization. Potential interviewees, contacted via email, were provided with a description of the study purpose. Eight semi-structured interviews were conducted via Zoom, recorded, and transcribed verbatim by a professional transcription service. The interview guide explored providers’ knowledge and use of CGAs. For codebook development, three representative transcripts were independently reviewed and coded by four team members. The interpretive process involved reflecting, transcribing, coding, and searching for and identifying themes.Results: Providers shared that, while it would be ideal to administer CGAs with all new patients, they were not always able to do this. Instead, they used brief screening tools or portions of CGAs, or both. There was variability in how CGA domains were assessed; however, all considered CGAs useful and they communicated with patients about their benefits. Identified facilitators of implementation included having clinic champions, an interdisciplinary care team to assist with implementation and referrals for intervention, and institutional resources and buy-in. Barriers noted included limited staff capacity and competing demands on time, provider inexperience, and misaligned institutional priorities.Discussion: Findings can guide solutions for improving the broader and more systematic use of CGAs in the care of older cancer patients. Uptake of processes like CGA to better identify those at risk of poor outcomes and intervening early to modify treatments are critical to maximize the health of the growing population of older cancer survivors living through and beyond their disease.

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