Enough rehabilitation for our elderly cancer patients?

Morello, Elisabetta; Sandri, R; Monfardini, S.

doi:10.1016/j.ejca.2008.07.035

Cited by 3 publications

(4 citation statements)

References 5 publications

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“…In the surgical setting, CGA offers an estimate of surgical risk and identifies reversible conditions that interfere with surgery and rehabilitation. 25,26 Depending on the purpose of the assessment, the importance of the individual elements of CGA is likely to differ, with some elements being more useful than others. In this study, severe comorbidity was the only CGA-element that was independently predictive of severe complications, whereas IADL-dependency and depression were independent predictors of any complication.…”

Section: Discussionmentioning

confidence: 99%

“…It includes 20 items testing a variety of cognitive functions. MMSE scores were categorized as normal (27)(28)(29)(30), intermediate (24)(25)(26), or indicative of cognitive dysfunction (<24). 9 The GDS is a 30-item questionnaire that has been widely tested and used for the measurement of depression in the older population.…”

Section: Comprehensive Geriatric Assessmentmentioning

confidence: 99%

“…19-21 MNA consists of 18 items including appetite, weight loss, diet, and self-perceived health, as well as anthropometric measurements. MNA scores were categorized as normal (24)(25)(26)(27)(28)(29)(30), at risk (17-23.5), or malnourished (<17). 21 MMSE is a widely used screening instrument for cognitive impairment.…”

Section: Comprehensive Geriatric Assessmentmentioning

confidence: 99%

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Which elements of a comprehensive geriatric assessment (CGA) predict post-operative complications and early mortality after colorectal cancer surgery?

Kristjansson

Jordhøy

Nesbakken

et al. 2010

Journal of Geriatric Oncology

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Section: Discussionmentioning

confidence: 99%

Section: Comprehensive Geriatric Assessmentmentioning

confidence: 99%

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Which elements of a comprehensive geriatric assessment (CGA) predict post-operative complications and early mortality after colorectal cancer surgery?

Kristjansson

Jordhøy

Nesbakken

et al. 2010

Journal of Geriatric Oncology

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“…Induced muscle contractions increase lymphatic and vascular flow throughout the body and thereby reduce lymphatic stasis and LE symptoms [4, 41, 46]. Survivors have varied levels of physical and cognitive limitations; therefore, individualized, supervised exercise programs should be developed by a multi-disciplinary rehabilitation team in order to create a safe, appropriate regimen [47]. …”

Section: Managementmentioning

confidence: 99%

Best-Practice Guidelines in Assessment, Risk Reduction, Management, and Surveillance for Post-Breast Cancer Lymphedema

Armer

Hulett

Bernas

et al. 2013

Curr Breast Cancer Rep

103

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Breast cancer-related lymphedema (LE) is a progressive, chronic disease that affects millions of cancer survivors and primarily results from surgical lymphatic vessel/node removal and radiation therapy. Patient education and support for importance of early detection is essential in helping health care providers detect lymphedema early, when there is the best chance to prevent progression. Improved imaging and surgical techniques have decreased the incidence of LE; however, effective risk-reduction and treatment have historically lacked the level of evidence necessary to standardize effective treatment. The purpose of this article is to report an extensive review of literature, including highlighted multidisciplinary studies within the past three years, in order to update best practice guidelines in assessment, risk reduction, management, and surveillance for post-breast cancer lymphedema.

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Toxicity of Cancer Therapies in Older Patients

Saux

Falandry

2018

Curr Oncol Rep

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On the whole, reviews report similar number and frequency as well as similar grade 3 or 4 adverse events between subjects older and younger than 65 years. Yet patients included in clinical trials are often not representative of real-life patients and are often fit older cancer patients. Moreover, tolerance to the additive impact of multiple adverse effects is different between older and younger patients. And specific symptoms such as stomatitis may cause a series of consequences such as dehydration, denutrition, renal insufficiency, and adverse events of renally excreted drugs. Older patients are at high risk of toxicity due to many factors but mainly due to the prevalence of frailty in this population that has been estimated to be around 40% increasing the risk of chemotherapy intolerance. As a consequence, interventions must be implemented according to altered domains of comprehensive geriatric assessment in order to improve anticancer tolerance. These interventions are reviewed here.

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Enough rehabilitation for our elderly cancer patients?

Cited by 3 publications

References 5 publications

Which elements of a comprehensive geriatric assessment (CGA) predict post-operative complications and early mortality after colorectal cancer surgery?

Which elements of a comprehensive geriatric assessment (CGA) predict post-operative complications and early mortality after colorectal cancer surgery?

Best-Practice Guidelines in Assessment, Risk Reduction, Management, and Surveillance for Post-Breast Cancer Lymphedema

Toxicity of Cancer Therapies in Older Patients

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