Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy: ASCO Guideline for Geriatric Oncology Summary

Mohile, Supriya G.; Dale, William; Somerfield, Mark R.; Hurria, Arti

doi:10.1200/jop.18.00180

Cited by 135 publications

(103 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Last year, Dr. Mohile, Dr. Dale, and Dr. Hurria were the lead authors of an ASCO guideline that recommended that oncologists conduct GAs when determining whether to administer chemotherapy in patients aged ≥65 years . Dr. Mohile and Dr. Dale are currently examining how GAs can be further integrated into oncology clinics to improve patient care.…”

Section: Integrating Geriatric Assessmentsmentioning

confidence: 99%

First person profile: Supriya G. Mohile, MD, MS

Printz¹

2019

Cancer

View full text Add to dashboard Cite

Section: Integrating Geriatric Assessmentsmentioning

confidence: 99%

First person profile: Supriya G. Mohile, MD, MS

Printz¹

2019

Cancer

View full text Add to dashboard Cite

“…Broadening this standard to screen for both the psychosocial and functional needs of patients would help drive clinician attention to a more comprehensive set of patient needs. Incentivizing routine screening for functional limitations would be in line with the ASCO guideline to assess and address vulnerabilities of older adults during chemotherapy . In that guideline (developed by an expert panel), referrals to rehabilitation are recommended in the presence of IADL limitations or falls/mobility limitations …”

Section: Strategy 5: Advocating For Public Policy Changementioning

confidence: 99%

“…Incentivizing routine screening for functional limitations would be in line with the ASCO guideline to assess and address vulnerabilities of older adults during chemotherapy. 113 In that guideline (developed by an expert panel), referrals to rehabilitation are recommended in the presence of IADL limitations or falls/mobility limitations. 114 A final strategy could involve legislative work to mandate the inclusion of cancer rehabilitation screening and appropriate referrals in oncology care and stimulate the growth of the workforce and the science base, similar to the palliative care PCHETA bill.…”

Section: Cancer Rehabilitationmentioning

confidence: 99%

Follow the trail: Using insights from the growth of palliative care to propose a roadmap for cancer rehabilitation

Lyons

Padgett

Marshall

et al. 2018

CA A Cancer J Clinicians

View full text Add to dashboard Cite

Despite research explicating the benefits of cancer rehabilitation interventions to optimize physical, social, emotional, and vocational functioning, many reports document low rates of referral to and uptake of rehabilitation in oncology. Cancer rehabilitation clinicians, researchers, and policy makers could learn from the multidisciplinary specialty of palliative care, which has benefited from a growth strategy and has garnered national recognition as an important and necessary aspect of oncology care. The purpose of this article is to explore the actions that have increased the uptake and integration of palliative care to yield insights and multimodal strategies for the development and growth of cancer rehabilitation. After examining the history of palliative care and its growth, the authors highlight 5 key strategies that may benefit the field of cancer rehabilitation: 1) stimulating the science in specific gap areas; 2) creating clinical practice guidelines; 3) building clinical capacity; 4) ascertaining and responding to public opinion; and 5) advocating for public policy change. Coordinated and simultaneous advances on these 5 strategies may catalyze the growth, utilization, and effectiveness of patient screening, timely referrals, and delivery of appropriate cancer rehabilitation care that reduces disability and improves quality of life for cancer survivors who need these services.

show abstract

“…The training consisted of various interventions and tools; one of which was regular interdisciplinary NP/PA huddles, which served to address the complex care issues of patients undergoing chemotherapy Bunnell et al 5 Standardized assessment tools for the chemotherapy patient are essential, and serve as an objective measure for gauging the patients' condition as well as response to treatment. The American Association of Clinical Oncology (ASCO) identified the importance of standardized reliable and valid tools, and decision making models for the geriatric patient based on expert consensus Mohile et al 9 They maintain that providers are obligated to develop integrated plans, based on individual risk factors that can contribute to adverse outcomes, which include nononcologic comorbidities Mohile et al 9 Some of the recommended tools are the Geriatric Depression Scale (GDS); Yesavage et al, 10 and the Mini-Cog Borson, n.d. 11 Borson et al, 12 or the Blessed Orientation-Memory-Concentration test (BOMC) DYSmd™, n.d. 13 Katzman R 14 which measure depression and cognition respectfully. Assessments should include Instrumental Activities of Daily Living (IADLs) Moffitt, n.d., 15 unintentional weight loss, nutrition (Nestle Nutrition, n.d.), and presence of falls, as well as other co-morbidities.…”

Section: The Team Huddlementioning

confidence: 99%

The process of oncology nurse practitioner patient navigation: navigation in the chemotherapy suite, navigation tools revisited

Johnson¹

2017

JCPCR

View full text Add to dashboard Cite

working relations between advanced practice nurses administrative supervisors, and medical staff Johnson 4 Farrell et al. 3 The role and responsibilities of ONP's in the chemotherapy suite requires clear delineation, and negotiation of the role with the physician. Literature has shown that ill coordinated care for chemotherapy patients can hinder high level collaborative relationships, and negatively impact patient care Bunnell et al. 5 Several tools have been identified as successful in improving patient navigation in the chemotherapy suite, which foster collaborative practice. These include: the team huddle, gerontological assessments tools, and this authors care coordination worksheet tool entitled the Chemotherapy Care Coordination Rounding tool.

show abstract

Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy: ASCO Guideline for Geriatric Oncology Summary

Cited by 135 publications

References 33 publications

First person profile: Supriya G. Mohile, MD, MS

First person profile: Supriya G. Mohile, MD, MS

Follow the trail: Using insights from the growth of palliative care to propose a roadmap for cancer rehabilitation

The process of oncology nurse practitioner patient navigation: navigation in the chemotherapy suite, navigation tools revisited

Contact Info

Product

Resources

About