The Clinical Characteristics of Geriatric Cancer Patients in Chonburi Hospital and Geriatric Assessment by G8
Abstract
Background
The aging population continued to grow up, by 2022, about one-fifth of Thai population would be age 65 or older. New diagnosed cancer mostly affected older adults. A geriatric assessment-based might benefit older patients. G8 screening tool are practical and easy assessed for treatment-related toxicity. This study aimed to review the characteristic of geriatric cancer patients in Chonburi hospital and evaluate geriatric assessment by G8 tool.
Methods
A descriptive retrospective hospital-based study of non-hematologic cancer patients. Eligible patients were aged 65 years and older who received cancer treatment in Oncology department in Chonburi hospital. Geriatric assessment was done by using G8 screening tool.
Results
Total elderly cancer patients were 243 cases and the prevalence was 36% of total cancer patients treated during the study period. The mean age was 73.05 years, with the majority of patients being male (61.3%), mean body mass index (BMI) was 21.60, mean surface area (BSA) was 1.56 which 61.7% had BSA > 1.50. The most common was colon cancer (37.9%). followed by lung cancer (36.2%). The performance status was mainly ECOG1 (47.7%). Almost of the patients had other underlying medical conditions. Main are advanced stage (61.3%) and aims were palliation. Approach patient with G8 tool assessment found that the majority were frail group (78.2%). Factor which can reduce the likelihood of side effects from chemotherapy treatment was the G8 score. The fit group had statistically significantly less side effects than the frail group (p = 0.012). A negative correlation was found between G8 scores and reduction in chemotherapy dose, statistically significant (r = -0.26, p < 0.0001)
Conclusion
The prevalence of elderly cancer patients in Chonburi Hospital was 36% and main population were frail. The G8 tool was able to distinguish the fit and frail patient groups. Geriatric assessment-based intervention has a significantly fewer side effects from chemotherapy treatment in oncological cancer care.
References
มูลนิธิสถาบันวิจัยและพัฒนาผู้สูงอายุไทย. รายงานสถานการณ์ผู้สูงอายุไทย ปี 2561 [อินเทอร์เน็ต]. 2019 [เข้าถึงเมื่อ 6 มิถุนายน 2563]. เข้าถึงได้จาก: https://thaitgri.org/?p=38670
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