Multidisciplinary care in the hematology clinic: implementation of geriatric oncology
Abstract
Multidisciplinary care is believed to provide benefits to patients with cancer. Tumor board conferences as well aspalliative care or psycho-oncological services have not only become common in oncology, but also in hematology clinics dedicated to the treatment of hematological cancers. Malignant hematological diseases are highly prevalent among older persons. Demographic changes in many countries worldwide are prompting the integration of geriatric principles, methodology, and expertise into existing procedures and infrastructure of multidisciplinary care in hematology clinics. Achieving this goal requires the close collaboration or even incorporation of multiple new professions in the hematology clinic in order to meet the needs of older patients with hematological malignancies who also have comorbidities and functional impairments. We here review the rationale, current evidence, and practical approaches of integrating geriatric oncology into multidisciplinary care in the hematology clinic.
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In oncology, frailty predicts treatment toxicity and mortality, and cancer societies recommend GA to assess frailty before treatment in older adults.
“In the oncology setting, frailty has been proven to predict toxicity from treatment and mortality, and leading cancer societies have recommended GA to gauge frailty prior to treatment in older adults to assess such risks [[28], [29], [30]].”
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Battisti, N. M. L., Mislang, A. R., Cooper, L., O'Donovan, A., Audisio, R. A., Cheung, K.-L., Sarrió, R. G., Stauder, R., Soto-Perez-de-Celis, E., Jaklitsch, M., et al. (2020) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2020.07.008 · Cited by 79 · see citing works
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- Authors
- Goede, V., & Stauder, R.
- Affiliations
- Innsbruck Medical University (AT)
- Corresponding author
- Goede, Valentin
- ORCID
- Stauder, Reinhard
- Venue
- Journal of Geriatric Oncology
- Publisher
- Elsevier BV
- Published
- 2019-05
- Volume
- 10
- Issue
- 3
- Pages
- 497-503
- ISSN
- 1879-4068 (ISSN-L)
- OpenAlex
- W2891170020
- Cited by
- 28
- References
- 53
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 5 · 2022: 4 · 2021: 3 · 2020: 8 · 2019: 4
- FWCI
- 0.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Geriatric Oncology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Horizon 2020 (634789, PHC-2014-634789)
- International Parkinson and Movement Disorder Society
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Health Sciences › Medicine › Emergency Medicine › Hematological disorders and diagnostics
- Keywords
- geriatric oncology, multidisciplinary care, hematology clinic, hematologic malignancies, elderly patients, palliative care, psycho-oncology, comorbidities, functional disability
- MeSH terms
- Aged, Female, Geriatrics, Hematology, Humans, Male, Medical Oncology, Geriatric Assessment, Hematologic Neoplasms
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