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International Society of Geriatric Oncology Consensus on Geriatric Assessment in Older Patients With Cancer

Open access
Wildiers, Hans, Heeren, Pieter, Puts, Martine, Topinkova, Eva, Janssen-Heijnen, Maryska L.G., Extermann, Martine, Falandry, Claire, Artz, Andrew, Brain, Etienne, Colloca, Giuseppe, Flamaing, Johan, Karnakis, Theodora, Kenis, Cindy, Audisio, Riccardo A., Mohile, Supriya, Repetto, Lazzaro, Van Leeuwen, Barbara, Milisen, Koen, Hurria, Arti·2014·Journal of Clinical Oncology

Abstract

Purpose: To update the International Society of Geriatric Oncology (SIOG) 2005 recommendations on geriatric assessment (GA) in older patients with cancer. Methods: SIOG composed a panel with expertise in geriatric oncology to develop consensus statements after literature review of key evidence on the following topics: rationale for performing GA; findings from a GA performed in geriatric oncology patients; ability of GA to predict oncology treatment–related complications; association between GA findings and overall survival (OS); impact of GA findings on oncology treatment decisions; composition of a GA, including domains and tools; and methods for implementing GA in clinical care. Results: GA can be valuable in oncology practice for following reasons: detection of impairment not identified in routine history or physical examination, ability to predict severe treatment-related toxicity, ability to predict OS in a variety of tumors and treatment settings, and ability to influence treatment choice and intensity. The panel recommended that the following domains be evaluated in a GA: functional status, comorbidity, cognition, mental health status, fatigue, social status and support, nutrition, and presence of geriatric syndromes. Although several combinations of tools and various models are available for implementation of GA in oncology practice, the expert panel could not endorse one over another. Conclusion: There is mounting data regarding the utility of GA in oncology practice; however, additional research is needed to continue to strengthen the evidence base.

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Metadata

Authors
Wildiers, H., Heeren, P., Puts, M., Topinkova, E., Janssen-Heijnen, M. L. G., Extermann, M., Falandry, C., Artz, A., Brain, E., Colloca, G., Flamaing, J., Karnakis, T., Kenis, C., Audisio, R. A., Mohile, S., Repetto, L., Van Leeuwen, B., Milisen, K., & Hurria, A.
Venue
Journal of Clinical Oncology
Published
2014-08-20
Volume
32
Issue
24
Pages
2595-2603
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W2167600867
Cited by
1,831
References
8
FWCI
48.67
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: International Society of Geriatric Oncology Consensus on Geriatric Assessment in Older Patients With Cancer. https://app.cochat.ai/papers/10.1200/jco.2013.54.8347
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Wildiers, H., Heeren, P., Puts, M., Topinkova, E., Janssen-Heijnen, M. L. G., Extermann, M., Falandry, C., Artz, A., Brain, E., Colloca, G., Flamaing, J., Karnakis, T., Kenis, C., Audisio, R. A., Mohile, S., Repetto, L., Van Leeuwen, B., Milisen, K., & Hurria, A. (2014). International Society of Geriatric Oncology Consensus on Geriatric Assessment in Older Patients With Cancer. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2013.54.8347

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.