The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.
Screening for Vulnerability in Older Cancer Patients: The ONCODAGE Prospective Multicenter Cohort Study
Open accessAbstract
BACKGROUND: Geriatric Assessment is an appropriate method for identifying older cancer patients at risk of life-threatening events during therapy. Yet, it is underused in practice, mainly because it is time- and resource-consuming. This study aims to identify the best screening tool to identify older cancer patients requiring geriatric assessment by comparing the performance of two short assessment tools the G8 and the Vulnerable Elders Survey (VES-13). PATIENTS AND METHODS: The diagnostic accuracy of the G8 and the (VES-13) were evaluated in a prospective cohort study of 1674 cancer patients accrued before treatment in 23 health care facilities. 1435 were eligible and evaluable. Outcome measures were multidimensional geriatric assessment (MGA), sensitivity (primary), specificity, negative and positive predictive values and likelihood ratios of the G8 and VES-13, and predictive factors of 1-year survival rate. RESULTS: Patient median age was 78.2 years (70-98) with a majority of females (69.8%), various types of cancer including 53.9% breast, and 75.8% Performance Status 0-1. Impaired MGA, G8, and VES-13 were 80.2%, 68.4%, and 60.2%, respectively. Mean time to complete G8 or VES-13 was about five minutes. Reproducibility of the two questionnaires was good. G8 appeared more sensitive (76.5% versus 68.7%, P = 0.0046) whereas VES-13 was more specific (74.3% versus 64.4%, P<0.0001). Abnormal G8 score (HR = 2.72), advanced stage (HR = 3.30), male sex (HR = 2.69) and poor Performance Status (HR = 3.28) were independent prognostic factors of 1-year survival. CONCLUSION: With good sensitivity and independent prognostic value on 1-year survival, the G8 questionnaire is currently one of the best screening tools available to identify older cancer patients requiring geriatric assessment, and we believe it should be implemented broadly in daily practice. Continuous research efforts should be pursued to refine the selection process of older cancer patients before potentially life-threatening therapy.
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Self-citationUse of comprehensive geriatric assessment in older cancer patients:
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Cited by
Mohile, S. G., Dale, W., Somerfield, M. R., Schonberg, M. A., Boyd, C. M., Burhenn, P. S., Canin, B., Cohen, H. J., Holmes, H. M., Hopkins, J. O., et al. (2018) · Journal of Clinical Oncology · doi:10.1200/jco.2018.78.8687 · Cited by 1,479
Kadambi, S., Loh, K. P., Dunne, R., Magnuson, A., Maggiore, R., Zittel, J., Flannery, M., Inglis, J., Gilmore, N., Mohamed, M., et al. (2020) · Nature Reviews Clinical Oncology · doi:10.1038/s41571-020-0421-z · Cited by 149
Mohile, S., Dumontier, C., Mian, H., Loh, K. P., Williams, G. R., Wildes, T. M., Boyd, K., Ramsdale, E., Pyne, S., Magnuson, A., et al. (2020) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2020.04.010 · Cited by 40
Exercise interventions for frail older adults with cancer
Sattar, S., Haase, K. R., Lee, K., & Campbell, K. L. (2024) · Current Opinion in Supportive & Palliative Care · doi:10.1097/spc.0000000000000685 · Cited by 3
Metadata
- Authors
- Soubeyran, P., Bellera, C., Goyard, J., Heitz, D., Curé, H., Rousselot, H., Albrand, G., Servent, V., Jean, O. S., van Praagh, I., Kurtz, J.-E., Périn, S., Verhaeghe, J.-L., Terret, C., Desauw, C., Girre, V., Mertens, C., Mathoulin-Pélissier, S., & Rainfray, M.
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2014-12-11
- Volume
- 9
- Issue
- 12
- Pages
- e115060
- ISSN
- 1932-6203 (ISSN-L)
- OpenAlex
- W2167333057
- Cited by
- 601
- References
- 40
- FWCI
- 13.02
- Type
- journal article
- Language
- en
- Open access
- gold
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- Soubeyran, P., Bellera, C., Goyard, J., Heitz, D., Curé, H., Rousselot, H., Albrand, G., Servent, V., Jean, O. S., van Praagh, I., Kurtz, J.-E., Périn, S., Verhaeghe, J.-L., Terret, C., Desauw, C., Girre, V., Mertens, C., Mathoulin-Pélissier, S., & Rainfray, M. (2014). Screening for Vulnerability in Older Cancer Patients: The ONCODAGE Prospective Multicenter Cohort Study. PLoS ONE. https://doi.org/10.1371/journal.pone.0115060
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