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Management of Gynecological Cancers in Older Women pp 63–82Cite as

Geriatric Assessment for the Oncologist

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Abstract

The incidence of cancer, particularly gynecologic malignancy, increases with advanced age. The geriatric population is a heterogeneous group, and a patient’s chronologic age does not always reflect their overall health status. Therefore, oncologists need to be adept at assessing physiologic and functional capacity in older patients. The comprehensive geriatric assessment is the gold standard for evaluation of the geriatric patient. The various components of the CGA have been shown to influence cancer-related therapy in a multitude of ways, as previously discussed. The combined data from the CGA can be used to stratify patients into risk categories to better predict their tolerance to treatment and risk for chemotherapy toxicity. However, the CGA is a comprehensive tool requiring significant time and training to perform. Therefore, a variety of screening tools have been developed which may be useful in the general oncology practice setting to identify patients that may benefit from further testing and intervention. Further research is still needed to evaluate whether these screening tools can predict cancer-related outcomes in older patients.

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  1. Department of Medicine, University of Rochester Medical Center, University of Rochester, 601 Elmwood Ave, Rochester, NY, 14642, USA

    Allison Magnuson DO & Supriya Mohile M.D.

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Correspondence to Supriya Mohile M.D. .

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  1. Memorial Sloan-Kettering Cancer Center, Commack Road, Commack, 11725, New York, USA

    Stuart M. Lichtman

  2. University of Liverpool, St Helens Teach, Marshalls Cross Road, St Helens, WA9 3DA, United Kingdom

    Riccardo A. Audisio

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Magnuson, A., Mohile, S. (2013). Geriatric Assessment for the Oncologist. In: Lichtman, S., Audisio, R. (eds) Management of Gynecological Cancers in Older Women. Springer, London. https://doi.org/10.1007/978-1-4471-4605-6_4

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