[Geriatric evaluation in oncology in the elderly subject].
The heterogeneity of the elderly population makes the simple application of standard therapeutic programs in oncological management complex, particularly if they have been validated on young populations. The NCCN and the SIOG recommend using a geriatric evaluation before setting up an individualized care program. Geriatric assessment has demonstrated its efficacy in a number of domains. This concept covers two broad activities: the Multidimensional Geriatric Evaluation (MGE), which is a standardized geriatric evaluation for detecting co-morbidities and broad geriatric syndromes, and the Detailed Geriatric Evaluation (DGE). The objective of the DGE is to inventory the patient's various problems, distinguish somatic and/or psychiatric pathologies from the physiological consequences of aging, assess the functional impact of diseases, understand how these diseases interfere with one another, assess their consequences on the patient's social environment, and prioritize the patient's different health issues. The DGE is a medical action organized into five phases designed to set up care so that the recommendations made can be followed.
Albrand
G
G
Groupement de la Gériatrie des Hospices Civils de Lyon, UPCOG de Lyon: Programme Lyonnais d'Oncogériatrie (PROLOG), Hôpital gériatrique Antoine Charial, 40, Avenue de la Table de Pierre, 69340 Francheville, France. gilles.albrand@chu-lyon.fr
D000368:Aged; D015577:Geriatric Assessment / Q000379:methods; D006801:Humans; D009369:Neoplasms / Q000175:diagnosis*