title: International Society of Geriatric Oncology consensus on geriatric assessment in older patients with cancer.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  There is mounting data regarding the utility of GA in oncology practice; however, additional research is needed to continue to strengthen the evidence base.
authors: Hans
authors: H
authors: Wildiers
authors: Pieter
authors: P
authors: Heeren
authors: Martine
authors: M
authors: Puts
authors: Eva
authors: E
authors: Topinkova
authors: Maryska L G
authors: ML
authors: Janssen-Heijnen
authors: Martine
authors: M
authors: Extermann
authors: Claire
authors: C
authors: Falandry
authors: Andrew
authors: A
authors: Artz
authors: Etienne
authors: E
authors: Brain
authors: Giuseppe
authors: G
authors: Colloca
authors: Johan
authors: J
authors: Flamaing
authors: Theodora
authors: T
authors: Karnakis
authors: Cindy
authors: C
authors: Kenis
authors: Riccardo A
authors: RA
authors: Audisio
authors: Supriya
authors: S
authors: Mohile
authors: Lazzaro
authors: L
authors: Repetto
authors: Barbara
authors: B
authors: Van Leeuwen
authors: Koen
authors: K
authors: Milisen
authors: Arti
authors: A
authors: Hurria
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D015577:Geriatric Assessment / Q000379:methods*; D005853:Geriatrics / Q000379:methods / Q000592:standards*; D006801:Humans; D009369:Neoplasms / Q000175:diagnosis* / Q000628:therapy*