title: Perceptions of Older Adults, Hematologists, and Medical Oncologists in Cancer Care.
abstract: OBJECTIVE
  The purpose of this study was to assess and compare the perceptions of hematologists, medical oncologists, cancer patients aged 65 years and older, and family members/caregivers regarding the value of a geriatric assessment (GA) in the management of older adults with cancer.
  
  
  METHODS
  Participants included adults with cancer aged 65 years and older (n = 66), patient family members/caregivers (n = 32), and physicians (n = 42). A patient survey, a caregiver/family survey, and an online physician survey targeted to hematologists and medical oncologists were distributed at a large cancer center in a major academic health system in the New York metropolitan area. The χ(2) test or the Fisher exact test was used to compare the cohorts for responses to geriatric domains in a GA.
  
  
  RESULTS
  Comparisons for each of the 17 GA domains between patient and family member and caregiver responses showed concordance, except for the perception of comorbidities; 16.7% of patients indicated that comorbidities were an issue, compared with 29.0% of family/caregivers (P = 0.047). Physicians indicated that a GA would be most helpful in addressing cognitive impairment (91.4%), falls (91.4%), and functional status (88.6%).
  
  
  CONCLUSIONS
  A GA would be useful for physicians and older adults with cancer. Hematologists and medical oncologists recognize the utility of a GA and are receptive to a multidisciplinary geriatrics-oncology collaboration.
authors.affiliation: From the Division of Hematology and Medical Oncology, North Shore-LIJ Cancer Institute, Lake Success, the Department of Medicine, North Shore-LIJ Health System, Great Neck, the Division of Geriatric and Palliative Medicine, North Shore-LIJ Health System, Manhasset, Hofstra-North Shore LIJ School of Medicine, Hempstead, and the Division of Biostatistics, Feinstein Institute for Medical Research, Manhasset, New York.
authors.forename: Myra F
authors.initials: MF
authors.lastname: Barginear
authors.affiliation: From the Division of Hematology and Medical Oncology, North Shore-LIJ Cancer Institute, Lake Success, the Department of Medicine, North Shore-LIJ Health System, Great Neck, the Division of Geriatric and Palliative Medicine, North Shore-LIJ Health System, Manhasset, Hofstra-North Shore LIJ School of Medicine, Hempstead, and the Division of Biostatistics, Feinstein Institute for Medical Research, Manhasset, New York.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kozikowski
authors.affiliation: From the Division of Hematology and Medical Oncology, North Shore-LIJ Cancer Institute, Lake Success, the Department of Medicine, North Shore-LIJ Health System, Great Neck, the Division of Geriatric and Palliative Medicine, North Shore-LIJ Health System, Manhasset, Hofstra-North Shore LIJ School of Medicine, Hempstead, and the Division of Biostatistics, Feinstein Institute for Medical Research, Manhasset, New York.
authors.forename: Renee
authors.initials: R
authors.lastname: Pekmezaris
authors.affiliation: From the Division of Hematology and Medical Oncology, North Shore-LIJ Cancer Institute, Lake Success, the Department of Medicine, North Shore-LIJ Health System, Great Neck, the Division of Geriatric and Palliative Medicine, North Shore-LIJ Health System, Manhasset, Hofstra-North Shore LIJ School of Medicine, Hempstead, and the Division of Biostatistics, Feinstein Institute for Medical Research, Manhasset, New York.
authors.forename: Meredith
authors.initials: M
authors.lastname: Akerman
authors.affiliation: From the Division of Hematology and Medical Oncology, North Shore-LIJ Cancer Institute, Lake Success, the Department of Medicine, North Shore-LIJ Health System, Great Neck, the Division of Geriatric and Palliative Medicine, North Shore-LIJ Health System, Manhasset, Hofstra-North Shore LIJ School of Medicine, Hempstead, and the Division of Biostatistics, Feinstein Institute for Medical Research, Manhasset, New York.
authors.forename: Naveen
authors.initials: N
authors.lastname: Gopal
authors.affiliation: From the Division of Hematology and Medical Oncology, North Shore-LIJ Cancer Institute, Lake Success, the Department of Medicine, North Shore-LIJ Health System, Great Neck, the Division of Geriatric and Palliative Medicine, North Shore-LIJ Health System, Manhasset, Hofstra-North Shore LIJ School of Medicine, Hempstead, and the Division of Biostatistics, Feinstein Institute for Medical Research, Manhasset, New York.
authors.forename: Bradley
authors.initials: B
authors.lastname: Goldberg
authors.affiliation: From the Division of Hematology and Medical Oncology, North Shore-LIJ Cancer Institute, Lake Success, the Department of Medicine, North Shore-LIJ Health System, Great Neck, the Division of Geriatric and Palliative Medicine, North Shore-LIJ Health System, Manhasset, Hofstra-North Shore LIJ School of Medicine, Hempstead, and the Division of Biostatistics, Feinstein Institute for Medical Research, Manhasset, New York.
authors.forename: Maria T
authors.initials: MT
authors.lastname: Carney
authors.affiliation: From the Division of Hematology and Medical Oncology, North Shore-LIJ Cancer Institute, Lake Success, the Department of Medicine, North Shore-LIJ Health System, Great Neck, the Division of Geriatric and Palliative Medicine, North Shore-LIJ Health System, Manhasset, Hofstra-North Shore LIJ School of Medicine, Hempstead, and the Division of Biostatistics, Feinstein Institute for Medical Research, Manhasset, New York.
authors.forename: Gisele
authors.initials: G
authors.lastname: Wolf-Klein
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D017028:Caregivers / Q000523:psychology; D003430:Cross-Sectional Studies; D005260:Female; D015577:Geriatric Assessment; D019538:Health Care Surveys; D006405:Hematology; D006801:Humans; D008297:Male; D008495:Medical Oncology; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy*; D009519:New York City; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*