title: Geriatric assessment with management in cancer care: Current evidence and potential mechanisms for future research.
abstract: Older adults with cancer represent a complex patient population. Geriatric assessment (GA) is recommended to evaluate the medical and supportive care needs of this group. "GA with management" is a term encompassing the resultant medical decisions and interventions implemented in response to vulnerabilities identified on GA. In older, non-cancer patients, GA with management has been shown to improve a variety of outcomes, such as reducing functional decline and health care utilization. However, the role of GA with management in the older adult with cancer is less well established. Rigorous clinical trials of GA with management are necessary to develop an evidence base and support its use in the routine oncology care of older adults. At the recent U-13 conference, "Design and Implementation of Intervention Studies to Improve or Maintain Quality of Survivorship in Older and/or Frail Adults with Cancer," a session was dedicated to developing research priorities in GA with management. Here we summarize identified knowledge gaps in GA with management studies for older patients with cancer and propose areas for future research.
authors.affiliation: University of Rochester, Rochester, NY, USA.
authors.forename: Allison
authors.initials: A
authors.lastname: Magnuson
authors.affiliation: Yale University, New Haven, CT, USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Allore
authors.affiliation: Duke University, Durham, NC, USA.
authors.forename: Harvey Jay
authors.initials: HJ
authors.lastname: Cohen
authors.affiliation: University of Rochester, Rochester, NY, USA.
authors.forename: Supriya G
authors.initials: SG
authors.lastname: Mohile
authors.affiliation: University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Grant R
authors.initials: GR
authors.lastname: Williams
authors.affiliation: Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Chapman
authors.affiliation: H. Lee Moffitt Cancer Center, Tampa, FL, USA.
authors.forename: Martine
authors.initials: M
authors.lastname: Extermann
authors.affiliation: University of California San Francisco, San Francisco, CA, USA.
authors.forename: Rebecca L
authors.initials: RL
authors.lastname: Olin
authors.affiliation: SCOREboard, San Diego, CA, USA.
authors.forename: Valerie
authors.initials: V
authors.lastname: Targia
authors.affiliation: Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Amy
authors.initials: A
authors.lastname: Mackenzie
authors.affiliation: The University of Texas Health Science Center McGovern Medical School, Houston, TX, USA.
authors.forename: Holly M
authors.initials: HM
authors.lastname: Holmes
authors.affiliation: City of Hope, Duarte, CA, USA.
authors.forename: Arti
authors.initials: A
authors.lastname: Hurria
mesh_terms: D000368:Aged; D002986:Clinical Trials as Topic / Q000592:standards*; D016330:Frail Elderly; D015577:Geriatric Assessment; D005853:Geriatrics; D006801:Humans; D008495:Medical Oncology / Q000592:standards* / Q000639:trends; D009369:Neoplasms / Q000628:therapy*; D012106:Research / Q000592:standards* / Q000639:trends; D012307:Risk Factors
keywords: Cancer; Geriatric assessment intervention; Geriatric assessment with management; Geriatric oncology