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Mashup Score: 8Exploring the role of the oncologist in promoting shared decision making during treatment planning for older adults with acute myeloid leukemia - 4 month(s) ago
Shared decision making (SDM), a process that promotes both patient autonomy and engagement, is associated with increased patient knowledge and decreased decisional regret [1]. Due to acute myeloid leukemia’s (AML) sudden onset and frequent need for rapid management decisions, achieving SDM in older patients is challenging [2]. Older adults with AML also have various vulnerabilities (e.g., functional and cognitive impairments) which further complicate decision making. This study evaluated oncologists’ current practices to promote SDM among older adults with AML using a communication tool designed to systematically elicit patient preferences regarding treatment planning.
Source: www.geriatriconcology.netCategories: General Medicine News, Oncologists1Tweet
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Mashup Score: 15Cancer care physicians' attitudes toward do not resuscitate orders during the COVID-19 pandemic - 4 month(s) ago
Providing routine medical care to patients with serious illnesses, including cancer, was a significant challenge for healthcare providers during the COVID-19 pandemic. The pandemic led to a sharp increase in healthcare utilization and the dwindling of several integral resources in the U.S.—including hospital beds, ventilators, and care providers in all disciplines—which forcibly introduced a difficult rationing scenario. Rapidly evolving knowledge about SARS-CoV-2 and climbing mortality led providers to question the timing, setting, and appropriateness of cardiopulmonary resuscitation (CPR) in the COVID-19 era [1].
Source: www.geriatriconcology.netCategories: General Medicine News, Oncologists1Tweet
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Mashup Score: 12Evaluation of comprehensive geriatric assessment for older adults with pancreaticobiliary cancers: A retrospective observational study - 5 month(s) ago
In pancreaticobiliary cancers, 70–80% of patients were diagnosed with an advanced stage, and the prognosis was poor compared to cancer of other organs. While prognosis in unresectable cases has improved with development of intensive chemotherapy, clinical evidence for safety and effectiveness in older adults is still limited because they are often excluded from clinical trials [1]. The evidence-based functional assessment that evaluates various social backgrounds, physical, and cognitive functions is required for appropriate treatment selection in older adults.
Source: www.geriatriconcology.netCategories: General Medicine News, Oncologists1Tweet
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Mashup Score: 31Racial differences in body composition and survival among older adults with gastrointestinal malignancies - 5 month(s) ago
Muscle and adipose tissue measures can be quantified from routinely obtained computed tomography (CT) images and are predictors of chemotherapy-related toxicities and survival among patients with gastrointestinal (GI) malignancies. Most studies to date have consisted of predominantly White patients, and the role of body composition among minoritized racial groups is unknown. We examined racial differences in body composition and survival among patients with GI malignancies.
Source: www.geriatriconcology.netCategories: General Medicine News, Onc News and JournalsTweet-
Racial differences in body composition and survival among older adults with gastrointestinal malignancies https://t.co/ZZ2Fypg3Yb @MFowlerPhD @smith__giri @GrantWilliamsMD @WilliamDale_MD @rochgerionc @myCARG #GeriOnc #OlderAdults #OncoAlert #SIOG #YoungSIOG #RacialDisparities https://t.co/0TIBz6GDUf
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Mashup Score: 7Receipt of financial assistance for oral targeted therapy among older adults with advanced non-small cell lung cancer: A prospective cohort study - 5 month(s) ago
Older adults with cancer are at increased risk for financial toxicity given high rates of polypharmacy, out-of-pocket costs, fixed incomes, and financial management challenges [1]. Furthermore, older adults with cancer who experience financial toxicity are at increased risk for depression, anxiety, and decreased quality of life (QOL) [1,2]. Oral targeted therapies may compound financial toxicity due to high cost-sharing requirements under Medicare Part D, the prescription drug benefit that insures most older adults [3].
Source: www.geriatriconcology.netCategories: General Medicine News, Onc News and JournalsTweet
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Mashup Score: 13Localized prostate cancer in older patients: Radical prostatectomy or radiotherapy versus observation - 6 month(s) ago
This study evaluates the effects of radical prostatectomy (RP) or irradiation on overall survival (OS) and prostate cancer-specific mortality (PCSM) in older patients with localized prostate cancer (PC).
Source: www.geriatriconcology.netCategories: General Medicine News, Onc News and JournalsTweet
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Mashup Score: 25
Older patients with cancer are less likely to express their treatment preferences than younger patients. Question prompt lists (QPLs) facilitate communication between patients and physicians. Geriatric assessment (GA) is recommended when older patients with cancer make treatment decisions. This study estimated the effect size of a shared decision-making (SDM) support program combining QPLs with GA in terms of patients’ subjective evaluation of the SDM process for a future definitive randomized controlled trial.
Source: www.geriatriconcology.netCategories: General Medicine News, Onc News and JournalsTweet-
Shared decision-making support program for older patients with advanced cancer using a question prompt list and geriatric assessment: A pilot randomized controlled trial https://t.co/dngXHOaOHc @WilliamDale_MD @rochgerionc @myCARG #GeriOnc #OlderAdults #OncoAlert #SIOG #YoungSIOG https://t.co/8Z96larT3q
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Mashup Score: 36Outcomes in studies regarding older patients with prostate cancer: A systematic review - 7 month(s) ago
Older patients are often deemed ineligible for clinical research, and many frequently-used endpoints and outcome measures are not as relevant for older patients for younger ones. This systematic review aimed to present an overview of outcomes used in clinical research regarding patients over the age of 65 years with prostate cancer.
Source: www.geriatriconcology.netCategories: General Medicine News, Onc News and JournalsTweet
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Mashup Score: 18
Older patients are often excluded from clinical trials with the majority of patients being between the ages of 18 and 64 [1]. This may be due to increased incidence of medical comorbidities in the older adults as well as poorer performance status, but often this is a result of clinical selection bias for suitability for clinical trials [1,2]. Early phase clinical trials (EPCTs) aim to assess the tolerability and toxicity profile of novel anti-cancer therapeutics. The primary goal is to determine dose limiting toxicity (DLT) in order to move forward within the drug development timeline.
Source: www.geriatriconcology.netCategories: General Medicine News, Onc News and JournalsTweet
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Mashup Score: 7Trends in wearable device use among cancer survivors in the United States from 2019 to 2022 - 9 month(s) ago
The increasing digitization of healthcare has driven the rise in wearable devices, notably during the COVID-19 pandemic. Wearable devices continuously track patients’ physiological measurements, such as heart rate, activity, sleep, etc. For patients with cancer, these digital biomarkers may reflect meaningful variation in physical function, symptom burden, quality of life, and risk of adverse events, [1] and have the potential to improve physical activity and quality of life. [2] Despite the growing popularity and recognized benefits of wearable devices, research suggests a low uptake and digital divide in both healthy adults [3] and those with chronic diseases (e.g., cardiovascular disease) [4].
Source: www.geriatriconcology.netCategories: General Medicine News, Onc News and JournalsTweet
Exploring the role of the oncologist in promoting shared decision making during treatment planning for older adults with acute myeloid leukemia https://t.co/nbaMOKWyWy @MarissaLocastro @BattagliaJensen @MelissaLoh21 @WilliamDale_MD @rochgerionc @myCARG #GeriOnc #OlderAdults