The effect of a geriatric evaluation on treatment decisions for older patients with colorectal cancer

N M Verweij; E T D Souwer; A H W Schiphorst; H A Maas; J E A Portielje; A Pronk; F van den Bos; M E Hamaker

doi:10.1007/s00384-017-2883-8

The effect of a geriatric evaluation on treatment decisions for older patients with colorectal cancer

N M Verweij
, E T D Souwer
, A H W Schiphorst
, H A Maas
, J E A Portielje
, A Pronk
, F van den Bos
, M E Hamaker

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Treating elderly colorectal cancer patients can be challenging. It is very important to carefully weigh the risks and benefits of potential treatments in individual patients. This treatment decision making can be guided by geriatric consultation. Our aim was to assess the effect of a geriatric evaluation on treatment decisions for older patients with colorectal cancer.

METHODS: Colorectal cancer patients who were referred for a geriatric consultation between 2013 and 2015 in three Dutch teaching hospitals were included in a prospective database. The outcome of geriatric assessment, non-oncological interventions and geriatricians' treatment recommendations were evaluated.

RESULTS: The total number of included referrals was 168. The median age was 81 years (range 60-94). Most patients (71%) had colon cancer and 49% had tumour stage III disease. The reason for geriatric consultation was uncertainty regarding the optimal oncologic treatment in 139 patients (83%). Overall 93% of patients suffered from geriatric impairments; non-oncological interventions that followed after geriatric consultation was mostly aimed at malnutrition. The geriatrician recommended the 'more intensive treatment' option in 69% and the 'less intensive treatment' option in 31% of which 63% 'supportive care only'.

CONCLUSION: Geriatric consultation can be useful in treatment decision making in elderly patients with colorectal cancer. It may lead to changes in the treatment plan for individual cases and may result in an additional optimisation of patient's health status prior to treatment.

Original language	English
Pages (from-to)	1625-1629
Number of pages	5
Journal	International Journal of Colorectal Disease
Volume	32
Issue number	11
DOIs	https://doi.org/10.1007/s00384-017-2883-8
Publication status	Published - Nov 2017
Externally published	Yes

Keywords

Colorectal cancer
Decision making
Geriatric consultation

Access to Document

10.1007/s00384-017-2883-8

Cite this

@article{59e4ba2341ef41a882a18b93aa0a4f2f,

title = "The effect of a geriatric evaluation on treatment decisions for older patients with colorectal cancer",

abstract = "BACKGROUND: Treating elderly colorectal cancer patients can be challenging. It is very important to carefully weigh the risks and benefits of potential treatments in individual patients. This treatment decision making can be guided by geriatric consultation. Our aim was to assess the effect of a geriatric evaluation on treatment decisions for older patients with colorectal cancer.METHODS: Colorectal cancer patients who were referred for a geriatric consultation between 2013 and 2015 in three Dutch teaching hospitals were included in a prospective database. The outcome of geriatric assessment, non-oncological interventions and geriatricians' treatment recommendations were evaluated.RESULTS: The total number of included referrals was 168. The median age was 81 years (range 60-94). Most patients (71\%) had colon cancer and 49\% had tumour stage III disease. The reason for geriatric consultation was uncertainty regarding the optimal oncologic treatment in 139 patients (83\%). Overall 93\% of patients suffered from geriatric impairments; non-oncological interventions that followed after geriatric consultation was mostly aimed at malnutrition. The geriatrician recommended the 'more intensive treatment' option in 69\% and the 'less intensive treatment' option in 31\% of which 63\% 'supportive care only'.CONCLUSION: Geriatric consultation can be useful in treatment decision making in elderly patients with colorectal cancer. It may lead to changes in the treatment plan for individual cases and may result in an additional optimisation of patient's health status prior to treatment.",

keywords = "Colorectal cancer, Decision making, Geriatric consultation",

author = "Verweij, \{N M\} and Souwer, \{E T D\} and Schiphorst, \{A H W\} and Maas, \{H A\} and Portielje, \{J E A\} and A Pronk and \{van den Bos\}, F and Hamaker, \{M E\}",

note = "Publisher Copyright: {\textcopyright} 2017, Springer-Verlag GmbH Germany.",

year = "2017",

month = nov,

doi = "10.1007/s00384-017-2883-8",

language = "English",

volume = "32",

pages = "1625--1629",

journal = "International Journal of Colorectal Disease",

issn = "0179-1958",

publisher = "Springer Nature",

number = "11",

}

TY - JOUR

T1 - The effect of a geriatric evaluation on treatment decisions for older patients with colorectal cancer

AU - Verweij, N M

AU - Souwer, E T D

AU - Schiphorst, A H W

AU - Maas, H A

AU - Portielje, J E A

AU - Pronk, A

AU - van den Bos, F

AU - Hamaker, M E

PY - 2017/11

Y1 - 2017/11

N2 - BACKGROUND: Treating elderly colorectal cancer patients can be challenging. It is very important to carefully weigh the risks and benefits of potential treatments in individual patients. This treatment decision making can be guided by geriatric consultation. Our aim was to assess the effect of a geriatric evaluation on treatment decisions for older patients with colorectal cancer.METHODS: Colorectal cancer patients who were referred for a geriatric consultation between 2013 and 2015 in three Dutch teaching hospitals were included in a prospective database. The outcome of geriatric assessment, non-oncological interventions and geriatricians' treatment recommendations were evaluated.RESULTS: The total number of included referrals was 168. The median age was 81 years (range 60-94). Most patients (71%) had colon cancer and 49% had tumour stage III disease. The reason for geriatric consultation was uncertainty regarding the optimal oncologic treatment in 139 patients (83%). Overall 93% of patients suffered from geriatric impairments; non-oncological interventions that followed after geriatric consultation was mostly aimed at malnutrition. The geriatrician recommended the 'more intensive treatment' option in 69% and the 'less intensive treatment' option in 31% of which 63% 'supportive care only'.CONCLUSION: Geriatric consultation can be useful in treatment decision making in elderly patients with colorectal cancer. It may lead to changes in the treatment plan for individual cases and may result in an additional optimisation of patient's health status prior to treatment.

AB - BACKGROUND: Treating elderly colorectal cancer patients can be challenging. It is very important to carefully weigh the risks and benefits of potential treatments in individual patients. This treatment decision making can be guided by geriatric consultation. Our aim was to assess the effect of a geriatric evaluation on treatment decisions for older patients with colorectal cancer.METHODS: Colorectal cancer patients who were referred for a geriatric consultation between 2013 and 2015 in three Dutch teaching hospitals were included in a prospective database. The outcome of geriatric assessment, non-oncological interventions and geriatricians' treatment recommendations were evaluated.RESULTS: The total number of included referrals was 168. The median age was 81 years (range 60-94). Most patients (71%) had colon cancer and 49% had tumour stage III disease. The reason for geriatric consultation was uncertainty regarding the optimal oncologic treatment in 139 patients (83%). Overall 93% of patients suffered from geriatric impairments; non-oncological interventions that followed after geriatric consultation was mostly aimed at malnutrition. The geriatrician recommended the 'more intensive treatment' option in 69% and the 'less intensive treatment' option in 31% of which 63% 'supportive care only'.CONCLUSION: Geriatric consultation can be useful in treatment decision making in elderly patients with colorectal cancer. It may lead to changes in the treatment plan for individual cases and may result in an additional optimisation of patient's health status prior to treatment.

KW - Colorectal cancer

KW - Decision making

KW - Geriatric consultation

UR - https://www.scopus.com/pages/publications/85029572306

U2 - 10.1007/s00384-017-2883-8

DO - 10.1007/s00384-017-2883-8

M3 - Article

C2 - 28932975

SN - 0179-1958

VL - 32

SP - 1625

EP - 1629

JO - International Journal of Colorectal Disease

JF - International Journal of Colorectal Disease

IS - 11

ER -

The effect of a geriatric evaluation on treatment decisions for older patients with colorectal cancer

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this