On the importance of multidimensional evaluation of elderly oncologic patients.

Abstract:

:The role of comorbidity and the psycho-affective attitudes have been studied in 108 elderly oncological patients, in comparison with 25 elderly subjects without tumor pathologies. The results have revealed positive correlations between the activity of daily living (ADL), as well as the instrumental activity of daily living (IADL) scales and the comorbidity both in the oncological subjects and the controls. The performance status defined by the eastern cooperative oncology group (ECOG-PS) positively correlated with the parameters of ADL and IADL scales, demonstrating an increased vulnerability and fragility of the oncological patients in their everyday activities. An increased psychological fragility of the oncological patients has also been revealed by the scores of the geriatric depression scale (GDS), which might be cause and consequence at the same time of the disease itself. In addition, the polypathologies are not associated with an increased gravity of the tumor stage, although there have been 2.5 accompanying pathologies, mainly diseases of osteoarticular and cardial character. The correction of functional damages of various organs due to aging or concomitant or previous diseases is a period of fundamental importance for an adequate oncological therapy. The principal goal of any intervention in the elderly oncological patient should certainly be an improvement of the quality of life, including an alleviation of the impact of the diagnostic and therapeutic procedures on it.

journal_name

Arch Gerontol Geriatr

authors

Di Mauro S,Distefano A,Di Fazio I,Leotta C,Malaguarnera M

doi

10.1016/s0167-4943(99)00052-7

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

63-71

issue

1

eissn

0167-4943

issn

1872-6976

pii

S0167-4943(99)00052-7

journal_volume

30

pub_type

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