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Geriatric evaluation and management units in the care of the frail elderly cancer patient.

Publication ,  Journal Article
Rao, AV; Hsieh, F; Feussner, JR; Cohen, HJ
Published in: J Gerontol A Biol Sci Med Sci
June 2005

BACKGROUND: Geriatric assessment has been suggested as a possibly useful approach in dealing with frail elderly cancer patients. METHODS: This was a secondary subset analysis from a randomized 2 x 2 factorial trial in 11 Department of Veterans Affairs medical centers. Hospitalized, frail patients at least 65 years old, after stabilization of their acute illness, were randomized to receive care in a geriatric inpatient unit, a geriatric outpatient clinic, both, or neither. The interventions involved core teams that provided geriatric assessment and patient management. We identified 99 patients with a diagnosis of cancer by The International Classification of Diseases, 9th Revision (ICD-9) codes, excluding all nonmelanoma skin cancers. Outcomes collected at discharge, 6 months, and 1 year after randomization were survival, changes in health-related quality of life (using the Medical Outcomes Study 36-Item Short-Form general health survey [SF-36]), activities of daily living, physical performance, health service utilization, and costs. RESULTS: There was no effect on mortality (1-year survival 59.6%). The changes in the SF-36 scores from randomization for emotional limitation, mental health and bodily pain (also sustained at 1 year) on the SF-36 were better for geriatric inpatient care cancer patients at discharge. There was no difference in SF-36 scores between geriatric outpatient and usual outpatient care. Days of hospitalization and overall costs were equivalent for the interventions and usual care over the 1-year study. CONCLUSIONS: This study suggests that inpatient geriatric assessment and management may be an effective approach to the management of pain and psychological status in the elderly cancer inpatient at no greater length of hospitalization or extra cost than usual care.

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Published In

J Gerontol A Biol Sci Med Sci

DOI

ISSN

1079-5006

Publication Date

June 2005

Volume

60

Issue

6

Start / End Page

798 / 803

Location

United States

Related Subject Headings

  • Survival Rate
  • Quality of Life
  • Neoplasms
  • Male
  • Humans
  • Hospital Units
  • Health Services
  • Health Care Costs
  • Gerontology
  • Geriatric Assessment
 

Citation

APA
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ICMJE
MLA
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Rao, A. V., Hsieh, F., Feussner, J. R., & Cohen, H. J. (2005). Geriatric evaluation and management units in the care of the frail elderly cancer patient. J Gerontol A Biol Sci Med Sci, 60(6), 798–803. https://doi.org/10.1093/gerona/60.6.798
Rao, Arati V., Frank Hsieh, John R. Feussner, and Harvey Jay Cohen. “Geriatric evaluation and management units in the care of the frail elderly cancer patient.J Gerontol A Biol Sci Med Sci 60, no. 6 (June 2005): 798–803. https://doi.org/10.1093/gerona/60.6.798.
Rao AV, Hsieh F, Feussner JR, Cohen HJ. Geriatric evaluation and management units in the care of the frail elderly cancer patient. J Gerontol A Biol Sci Med Sci. 2005 Jun;60(6):798–803.
Rao, Arati V., et al. “Geriatric evaluation and management units in the care of the frail elderly cancer patient.J Gerontol A Biol Sci Med Sci, vol. 60, no. 6, June 2005, pp. 798–803. Pubmed, doi:10.1093/gerona/60.6.798.
Rao AV, Hsieh F, Feussner JR, Cohen HJ. Geriatric evaluation and management units in the care of the frail elderly cancer patient. J Gerontol A Biol Sci Med Sci. 2005 Jun;60(6):798–803.
Journal cover image

Published In

J Gerontol A Biol Sci Med Sci

DOI

ISSN

1079-5006

Publication Date

June 2005

Volume

60

Issue

6

Start / End Page

798 / 803

Location

United States

Related Subject Headings

  • Survival Rate
  • Quality of Life
  • Neoplasms
  • Male
  • Humans
  • Hospital Units
  • Health Services
  • Health Care Costs
  • Gerontology
  • Geriatric Assessment