Inicio  /  Cancers  /  Vol: 14 Par: 4 (2022)  /  Artículo
ARTÍCULO
TITULO

The Impact of Frailty Screening on Radiation Treatment Modification

Encarnación Fernández-Camacho    
Carlos Ferrer-Ramos    
Virginia Morilllo-Macías    
Marta Rodríguez-Cordón    
Ángel Sánchez-Iglesias    
Inmaculada Beato-Tortajada    
Alicia Francés-Muñoz    
Rodrigo Muelas-Soria    
Teresa Piquer-Camañes    
Ana Isabel Santafé-Jiménez    
Vanessa Aznar-Tortonda and Carlos Ferrer-Albiach    

Resumen

Most oncology patients today are =65 years, so we should include in our daily practice tools that facilitate the therapeutic approach for elderly patients. Care overburden makes it difficult to perform comprehensive geriatric assessments (CGAs). The aim of our prospective study was to analyze if frailty screening questionnaires, such as G8 or Charlson, could lead to rapid decision making about treatment change in a radiation oncology service. In a homogeneous population of 161 patients, with a median age of 75 years, we found that 28.7% were frail according to the G8 test, while the estimated survival at 10 years was 2.25% based on the Charlson test. The therapeutic modification increased to 21% after frailty analysis, and the radiotherapy prescribed was 5.8 times more likely to be modified in frail patients. Thus, we postulate that the frailty screening test, easier to integrate into clinical practice, is a reliable and efficient aid for optimal approach.

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