Page 183 - Risk quantification and modification in older patients with colorectal cancer

Table 2 Geriatric assessment outcome: prevalence of geriatric impairment and suggestions for non- oncological interventions
CGA and treatment decisions
(i)ADLa Cognitive Polypharmacy Comorbidity Social network Malnutrition Psychological Mobility
a(Instrumental) Activities of Daily Living
Geriatric Impairment
70 (42%) 46 (27%) 96 (57%) 63 (38%) 28 (17%) 54 (32%) 19 (11%) 63 (38%)
Resulting in Non-Oncological Interventions
4 (6%) 9 (20%) 13 (14%) 5 (8%) 6 (21%) 29 (54%) 8 (42%) 9 (14%)
Figure 1 Treatment suggestions following geriatric consultation
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%
Less intensive
More intensive treatment
p=0.61
p<0.001
Discussion
In this analysis of 168 patients who underwent geriatric consultation because of colorectal cancer, we found that these consultations can be useful in guiding the process of decision making and also focus on the optimisation of a patient’s health status. Moreover, treatment plans changed in individual cases after the geriatrician’s evaluation; most of the time (76%) these suggestions were adopted by the referring physician. Suggestions for ’more intensive treatment’ options were significantly reduced in patients with multiple geriatric domain limitations. Non-
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