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Current Opinion in Supportive and Palliative Care
Journal Prestige (SJR): 0.558  Citation Impact (citeScore): 2 Number of Followers: 28  Hybrid journal (It can contain Open Access articles)ISSN (Print) 1751-4258 - ISSN (Online) 1751-4266 Published by LWW Wolters Kluwer  [302 journals]
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- Editorial introductions
- Abstract:
No abstract available
PubDate: Mon, 01 Mar 2021 00:00:00 GMT-
- Abstract:
- Editorial: Supportive and palliative care of older adults with cancer
- Authors: Menjak; Ines B.; Puts, Martine; Steer, Christopher
Abstract: No abstract available
PubDate: Mon, 01 Mar 2021 00:00:00 GMT-
- Authors: Menjak; Ines B.; Puts, Martine; Steer, Christopher
- Predicting treatment toxicity in older adults with cancer
- Authors: Menjak; Ines B.; Giffoni de Mello Morais Mata, Danilo; Chesney, Tyler R.; Haase, Kristen R.
Abstract:
Purpose of review To provide an overview of the recent advancements in predicting toxicity associated with cancer treatment in older patients.Recent findings Various screening tools and validated risk calculators have been shown to help predict toxicity from surgery and chemotherapy. Radiation therapy has been more challenging to select the appropriate tool to reliably predict patients at risk for toxicity and noncompliance. Ongoing work on electronic geriatric assessment tools is showing promise in making comprehensive assessment more feasible.Summary Selecting appropriate cancer therapy is particularly important in older patients, and validated tools have been developed to guide clinicians for surgery and chemotherapy; however, radiotherapy toxicity remains an area for further development, as does the uptake of existing tools into routine oncology practice.
PubDate: Mon, 01 Mar 2021 00:00:00 GMT-
- Authors: Menjak; Ines B.; Giffoni de Mello Morais Mata, Danilo; Chesney, Tyler R.; Haase, Kristen R.
- Cognitive impairment in older adults with cancer
- Authors: Lloyd-Williams; Mari; Mogan, Caroline; Harrison Dening, Karen
Abstract:
Purpose of review Cognitive impairment is increasing in an ageing population and as people live longer, they are more likely to develop cancer therefore cognitive impairment and cancer are frequently co-occurring. We reviewed articles published since 2018 on cognitive impairment and cancer.Recent findings The current review has focused on diagnosis, treatment and palliative and end of life care. A comprehensive systematic review reported joint cancer and cognitive impairment prevalence from 0.2 to 45.6%. The review reported there was reduced likelihood of patients with co-occurring cognitive and cancer receiving information regarding cancer stage, reduced cancer treatment with curative intent and limited pain and symptom management. Further studies emphasized the role of family carers in supporting patients with cognitive impairment through cancer treatment.Summary Disappointingly in an area where the numbers of patients with cognitive impairment and cancer are increasing, there appears to be little recently published research in this area. We conclude that further research is required to determine how best to support patients with cognitive impairment and cancer and families during diagnosis of cancer, treatment and continuing care and most importantly the findings of all studies are implemented within clinical practice.
PubDate: Mon, 01 Mar 2021 00:00:00 GMT-
- Authors: Lloyd-Williams; Mari; Mogan, Caroline; Harrison Dening, Karen
- Methods for frailty screening and geriatric assessment in older adults
with cancer- Authors: Puts; Martine; Soo, Wee Kheng; Szumacher, Ewa; Decoster, Lore
Abstract:
Purpose of review This review highlights the latest development in the use of geriatric assessment(GA) and frailty assessment for older adults with cancer.Recent findings From 2019, there were six large randomized controlled trials (RCTs) completed of GA for older adults with cancer, as well as several studies of frailty screening tools.Summary The findings in this review highlight the benefits of implementing GA, followed by interventions to address the identified issues (GA -guided interventions). Four of six RCTs that implemented GA for older adults with cancer showed positive impact on various outcomes, including treatment toxicity and quality of life. GA implementation varied significantly between studies, from oncologist acting on GA summary, geriatrician comanagement, to full GA by a multidisciplinary team. However, there were several barriers reported to implementing GA for all older adults with cancer, such as access to geriatrics and resource issues. Future research needs to elucidate how to best operationalize GA in various cancer settings. The authors also reviewed frailty screening tools and latest evidence on their use and impact.
PubDate: Mon, 01 Mar 2021 00:00:00 GMT-
- Authors: Puts; Martine; Soo, Wee Kheng; Szumacher, Ewa; Decoster, Lore
- Palliative and end-of-life care for the older adult with cancer
- Authors: Huynh; Lise; Moore, Jennifer
Abstract:
Purpose of review Despite established benefits of palliative care in the oncology population, it remains an underutilized resource particularly among older adults. The illness trajectory and needs of an older adult with cancer are unique. The purpose of this paper is to review the current literature on providing comprehensive palliative and end-of-life care for the older adult with cancer.Recent findings Though the difficulties of applying traditional palliative care principles in the older patients with cancer have been discussed, this review reveals a clear gap in the literature in discussing the provision of comprehensive palliative and end-of-life care in this population. Very few articles have been published in this domain with even fewer published within the past 18 months.Summary As such, this article reviews key aspects of palliative and geriatric medicine that need to be considered and integrated in order to provide comprehensive palliative care to the older adult with cancer. This includes a discussion of proper pain and symptoms assessment, performance status assessment, advance care planning, and end-of-life care while considering the nuances of geriatric syndromes.
PubDate: Mon, 01 Mar 2021 00:00:00 GMT-
- Authors: Huynh; Lise; Moore, Jennifer
- Biological aspects of aging that influence response to anticancer
treatments- Authors: Crimmin; Jane; Fulop, Tamas; Battisti, Nicolò Matteo Luca
Abstract:
Purpose of review Cancer is a disease of older adults, where fitness and frailty are a continuum. This aspect poses unique challenges to the management of cancer in this population. In this article, we review the biological aspects influencing the efficacy and safety of systemic anticancer treatments.Recent findings The organ function decline associated with the ageing process affects multiple systems, including liver, kidney, bone marrow, heart, muscles and central nervous system. These can have a significant impact on the pharmacokinetics and pharmacodynamics of systemic anticancer agents. Comorbidities also represent a key aspect to consider in decision-making. Renal disease, liver conditions and cardiovascular risk factors are prevalent in this age group and may impact the risk of adverse outcomes in this setting.Summary The systematic integration of geriatrics principles in the routine management of older adults with cancer is a unique opportunity to address the complexity of this population and is standard of care based on a wide range of benefits. This approach should be multidisciplinary and involve careful discussion with hospital pharmacists.
PubDate: Mon, 01 Mar 2021 00:00:00 GMT-
- Authors: Crimmin; Jane; Fulop, Tamas; Battisti, Nicolò Matteo Luca
- Measuring quality of life in older people with cancer
- Authors: Fitch; Margaret I.; Strohschein, Fay J.; Nyrop, Kirsten
Abstract:
Purpose of review The number of individuals aged 65+ with cancer will double in the next decade. Attention to quality of life (QOL) is imperative to identify relevant endpoints/outcomes in research and provide care that matches individual needs. This review summarizes recent publications regarding QOL measurement in older adults with cancer, considering implications for research and practice.Recent findings QOL is a complex concept and its measurement can be challenging. A variety of measurement tools exist, but only one specific to older adults with cancer. QOL is frequently measured as functional health, adverse symptoms, and global QOL, thus only capturing a portion of this concept. Yet successful QOL intervention for older adults requires drawing from behavioral and social dimensions.Growing interest in comprehensive geriatric assessment (CGA) and patient-reported outcomes (PROs) provides important opportunities for measuring QOL. Recommendations for use of CGAs and PROs in clinical practice have been made but widespread uptake has not occurred.Summary QOL is important to older adults and must be central in planning and discussing their care. It is modifiable but presents measurement challenges in this population. Various domains are associated with decline, survival, satisfaction with life, coping, and different interventions. Measurement approaches must fit with intention and capacity to act within given contexts.
PubDate: Mon, 01 Mar 2021 00:00:00 GMT-
- Authors: Fitch; Margaret I.; Strohschein, Fay J.; Nyrop, Kirsten
- Editorial: Highlights from the 2020 virtual cancer cachexia conference
- Authors: Fallon; Marie; Gallouzi, Imed E.; Guttridge, Denis C.; Zimmers, Teresa A.
Abstract:
No abstract available
PubDate: Mon, 01 Mar 2021 00:00:00 GMT-
- Authors: Fallon; Marie; Gallouzi, Imed E.; Guttridge, Denis C.; Zimmers, Teresa A.
- Abstracts from the 5th Cancer Cachexia Society Meeting, Montreal, Canada,
September 10-11, 2020- Abstract: No abstract available
PubDate: Mon, 01 Mar 2021 00:00:00 GMT-
- Abstract: No abstract available
- Erratum: Psychosocial support interventions for cancer caregivers:
reducing caregiver burden: Erratum- Abstract: No abstract available
PubDate: Mon, 01 Mar 2021 00:00:00 GMT-
- Abstract: No abstract available
