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Integration of the geriatric palliative care in oncological care of elderly patient with cancer

Published online by Cambridge University Press:  15 April 2024

Josafat Napoleón Sánchez-Dávila ,
Emma L. Verástegui ,
Adriana Peña-Nieves Open the ORCID record for Adriana Peña-Nieves [Opens in a new window]  and
Silvia Rosa Allende-Pérez Open the ORCID record for Silvia Rosa Allende-Pérez [Opens in a new window]
Josafat Napoleón Sánchez-Dávila
Affiliation:
Palliative Care Service, National Cancer Institute, Ciudad de México, México
Emma L. Verástegui
Affiliation:
Palliative Care Service, National Cancer Institute, Ciudad de México, México
Adriana Peña-Nieves
Affiliation:
Palliative Care Service, National Cancer Institute, Ciudad de México, México
Silvia Rosa Allende-Pérez*
Affiliation:
Palliative Care Service, National Cancer Institute, Ciudad de México, México
*
Corresponding author: Silvia R. Allende-Pérez; Email: silvia_allende@hotmail.com
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Abstract

Objectives

The objective of this article is to describe the profile of the population attended to by the palliative geriatrics clinic and to evaluate the symptomatic control derived from the care provided.

Methods

During 2017 a model based on a holistic approach was implemented, in this model the team geriatric palliative care plays a fundamental role by being part of the palliative care team and functioning as a liaison with the oncology team and other required services. We outlined the profile of 100 patients aged 70 and older seen between 2017 and 2019 at our geriatric palliative care clinic. Descriptive statistics were used. In addition, the symptoms and the care clinic model effect on the symptomatic control were analyzed, as well as the complexity of patients in palliative care with IDC-Pal.

Results

The patients median age was 83.5 years. Patients were classified by type of management: 47% within the supportive care group and 53% with palliative care only; 58% had metastatic disease and 84% presented at least 1 comorbidity. Frailty was observed in 78% and a Karnofsky scale of 60 or less was observed in 59% of the overall population.

Significance of results

Elderly cancer patients have a complex profile and may have multiple needs. Integrating geriatric palliative care can help to provide better and personalized care along with symptomatic control. Further studies are required to establish the ideal care model for these patients. Importantly, a personalized treatment with a geriatric palliative care specialist is a key element.

Keywords

Clinical care modelgeriatric palliative caresupportive careelderly cancer patientscomplexity in palliative care
Type
Original Article
Information
Palliative & Supportive Care , First View , pp. 1 - 9
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Copyright
© The Author(s), 2024. Published by Cambridge University Press.

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