naa a22 4500 510786782 CHVBK 20180411083305.0 cr unu---uuuuu 180411e20130501xx s 000 0 eng 10.1007/s12603-012-0435-z doi (NATIONALLICENCE)springer-10.1007/s12603-012-0435-z Impact of an oncogeriatric consulting team on therapeutic decision-making [Elektronische Daten] [Marie-Eve Bugat, S. Gerard, L. Balardy, O. Beyne-Rauzy, N. Boussier, A. Perrin, S. Oustric, B. Vellas, F. Nourhashemi] Increased life expectancy and cancer incidence imply the need to develop a specialized care policy for elderly patients with cancer. We created an oncogeriatric consulting team (OGCT) in Toulouse University Hospital to carry out comprehensive gerontological assessment at the bedside of hospitalized patients. We analyze the impact on the final cancer treatment decision of this mobile geriatric assessment. We carried out a descriptive, retrospective real-life analysis of a patient cohort over a two-year period. The OGCT assessed 124 patients, of whom the majority were women (54.8%), median age 81 years, living at home (95.2%) and with family caregivers (86.5%). Nearly all were frail (96.7% according to the classification of Balducci and colleagues) and 3.2% were vulnerable. The team's decisions were analyzed for patients who had not yet been treated (n=107). After analysis, the team's proposal was in line with the initial cancer treatment plan in 68.2% of cases (n=73). In cases where there was a disagreement, the final decision was in line with the mobile team's proposal in 17.75% of 107 patients (n=19). The decision of the team was followed more often when their assessment proposed strictly palliative treatment. The decision to give elderly patients specific cancer treatment seems in our experience rather to be a matter for the oncologists, and is not very susceptible to modification by geriatric opinion. On the other hand, the geriatrician appears to be more credible and his/her opinion more likely to be followed when the patient is considered too frail and less aggressive, or even exclusively palliative, treatment is proposed. Serdi and Springer-Verlag France, 2012 Cancer nationallicence elderly nationallicence geriatric assessment nationallicence oncogeriatric consulting team nationallicence cancer decision nationallicence Bugat Marie-Eve Département Universitaire de Médecine Générale, Faculté Toulouse Rangueil, Toulouse, France aut Gerard S. Gérontopôle, Service de Médecine Interne Gériatrique, CHU Toulouse Hôpital Casselardit, 170 avenue de Casselardit, 31300, Toulouse, France aut Balardy L. Gérontopôle, Service de Médecine Interne Gériatrique, CHU Toulouse Hôpital Casselardit, 170 avenue de Casselardit, 31300, Toulouse, France aut Beyne-Rauzy O. Medecine Interne et immunopathologie, CHU Toulouse Purpan, Toulouse, France aut Boussier N. Département Universitaire de Médecine Générale, Faculté Toulouse Rangueil, Toulouse, France aut Perrin A. Gérontopôle, Service de Médecine Interne Gériatrique, CHU Toulouse Hôpital Casselardit, 170 avenue de Casselardit, 31300, Toulouse, France aut Oustric S. Département Universitaire de Médecine Générale, Faculté Toulouse Rangueil, Toulouse, France aut Vellas B. Gérontopôle, Service de Médecine Interne Gériatrique, CHU Toulouse Hôpital Casselardit, 170 avenue de Casselardit, 31300, Toulouse, France aut Nourhashemi F. Gérontopôle, Service de Médecine Interne Gériatrique, CHU Toulouse Hôpital Casselardit, 170 avenue de Casselardit, 31300, Toulouse, France aut The journal of nutrition, health & aging Springer-Verlag 17/5(2013-05-01), 473-478 1279-7707 17:5<473 2013 17 12603 https://doi.org/10.1007/s12603-012-0435-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-012-0435-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bugat Marie-Eve Département Universitaire de Médecine Générale, Faculté Toulouse Rangueil, Toulouse, France aut NATIONALLICENCE 700 1- Gerard S. Gérontopôle, Service de Médecine Interne Gériatrique, CHU Toulouse Hôpital Casselardit, 170 avenue de Casselardit, 31300, Toulouse, France aut NATIONALLICENCE 700 1- Balardy L. Gérontopôle, Service de Médecine Interne Gériatrique, CHU Toulouse Hôpital Casselardit, 170 avenue de Casselardit, 31300, Toulouse, France aut NATIONALLICENCE 700 1- Beyne-Rauzy O. Medecine Interne et immunopathologie, CHU Toulouse Purpan, Toulouse, France aut NATIONALLICENCE 700 1- Boussier N. Département Universitaire de Médecine Générale, Faculté Toulouse Rangueil, Toulouse, France aut NATIONALLICENCE 700 1- Perrin A. Gérontopôle, Service de Médecine Interne Gériatrique, CHU Toulouse Hôpital Casselardit, 170 avenue de Casselardit, 31300, Toulouse, France aut NATIONALLICENCE 700 1- Oustric S. Département Universitaire de Médecine Générale, Faculté Toulouse Rangueil, Toulouse, France aut NATIONALLICENCE 700 1- Vellas B. Gérontopôle, Service de Médecine Interne Gériatrique, CHU Toulouse Hôpital Casselardit, 170 avenue de Casselardit, 31300, Toulouse, France aut NATIONALLICENCE 700 1- Nourhashemi F. Gérontopôle, Service de Médecine Interne Gériatrique, CHU Toulouse Hôpital Casselardit, 170 avenue de Casselardit, 31300, Toulouse, France aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer-Verlag 17/5(2013-05-01), 473-478 1279-7707 17:5<473 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer