Exploratory research of the value of abbreviated comprehensive geriatric assessment in elderly breast cancer patients
10.3760/cma.j.issn.0254-9026.2022.11.013
- VernacularTitle:简化老年综合评估在老年女性乳腺癌患者中应用研究
- Author:
Yan LIN
1
;
Yu SONG
;
Yali XU
;
Ying XU
;
Ru YAO
;
Xin HUANG
;
Changjun WANG
;
Xuefei WANG
;
Qiang SUN
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院 乳腺外科，北京 100730
- Keywords:
Breast neoplasms;
Comprehensive geriatric assessment;
Comorbidity
- From:
Chinese Journal of Geriatrics
2022;41(11):1337-1342
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the value and feasibility of abbreviated comprehensive geriatric assessment(aCGA)grading in elderly patients with breast cancer.Methods:From June 2019 to January 2020, elderly patients with breast cancer aged 65 years and above were enrolled.Eastern Cooperative Oncology Group(ECOG)score and aCGA classification were performed respectively.Clinical characteristics, score distribution and differences between the two assessment methods were compared and analyzed.Results:A total of 61 cases of breast cancer patients aged 65 years and above were included in our study.According to the assessment of aCGA, grade A accounted for 65.5%(40/61), grade B accounted for 27.9%(17/61), and grade C accounted for 6.6%(4/61), among which 82.0%(50/61 cases)of the patients had complications.And the most common complications were hypertension, cardiovascular disease and diabetes.Among the 50 patients with ECOG score 0-1, 74.0%(37/50)were aCGA grade A, and 26.0%(13/50)were aCGA grade B.Conclusions:According to the aCGA grading, about two thirds of breast cancer patients over 65 years old are assessed as grade A, which indicates that they might have better tolerance during the treatment.However, among the patients with 0-1 score according to the ECOG score, some patients still have a slightly worse grade(aCGA grade B, which shows slightly worse health condition), suggesting that the refinement degree of ECOG score may be insufficient, and the health damage of some patients may be underestimated.
