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      A cohort study on the evolution of psychosocial problems in older patients with breast or colorectal cancer: comparison with younger cancer patients and older primary care patients without cancer.

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          Abstract

          Although older cancer survivors commonly report psychosocial problems, the impact of both cancer and ageing on the occurrence of these problems remains largely unknown. The evolution of depression, cognitive functioning, and fatigue was evaluated in a group of older cancer patients in comparison with a group of younger cancer patients and older persons without cancer.

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          Most cited references27

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          Development and validation of a geriatric depression screening scale: a preliminary report.

          A new Geriatric Depression Scale (GDS) designed specifically for rating depression in the elderly was tested for reliability and validity and compared with the Hamilton Rating Scale for Depression (HRS-D) and the Zung Self-Rating Depression Scale (SDS). In constructing the GDS a 100-item questionnaire was administered to normal and severely depressed subjects. The 30 questions most highly correlated with the total scores were then selected and readministered to new groups of elderly subjects. These subjects were classified as normal, mildly depressed or severely depressed on the basis of Research Diagnostic Criteria (RDC) for depression. The GDS, HRS-D and SDS were all found to be internally consistent measures, and each of the scales was correlated with the subject's number of RDC symptoms. However, the GDS and the HRS-D were significantly better correlated with RDC symptoms than was the SDS. The authors suggest that the GDS represents a reliable and valid self-rating depression screening scale for elderly populations.
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            Progress in development of the index of ADL.

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              Use of comprehensive geriatric assessment in older cancer patients: recommendations from the task force on CGA of the International Society of Geriatric Oncology (SIOG).

              As more and more cancers occur in elderly people, oncologists are increasingly confronted with the necessity of integrating geriatric parameters in the treatment of their patients. The International Society of Geriatric Oncology (SIOG) created a task force to review the evidence on the use of a comprehensive geriatric assessment (CGA) in cancer patients. A systematic review of the evidence was conducted. Several biological and clinical correlates of aging have been identified. Their relative weight and clinical usefulness is still poorly defined. There is strong evidence that a CGA detects many problems missed by a regular assessment in general geriatric and in cancer patients. There is also strong evidence that a CGA improves function and reduces hospitalization in the elderly. There is heterogeneous evidence that it improves survival and that it is cost-effective. There is corroborative evidence from a few studies conducted in cancer patients. Screening tools exist and were successfully used in settings such as the emergency room, but globally were poorly tested. The article contains recommendations for the use of CGA in research and clinical care for older cancer patients. A CGA, with or without screening, and with follow-up, should be used in older cancer patients, in order to detect unaddressed problems, improve their functional status, and possibly their survival. The task force cannot recommend any specific tool or approach above others at this point and general geriatric experience should be used.
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                Author and article information

                Journal
                BMC Geriatr
                BMC geriatrics
                Springer Nature
                1471-2318
                1471-2318
                Jul 09 2015
                : 15
                Affiliations
                [1 ] Department of General Practice, KU Leuven, Kapucijnenvoer 33, bus 7001, 3000, Leuven, Belgium. Laura.deckx@med.kuleuven.be.
                [2 ] Department of Medical Oncology, GROW - School for Oncology and Developmental Biology, Maastricht University Medical Centre, PO Box 5800, 6202, AZ, Maastricht, The Netherlands. doris.van.abbema@mumc.nl.
                [3 ] Department of General Practice, KU Leuven, Kapucijnenvoer 33, bus 7001, 3000, Leuven, Belgium. Marjan.vandenakker@maastrichtuniversity.nl.
                [4 ] Department of Family Medicine, CAPHRI - School for Public Health and Primary Care, Maastricht University Medical Centre, P.O. Box 616, 6200, MD, Maastricht, The Netherlands. Marjan.vandenakker@maastrichtuniversity.nl.
                [5 ] Department of General Practice, KU Leuven, Kapucijnenvoer 33, bus 7001, 3000, Leuven, Belgium. carine.vandenbroeke@med.kuleuven.be.
                [6 ] Discipline of General Practice, School of Medicine, The University of Queensland, Building 16/910, Royal Brisbane and Women's Hospital, Brisbane, 4029, QLD, Australia. m.vandriel@uq.edu.au.
                [7 ] Limburgs Oncologisch Centrum, Stadsomvaart 11, 3500, Hasselt, Belgium. paul.bulens@jessazh.be.
                [8 ] Department of Medical Oncology, GROW - School for Oncology and Developmental Biology, Maastricht University Medical Centre, PO Box 5800, 6202, AZ, Maastricht, The Netherlands. vcg.tjan.heijnen@mumc.nl.
                [9 ] Department of General Medical Oncology, University Hospitals Leuven, UZ Herestraat 49 - box 815, 3000, Leuven, Belgium. cindy.kenis@uzleuven.be.
                [10 ] Department of Gynaecology, Ziekenhuis Oost-Limburg, Schiepse Bos 6, 3600, Genk, Belgium. eric.dejonge@zol.be.
                [11 ] Department of Abdominal and Oncological Surgery, Jessa Hospital - Campus Salvator, Salvatorstraat 20, 3500, Hasselt, Belgium. bert.houben@jessazh.be.
                [12 ] Department of General Practice, KU Leuven, Kapucijnenvoer 33, bus 7001, 3000, Leuven, Belgium. Frank.buntinx@med.kuleuven.be.
                [13 ] Department of Family Medicine, CAPHRI - School for Public Health and Primary Care, Maastricht University Medical Centre, P.O. Box 616, 6200, MD, Maastricht, The Netherlands. Frank.buntinx@med.kuleuven.be.
                Article
                10.1186/s12877-015-0071-7
                10.1186/s12877-015-0071-7
                4496825
                26156892
                a4c3b0d2-f374-40d0-a542-24fdf16c7427
                History

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