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Ten years of a geriatric oncology service at a public university cancer centre in Brazil

The implementation of a geriatric oncology service is challenging in both high-income and low-and-middle-income countries. The Octavio Frias de Oliveira Institute of Cancer of Sao Paulo (ICESP) is a tertiary healthcare complex of the Clinics Hospital of the University of Sao Paulo Medical School and...

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Autores principales: Karnakis, Theodora, Kanaji, Ana L, Gattás-Vernaglia, Isabella F, Adriazola, Izabela O, Ramos, Paola T, Lima, Maria Eduarda P L S, Almeida, Olga L S, Jacob-Filho, Wilson, Ferriolli, Eduardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cancer Intelligence 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550289/
https://www.ncbi.nlm.nih.gov/pubmed/37799943
http://dx.doi.org/10.3332/ecancer.2023.1596
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author Karnakis, Theodora
Kanaji, Ana L
Gattás-Vernaglia, Isabella F
Adriazola, Izabela O
Ramos, Paola T
Lima, Maria Eduarda P L S
Almeida, Olga L S
Jacob-Filho, Wilson
Ferriolli, Eduardo
author_facet Karnakis, Theodora
Kanaji, Ana L
Gattás-Vernaglia, Isabella F
Adriazola, Izabela O
Ramos, Paola T
Lima, Maria Eduarda P L S
Almeida, Olga L S
Jacob-Filho, Wilson
Ferriolli, Eduardo
author_sort Karnakis, Theodora
collection PubMed
description The implementation of a geriatric oncology service is challenging in both high-income and low-and-middle-income countries. The Octavio Frias de Oliveira Institute of Cancer of Sao Paulo (ICESP) is a tertiary healthcare complex of the Clinics Hospital of the University of Sao Paulo Medical School and is considered a model of excellence in oncology in Latin America. The objective of this manuscript is to describe 10 years of the geriatric oncology service at ICESP and the challenges for its implementation. We performed a narrative description of the ICESP’s geriatric oncology service and a general retrospective descriptive analysis of data collected from routine structured medical records of patients referred to the service from 2011 to 2021. This article highlights the different settings in which the service operates (outpatient, pre-operative and hospital follow-up). In this period, 1,700 patients were assessed for preoperative evaluation (median age 83.9, SD 4.95), 468 patients were evaluated for therapeutic decision (median age 79.4, SD 7.38), 968 in general geriatric oncology care outpatient clinics from 2012 to 2021 (median age 78.7, SD 7.91) and 1,391 inpatient evaluations. In the past 10 years, our geriatric oncology team has grown exponentially and changed its characteristics in order to adjust them to the hospital demands, raising awareness among the oncology teams about the benefit of using geriatric assessment and promoting multidisciplinary discussions.
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spelling pubmed-105502892023-10-05 Ten years of a geriatric oncology service at a public university cancer centre in Brazil Karnakis, Theodora Kanaji, Ana L Gattás-Vernaglia, Isabella F Adriazola, Izabela O Ramos, Paola T Lima, Maria Eduarda P L S Almeida, Olga L S Jacob-Filho, Wilson Ferriolli, Eduardo Ecancermedicalscience Research The implementation of a geriatric oncology service is challenging in both high-income and low-and-middle-income countries. The Octavio Frias de Oliveira Institute of Cancer of Sao Paulo (ICESP) is a tertiary healthcare complex of the Clinics Hospital of the University of Sao Paulo Medical School and is considered a model of excellence in oncology in Latin America. The objective of this manuscript is to describe 10 years of the geriatric oncology service at ICESP and the challenges for its implementation. We performed a narrative description of the ICESP’s geriatric oncology service and a general retrospective descriptive analysis of data collected from routine structured medical records of patients referred to the service from 2011 to 2021. This article highlights the different settings in which the service operates (outpatient, pre-operative and hospital follow-up). In this period, 1,700 patients were assessed for preoperative evaluation (median age 83.9, SD 4.95), 468 patients were evaluated for therapeutic decision (median age 79.4, SD 7.38), 968 in general geriatric oncology care outpatient clinics from 2012 to 2021 (median age 78.7, SD 7.91) and 1,391 inpatient evaluations. In the past 10 years, our geriatric oncology team has grown exponentially and changed its characteristics in order to adjust them to the hospital demands, raising awareness among the oncology teams about the benefit of using geriatric assessment and promoting multidisciplinary discussions. Cancer Intelligence 2023-08-31 /pmc/articles/PMC10550289/ /pubmed/37799943 http://dx.doi.org/10.3332/ecancer.2023.1596 Text en © the authors; licensee ecancermedicalscience. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Karnakis, Theodora
Kanaji, Ana L
Gattás-Vernaglia, Isabella F
Adriazola, Izabela O
Ramos, Paola T
Lima, Maria Eduarda P L S
Almeida, Olga L S
Jacob-Filho, Wilson
Ferriolli, Eduardo
Ten years of a geriatric oncology service at a public university cancer centre in Brazil
title Ten years of a geriatric oncology service at a public university cancer centre in Brazil
title_full Ten years of a geriatric oncology service at a public university cancer centre in Brazil
title_fullStr Ten years of a geriatric oncology service at a public university cancer centre in Brazil
title_full_unstemmed Ten years of a geriatric oncology service at a public university cancer centre in Brazil
title_short Ten years of a geriatric oncology service at a public university cancer centre in Brazil
title_sort ten years of a geriatric oncology service at a public university cancer centre in brazil
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550289/
https://www.ncbi.nlm.nih.gov/pubmed/37799943
http://dx.doi.org/10.3332/ecancer.2023.1596
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