Soubeyran et al identified factors that identify an older adult with cancer who is at risk for early death after starting first-line chemotherapy. These patients are at greater risk for a poor quality of life if they survive. The authors are from multiple hospitals in France.
Patient selection: age > 70 years with cancer prior to first-line chemotherapy
Predictors of early death:
(1) gender
(1) cancer stage
(2) nutrition status (using the mini nutritional assessment, MNA)
(3) mobility (as measured by the time for the get-up-and-go test)
|
Parameter |
Finding |
Points |
|
gender |
female |
0 |
|
|
male |
1 |
|
cancer stage |
localized |
0 |
|
|
advanced (metastatic) |
1 |
|
nutritional status |
good |
0 |
|
|
at risk or poor |
1 |
|
mobility |
normal |
0 |
|
|
impaired |
1 |
Interpretation:
• minimum number of risk factors: 0
• maximum number of risk factors: 4
• The risk for the patient increases along with the number of risk factors.
Purpose: To identify factors associated with an early death for an older adult with cancer prior to starting chemotherapy.
Specialty: Hematology Oncology, Surgery, general
Objective: risk factors, severity, prognosis, stage, disease progression
ICD-10: C00-C14, C15-C26, C30-C39, C40-C41, C43-C44, C45-C49, C50-C50, C51-C58, C60-C63, C64-C68, C69-C72, C73-C75, C76-C80, C81-C96, C97-C97, Z51.1,
