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The significance of G8 and other geriatric assessments in urologic cancer management: A comprehensive review

医学 尿路改道 社会心理的 膀胱切除术 多药 重症监护医学 老年肿瘤学 泌尿系疾病 膀胱癌 泌尿系统 肠梗阻 癌症 内科学 精神科
作者
Shugo Yajima,Hitoshi Masuda
出处
期刊:International Journal of Urology [Wiley]
卷期号:31 (6): 607-615 被引量:4
标识
DOI:10.1111/iju.15432
摘要

In urologic oncology, which often involves older patients, it is important to consider how to manage their care appropriately. Geriatric assessment (GA) is a method that can address the specific needs of older cancer patients. The GA encompasses various assessment domains, but these domains exhibit variations across the literature. Some of the common items include functional ability, nutrition, comorbidities, cognitive ability, psychosocial disorders, polypharmacy, social and financial support, falls/imbalance, and vision/hearing. Despite the diversity of domains, there is limited consensus on reliable measurement methods. This review discusses the role of GA in managing urologic cancer in unique scenarios, such as those necessitating temporary or permanent urinary catheters or stomas due to urinary diversion. A comprehensive GA is time and human-resource-intensive in real-world clinical practice. Hence, simpler tools such as the Geriatric-8 (G8), capable of identifying high-risk patients requiring a detailed GA, are also under investigation in various contexts. Therefore, we conducted a systematic literature review on the G8. Our findings indicate that patients with low G8 scores encounter difficulties with stoma self-care after urinary diversion and have higher risks of urinary tract infections and ileus after radical cystectomy. The utilization of G8 as a screening tool for urologic cancer patients may facilitate the delivery of appropriate and personalized treatment and care.

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