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- W2284075717 abstract "e19532 Background: Number of elderly people is growing and with them the possibility to develop cancer. Specific cares and particularly chemotherapy must allow to maintain their quality of life. Methods: From 2003 to 2006, cohort of 364 patients older than 70 years with cancer was evaluated by oncologist and geriatrician before chemotherapy in public and private hospitals in south-west of France. Quality of life of patients was appreciated by QLQ-C30 completion. Standard geriatric evaluation occurred and oncologic endpoints were collected . Global quality of life, functions and symptoms items were calculated according to Aaronson (JNCI 1993) using EORTC SAS Program provided. Results: Median age was 77.5 years [range 70-99.4] and sex ratio was 214/150 (M/F). Most of patients had metastatic status 65.6% (n = 231) among several cancer location. Creatinine clearance was <50ml/min in 42% (n = 153) and 29.9% presented one comorbidity grade 3-4 and 8.3% at least 2 comorbidities. Global quality of life was not related to age, cancer location and metastatic status. Global quality of life was associated with sex (p = 0.014), toxicities during treatment (0.014), weight loss (p<10-3), performance status (p<10-3) and death within 6 months of treatment beginning. Except for comorbidities, all elements from geriatric standard evaluation were linked significantly to global quality of life. All functions (physical, role, cognitive, emotional and social) were stronghtly associated with weight loss (<5%, 5 to 10%, >10%) (p<10-3) and MNA (≤23.5 vs >23.5) (p<10-3) as well as performance status (0-1 vs. >1) (p<10-3) and IADL (≤7 vs. >7) omitting emotion (p = 10-3). Most of symptoms were related to weight loss and MNA (excepted financial impact and dyspnea) (p = 10-3) and in majority (fatigue, pain, appetite loss) they were linked to poor performance status (p<10-3) and low IADL score (p = 10-3). Conclusions: Poor Global quality of life was correlated to poor scores of standard geriatric evaluation and early death. Altered functions and presence of symptoms were related to malnutrition status (weight loss, poor MNA) and loss of autonomy (poor performance status and low IADL). No significant financial relationships to disclose." @default.
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- W2284075717 date "2010-05-20" @default.
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- W2284075717 title "Correlation of quality of life with nutritional status and autonomy in elderly cancer patients according to standard geriatric evaluation." @default.
- W2284075717 doi "https://doi.org/10.1200/jco.2010.28.15_suppl.e19532" @default.
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