123 / 154
A B S T R A C T S
S93
ADL
2). Scoring 2 or 3 at fTRST was highly related (7/11
patients) to functional decay. The regression model showed a
significant relationship between severe functional decline and
7 day-length of stay (OR 10.07), institutionalization (OR 55)
and age
85 year (OR 5.97). During interview, 48% of patients
described a subjective functional loss mostly attributed to
fatigue, causing lack of mobility, and anorexia.
Flemish-TRST
2 significantly predicted the need for
postoperative ICU admission (p=0.009), prolonged length of
stay (p=0.022) and need for long-term institutionalization
(p=0.063).
Conclusion:
Assessing frailty is mandatory in order to
identify the most appropriate treatment and to optimize
the postoperative management. Using the fTRST routinely
is feasible, also in this setting. Our pilot study, despite size
limitation, showed that fTRST score
2 is effectively predicting
higher risk of 30-day mortality. A significant relationship
with postoperative complications and functional loss was
not proven, but this is probably related to the small sample
analyzed.
Disclosure of interest:
None declared
Keywords:
Emergency surgery, frailty screening tool, geriatric
assessment
P097
DESCRIPTIVE ANALYSIS OF THE ONCOGERIATRIC COHORT
OF PICARDY (COPAGE): CORRELATION BETWEEN G8 AND
THE BALDUCCI SCORE
E. Carola
1,
*, R. Fournier
2
, G. Bonnet
2
, A. Chebah
3
, D. Assouan
4
,
S. Hannat
5
, F. Woerth
6
, B. Chauffert
4
and UCOG de Picardie
1
Medical Oncology, GHPSO, Senlis,
2
CHU, Amiens,
3
oncologie
médicale, GHPSO, Senlis,
4
oncologie médicale,
5
gériatrie, CHU,
Amiens,
6
Gériatrie, GHPSO, Senlis, France
Introduction:
In Picardy, oncologists and geriatricians
work in strong partnership with the help of the coordination
oncogeriatric Unit (UCOG). Since 2008, 2650 old patients with
cancer have been assessed and followedup at the oncogeriatric
consultation constituting the basis of the oncogeriatric
Picardy cohort COPAGE. The currently use of multi thematic
software for health geriatric networks (LOGIRESO) allows us
to record in real time during the consultation, all the items of
the standardized multidimensional comprehensive geriatric
assessment (CGA). This application leads to the Balducci
Score. Moreover G8, the screening tool usually used in France,
has been also collected in this application.
Objectives:
To analyze a cohort of elderly patients with
cancer and to check the correlation between G8 and the
Balducci score.
Methods:
This is a multicentric cohort study. A descriptive
analysis of the population was conducted at the baseline, and
the correlation between G8 and the score of Balducci has been
analysed with the test of person.
Results:
This study focuses on 490 of 2650 patients for
whom data are available on LOGIRESO. This cohort is formed
of 47.7% men and 53.3% women, with a mean age of 81.9±5.6
years. 63.2% of patients live alone and 58.8% have a caregiver.
46.5% of patients present dependence for activities of daily
living, 61% for the instrumental activities of daily living. The
Body mass index averages 26.14±4.96 kg/m2. 92% of patients
have a get up and go test
4. Half of patients have a test of
the 5 words of Dubois
10, whereas the test of the clock is
rated
6 in 65%. 45,5% of patients have a mini mental status
under 24. The mini geriatric depression scale was
1 in 23%.
The most frequent cancers are colorectal 20.28%, breast 16%,
followed by gastro-intestinal (non colorectal) cancer 10% and
prostate cancer 8.3%. The most of the patients (90%) have
G8
14. In Balducci score, patients are in proportion of 17%
with a harmonious aging (fit), vulnerable 31.6%, frail 41.3%
and 10% taking on palliative care. As expected, a significant
correlation was found between the score of Balducci and the
G8 (p<0.0001).
Conclusion:
The use of standardized tools in specific
medical software allowed improving the centralization of
data and a better knowledge of elderly patients with cancer
in our area. This study tends to confirm G8 is a good test to
screen frailty.
References:
[1] Balducci L, Extermann M. Management of cancer in
the older person: a practical approach. The Oncologist
2000;5:224-237.
[2] Soubeyran P, Bellera C. Screening for vulnerability in older
cancer patients: the ONCODAGE Prospective Multicenter
Cohort Study 11 déc. 2014. PLoS ONE 2014;9(12):e115060.
Disclosure of interest:
None declared
Keywords:
Elderly cancer patients cohort, geriatric
assessment, multithematic software, G8, Balducci Score
P098
STUDY PROTOCOL: GERIATRIC SCREENING TOOLS AND THE
OUTCOME OF TREATMENT IN ONCOGERIATRIC PATIENTS
E. H. Van Den Hout
1,
*, F. J. van Deudekom
2
, G. J. de Klerk
3
,
K. J. Kalisvaart
4
1
Intern Medicine, Spaarne Gasthuis, Haarlem,
2
Geriatric Medicine,
Medisch Centrum Slotervaart, Amsterdam,
3
Intern Medicine,
Oncology,
4
Geriatric Medicine, Spaarne Gasthuis, Haarlem,
Netherlands
Introduction:
Guidelines recommend comprehensive
geriatric assessment (CGA) in relationship to the elder patient
to improve the detection of frailty and guide the oncologist
on treatment decision-making. However, CGA is a time-
consuming process. A two-step approach by using a screening
tool has been proposed in order to distinguish which patients
could benefit from the CGA.
Objectives:
Firstly, we set out to determine how to decide
which patients will benefit from CGA and should be selected.
Secondly, we want to find a relation between the outcome for
cancer treatment (e.g.toxicity, mortality) with the outcome of
the screening tools and the decision of the oncologist.
Methods:
Patients 70 years and older, who are planning to
start chemotherapy, as seen by an oncologist, are screened