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S98

A B S T R A C T S

The GA included a wide variety of validated tools that

evaluate functional, mobility, cognitive, nutritional, co-

morbidity, polypharmacy, and psychosocial domains.

All patients had also additional questions and physical

measurements to be classified according to Fried frailty

criteria, PACE and Balducci-criteria.

Results:

The study sample comprised 94 elective patients

(35 were female and 59 were male) with histologically

confirmed colon cancer (43.6%) and rectal cancer (56.4%). The

median age was 83 (70-93) years.The clinical cancer stage was

localized in 63.8%, locally advanced in 24.5% and with distant

metastasis in 11.7% of patients. Three patients were classified

as American Society of Anesthesiologists (ASA) 1, 66 patients

as ASA 2 and 24 patients as ASA 3.

All patients were discharge home and the median length

of postoperative stay was 8 (3-148) days. There were three

readmissions, all within 30-day assessment period. The

30-day mortality was 6.4%. The 30-day morbidity was 48%

(including 29.8% major morbidities).

The prevalence of frailty as diagnosed by the Fried, CDM,

PACE and Balducii-criteria were 34%, 50%, 46.8% and 69.1%,

respectively. The results of the univariate and multivariate

logistic regression analysis showed that the frailty status

diagnosed based on CDM, PACE and Fried frailty criteria turned

to be independent risk factors of 30-day mortality (Odds Ratio:

2.84 (1.2-8.3) p=0.04; 1.3 (1.1-2.2) p=0.04; 2.63 (1.1-6.1) p=0.02,

respectively) and of overall postoperative complications (Odds

Ratio: 3.56 (1.4-11.2) p=0.02; 1.4 (1.1-2.5) p=0.03; 2.3 (1.3-1.7)

p=0.01;

1.5 (0.5-4.7) p=0.46) adjusted by age, sex and stage of

the cancer. Balducci frailty criteria did not reached statistical

significance, predicting 30-day mortality and morbidity (OR

1.1 (0.4-2.6) p=0.87; 1.5 (0.5-4.7) p=0.46, respectively). It was not

possible to build a model for the major complications because

of an insufficient number of patients in this subgroup (major

complications were observed only among frail patients).

Conclusion:

Among four studied frailty models, the

Cumulative Deficit Model based on Geriatric Assessment

has the highest predictive possibility of 30-day postoperative

mortality and morbidity in patients with colorectal cancer

qualified for an elective surgery under general anaesthesia.

Disclosure of interest:

None declared

Keywords:

Colorectal cancer, frailty, geriatric assessment,

surgery

P105

IMPLEMENTATION OF THE G8 SCREENING TOOLS IN A

PUBLIC HOSPITAL IN FRENCH GUIANA

J.-L. Joachim

1

, E. Basset

1

, S. Briolant

2

, B. Cenciu

1

, P. Couppié

1

,

J.-P. Droz

3,4,

*

1

Medicine,

2

Geriatrics, Cayenne Hospital,

3

Oncoguyane Cancer

Network, Cayenne, French Guiana,

4

Environment and Cancer

Research Unit, Centre Léon-Bérard, Lyon, France

Introduction:

Frailty screening has been implemented by

the French Cancer Institute. A question was its application in

overseas territories characterized by multiculturality.

Objectives:

To evaluate the feasibility of frailty screening by

G8 tool in elderly cancer patients and possible limits.

Methods:

A prospective 8 months survey of cancer patients

aged

70 years who were scheduled to receive G8 screening.

In patients with G8 < 15/17, a simplified geriatric evaluation

(SGE) was proposed. The G8 tool was administered by a

trained nurse of the outpatient clinic. The SGE was performed

by a geriatrician.

Results:

From 01/09/2015 to 30/04/2016, 130 patients

70 years were followed for cancer in the outpatient clinic, 60

patients (46%) had a G8 screening of which 57 were abnormal.

One patient refused to participate. Six patients have died of

cancer progression. Eleven patients had SGE, 3 had further

follow-up. Patients characteristics: there were 30 men and 30

women; median age was 76 years (extremes: 70–90); cancer

types were: lung (10), hemopathies (9), breast (8), colorectal

(8), (5), unknown (5), gastric (4), anus (3), uterus (2), prostate (2),

and ovary, esophagus, liver, pancreas, one each.

The small number of G8 procedures was due to

organizational problems (only one trained nurse). But there

were also difficulties to obtain all the G8 items: loss of

appetite was biased by the treatment; weight loss during

the last 3 months was difficult to measure in these patients

who don’t follow their weight; number of medications did

not take in account traditional medicine intakes; in these

patients “feeling of their health status” was biased by cultural

perception of health, of disease and of cancer, by belief and by

comparison to their previous heath status.

Conclusion:

G8 screening requires sufficient trained

health professionals and good organization. It is difficult to

apply in the setting of little medicalized and few educated

populations. it may be impacted by the cultural perception of

heath and illness. All these limits are found in tropical areas

and in intermediate and low incomes countries.

Disclosure of interest:

None declared

Keywords:

G8 tool, implementation, tropical area

P106

FUNCTIONAL DEPENDANCY IS PREDICTIVE FOR

NUTRITIONAL STATUS IN ELDERY PATIENTS WITH

HEMATOLOGIC MALIGNANCIES

J. Hajder

1,

*, N. Stanisavljevic

1

, D. Marisavljevic

1,2

, O. Markovic

1,3

,

R. Zivkovic

1

1

Hematology, KBC Bezanijska kosa, Belgrade, Serbia,

2

Hematology,

Medical faculty,

3

Hematology, Medical faculty, Belgrade, Serbia

Introduction:

Malnutrition is common in population older

than 65. The Mini Nutritional Assessment (MNA) short-

form is both a screening and assessment tool which has

been validated for determination of nutritional

status.To

evaluate the prevalence of malnutrition using MNA short-

form in elderly patients with newly diagnosed hematologic

malignancies and its association to functional activity.

Objectives:

To evaluate the prevalence of malnutrition

using MNA short-form in elderly patients with newly diag-