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A B S T R A C T S
Results:
Results will be presented during the SIOG 2016
Annual Conference. The development of distress among older
patients and middle-aged patients with cancer and older
people without cancer from the time of diagnosis until three
years after diagnosis will be described. Differences over time
and between groups will be tested. Preliminary results show
that older patients with cancer experience a continuing steady
decline in distress levels from the moment of diagnosis until
after one year. However, at three years after baseline levels of
distress increase and become higher than in the two control
groups.Wewill examine baseline characteristics to see if they
shed light on this unexpected increase of levels of distress in
the mid-long term.
Conclusion:
The results will provide insight into the
development of distress over time in older patients with
cancer and the people from the control groups. Additionally,
we will learn more about characteristics that influence rising
distress levels for older patients with cancer. The results will
expand our knowledge regarding prevention of psychosocial
problems such as distress in the mid-long term.
Disclosure of interest:
None declared
Keywords:
Cancer survivors, cohort study, distress and
psycho-social issues
P134
THE UK GERIATRIC ONCOLOGY EXPERT REFERENCE GROUP
(ERG) CONSENSUS ON CGA SCREENING
T. Kalsi
1,2,
*, D. Harari
1,2
and The UK Geriatric Oncology Expert
Reference Group
1
Department of Ageing & Health, Guys & St Thomas’ NHS
Foundation Trust,
2
Division of Health and Social Care Research,
Kings College London, London, United Kingdom
Introduction:
Studies evaluating how to effectively deliver
CGA screening tools in older cancer patients across a range
of real-time healthcare systems are lacking. Whether these
tools are acceptable, widely adopted, used as intended, cost
effective or sustainable at a national level is largely unknown.
Objectives:
To use a validated process to reach the first UK
consensus on a relevant and potentially implementable CGA
screening tool to be tested throughout NHS cancer services.
Methods:
The UK Geriatric Oncology Expert Reference
Group (ERG) in association with Macmillan Cancer Support
used the nominal group technique (validated consensus
development method). The ERG were front line clinicians
including oncologists, geriatricians, nurses, surgeons and
trainees. A group of older cancer patients were also included
in the process. First consensus round used an anonymised
online survey where agreement to a number of statements
was ranked from 1 (strong disagreement) to 9 (strong
agreement), with invitation to add free comment. The content
of the statements included were based on existing evidence
plus feedback from a nationwide UK survey of current
assessment methods and what providers would want to use
for older people with cancer. Second round was a face to face
group meeting with presentation of first round responses and
detailed discussions of each statement at the end of which
consensus was reached.
Results:
There was a clear preference towards a pragmatic
and practical tool that was brief and included clinically
relevant questions rather than using published tools (e.g.
G8, Edmondton Frailty Scale, Charlson Comorbidity Index).
The consensus CGA screening tool includes some clinician
completed CGA tasks and a patient questionnaire (Table 1).
Table 1 (abstract P134)
Clinician Completed Items
Comorbidities from GP records (yes/no)
Cardiac, respiratory, liver, chronic kidney, neurological disease
Diabetes
Hypertension
Thrombosis
Dementia
Depression/anxiety/mental health
Deafness
Medication list from GP
Abbreviated mental test score (validated 10 item tool)
Weight/BMI
Patient Completed Questionnaire (yes/no/don’t know)
Recent weight loss and/or poor appetite
Memory loss or confusion
Depression, anxiety or any mental health problem
Hearing difficulty
Urinary incontinence
Faecal incontinence
Falls from standing height
Difficulty standing/walking/use of walking aid
Problems with public transport, shopping, using telephone, climbing
stairs
Live alone
Is there someone to help out if needed
Carers
Caregiver for others
Conclusion:
The UK Geriatric Oncology ERG have reached
consensus on a pragmatic CGA screening tool to be pilot
tested in a nationwide real-life feasibility test.
Disclosure of interest:
None declared
Keywords:
Consensus, geriatric assessment, screening
P135
UK ASSESSMENT METHODS AND SERVICES FOR OLDER
PEOPLE WITH CANCER: A NATIONAL SURVEY
T. Kalsi
1,2,
*, D. Harari
1,2
1
Department of Ageing & Health, Guys & St Thomas’ NHS
Foundation Trust,
2
Division of Health and Social Care Research,
Kings College London, London, United Kingdom
Introduction:
The UK Independent Taskforce report
“Achieving World-Class Cancer Outcomes:
A Strategy For
England 2015-2020” [1] calls for improved assessment methods
for older people in the UK and increased collaborative working
with geriatricians. However, to improve practice, it is essential
to first describe current practice to identify where the gaps
are and how to best address them. It is not know what
assessment methods for older people are currently employed