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A B S T R A C T S
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oncology clinics has been constituted. Seven domains of
GA were selected. Based on the SIOG, EORTC and NCCN
recommendations on GA, the geriatrician experts had to:
1) list the tools available by domain; 2) determine the most
commonly used tools; 3) search studies assessing sensitivity
and specificity of these tools; 4) compare the tools available
fromthepracticalstandpoint;5)selecttheliteraturesupporting
the tools selection; 6) reach an agreement to recommend the
tools to be used. After debate, the geriatrician’s panel reached
a consensus statement on a first version of the MDS. In a
second time, this MDS was presented and debated with the
DIALOG group leading to a second version, with a feedback
to the geriatrician’s panel and a vote. This vote had led to the
third version. The third version was submitted for expertise
to a panel of oncologists. Then a final consensual version was
proposed.
Results:
Tools chosen for each domain were: 1) social
assessment: living alone or support request in order to stay
at home; 2) functional autonomy: Activities of Daily Living
(ADL) and short-IADL; 3) mobility: walking speed or timed
get up and go test (TGUG); 4) nutrition: Mini Nutritional
Assessment-short form (MNA-SF), weight loss at 3 months
and Body Mass Index (BMI); 5) cognitive assessment: Dubois’s
5 words and clock drawing test or Mini-Cog; 6) thymic status:
mini- Geriatric Depression Scale (mini-GDS); 7) comorbidity:
updated Charlson.
Conclusion:
DIALOG intergroup reached an agreement
for a short geriatric MDS to be incorporated in future clinical
trials for the elderly. This initiative still needs prospective
evaluation.
Disclosure of Interest:
None declared
Keywords:
Clinical trials for elderly cancer patients, geriatric
assessment, mini Data Set