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S4

A B S T R A C T S

Disclosure of interest:

None declared

S07

PROSTATE

Jean-Pierre Droz

Centre Léon-Bérard, Environment and Cancer Reasearch Unit, Lyon,

France

Context:

Prostate cancer is a disease of the senior adults,

the most frequent cancer in men. It requires specific urologic

and geriatric managements.

Objective:

To update the 2010 and 2014 SIOG (International

Society of Geriatric Oncology) guidelines on prostate cancer

in senior adult patients aged more than 70 years. The 2016

updates include the health status evaluation; the treatment

of localized disease; and the treatment of advanced disease,

particularly new active agents in the treatment of castration

refractory disease.

Methods:

In 2016, a new multidisciplinary SIOG task force

was formed to update the recommendations. A systematic

review of articles published in 2014–2016 was performed.

The search strategy was based mainly on the terms “prostate

cancer”, “elderly”, and different key words on local treatment

and drugs. The terms “castration refractory/resistant” was

added as were used terms on geriatric evaluation. Each expert

of the Writing Committee included proposed modifications,

the material was managed by the first author, the manuscript

circulated to the experts of the Review Committee which

included their inputs and finally the manuscript was prepared

to obtain a consensus of experts.

Results:

The geriatric evaluation is based on a three step

screening of health problems: 1) cognitive screening test

and a global screening test, the G8; 2) if Mini-COG abnormal

patients should have complete cognitive evaluation; if

G8 abnormal the patient is referred to the next step: 2) a

simplified geriatric evaluation based on physical dependence,

comorbidities, and nutrition; 3) Patients are classified in four

health status groups: fit, frail, disabled/ severe comorbidities,

too sick. Geriatric intervention should reverse some problems

but requires CGA. The major treatment conclusion is that fit

and some frail patients are likely to benefit from the same

treatments than younger, treatment adaptations are required

in the other patients group.

Conclusions:

Many refinements in geriatric evaluation,

localized disease treatments techniques, role of surveillance

and “watch and see policy”, medical management of advanced

disease by new drugs participate to a refined decision making

process. Treatment decisions should be based on health

status evaluation (mainly driven by the severity of associated

comorbidities) rather than age, and also on patient preference.

Disclosure of interest:

Board member: Sanofi

S08

CANCER IN MOROCCAN ELDERLY: THE FIRST

MULTICENTRIC TRANSVERSAL STUDY EXPLORING THE

SOCIO-DEMOGRAPHIC AND ECONOMIC PROFILE OF

MOROCCAN ELDERLY CANCER PATIENTS

Hassan Errihani

Mohamed V University, Medical oncology, Rabat, Morocco

Introduction:

The Moroccan population’s life expectancy

has increased and so is behaving the incidence of cancer

in elderly. We launched the first Moroccan prospective

multicentric transversal study, to explore the subgroup of

Moroccan elderly cancer patients.

Material and methods:

The study was conducted in 10 civil

and military, Medical Oncology Departments in Morocco.

Patients were enrolled between June 15th and October 15th,

2015.The inclusion criteria were patients aged 65 years or over

having a proven solid cancer at any stage. The questionnaire

used in the study included four sections: General socio-

demographic and economic data, daily habits, Medical history

including the G8 test and the EORTC- QLQC30 questionnaire.

The questionnaire was administered once for each patient

included. All the patients signed an informed consent. The

study was approved by the ethical committee of Rabat. A

comparison will be made between the subgroups 65–70 years

old and

71 years old. More than 150 patients were enrolled.

The final results will be presented at the Congress.

Conclusion:

This is the first muticentric prospective study

designed to have an insight on the medical, sociodemographic

and economic profile of Moroccan elderly cancer patients.

This kind of studies could be considered as the first step in

developing an adapted geriatric assessment in Morocco.

Disclosure of interest:

None declared

S09

PALLIATIVE CARE FOR OLDER CANCER PATIENTS IN

EUROPE

Marilène Filbet

CHU Lyon, Medecine palliative, Lyon, France

Most of the people who die in Europe are older than 65 years

old and this number will increase in the next decade. The

need for palliative care for older patients will increase equally,

and that leads WHO and EAPC to propose a guide for better

palliative care for older people (WHO 2004). We don’t have

any recommendations for older people with cancer, and this

lack needs to be filled. Palliative care services are unequally

developed within European countries (C. Centeno, EAPC task

force), and so are the long-term services for older people. The

development of the geriatric oncology will improve cancer

survival, and this disease trajectory will become like the

trajectory of the chronic diseases: people will have a long life

expectancy. This presentation will describe the patients and

family needs during the palliative stage of the cancer disease,

and the services available across European countries.