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Frailty is a common geriatric syndrome in older patients with cancer. It affects prognosis and treatment tolerance in various ways. Frailty and cancer share several common risk factors, which are reflected in the hallmarks of aging. An oncogeriatric assessment with management (GAME) provides the opportunity to detect frailty and its related geriatric impairments and offers the possibility to compensate for frailty-associated vulnerability. Thus, higher-grade treatment-associated toxicities of the provided oncological treatments are reduced. Furthermore, treatment completion rates and quality of life can be improved by GAME. The following review article provides an overview of the general definition of physical and social frailty, its significance in oncology, and the evidence for GAME. Lastly, first study results of frailty-adapted treatment approaches are summarized.
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http://dx.doi.org/10.1007/s00108-025-01978-2 | DOI Listing |
Inn Med (Heidelb)
September 2025
Comprehensive Cancer Center, Universitätsklinik Würzburg, Würzburg, Deutschland.
Frailty is a common geriatric syndrome in older patients with cancer. It affects prognosis and treatment tolerance in various ways. Frailty and cancer share several common risk factors, which are reflected in the hallmarks of aging.
View Article and Find Full Text PDFIn Vivo
June 2025
Department of Surgery, Sapienza University of Rome, Rome, Italy.
Background/aim: The aging population poses unique challenges in oncogeriatric surgery, particularly regarding risk stratification and postoperative outcome prediction. The impact of frailty on surgical decision-making reports should be noted. Geriatric assessment scales are recommended for preoperative objective evaluations to optimize surgical outcomes, but their accuracy remains unclear.
View Article and Find Full Text PDFAdv Gerontol
June 2025
Medical center «Paid KVD», 8 build. 2 Bolshoy Kazenny lane, Moscow 105064, Russian Federation.
More than 60% of patients diagnosed with cancer for the first time are aged 65 and older. This article presents an analysis of the impact of comprehensive geriatric assessment (CGA) on treatment outcomes for elderly cancer patients. The aim of this article was to analyze the relationship between CGA, the frailty, and treatment outcomes in older adults with cancer.
View Article and Find Full Text PDFCancers (Basel)
May 2025
Gastroenterology Department, Saint Louis Hospital, AP-HP, Université Paris Cité, 75010 Paris, France.
Background: The incidence of cancer in older patients is high, reaching 2.3 million world-wide in 2018 for patients aged over 80. Because the characteristics of this population make therapeutic choices difficult, co-management between geriatricians and other cancer specialists has gradually become essential.
View Article and Find Full Text PDFCancer Epidemiol
August 2025
Medical Oncology Department, Gustave Roussy Cancer Campus, Villejuif 94805, France. Electronic address:
Background: The incidence of cancer among patients aged over 90 is increasing, but this population is poorly described in literature. This underrepresentation complicates decision-making for cancer treatments, despite the contribution of comprehensive geriatric assessment (CGA). This study aimed to describe early failure of specific anti-cancer treatments in a population of nonagenarians treated in a Comprehensive Cancer Center after undergoing a CGA.
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