Oncologists' perception of frailty.

• DOI: 10.1200/jco.2021.39.15_suppl.e24012
• Publication Date: 2021-06-02T15:09:25Z
• Authors: Zuhair Alam; Brian Patrick Sin...
• Keywords: Geriatric oncology

e24012 Background: Frailty is an under recognized yet clinically important consideration in treatment decision making for older adults with cancer. The Comprehensive Geriatric Assessment (CGA) considered gold standard recognition of frailty and endorsed by the International Society Oncology. Additionally, multiple screening tools have been validated to reliably detect frailty. Nevertheless, studies suggest that formal not prevalent community oncology practices oncologists’ clinical judgement as sensitive identifying CGA. This survey was designed assess perceptions amongst providers, well prevalence method these practices. Methods: After approval independent research ethics board, a secure online circulated providers within TriHealth Cancer Institute, including MD’s, DO’s, NP’s, via email. Survey live from January 24 th February 12 . Data analyzed using descriptive statistics. Results: There were 20 total respondents medical, surgical, gynecologic, radiation oncology, 70% MD/DO. reported having > 50% their patients over age 65. All being familiar concept ECOG performance status, while only 45% had heard 40% they screen all used alone or along Karnofsky, none CGA other tools. 60% did formally frailty, however but one felt assessment be beneficial. Most commonly cited barriers time restraints lack availability follow up services. Conclusions: Despite proven benefit various tools, few Furthermore, report incorporate it practice. shows professional education needed promote use alternative measures improve outcomes strategies must implemented would mitigate access services so may more inclined conduct such assessments. Limitations this study include potential reporting bias indeterminate generalizability. Next steps quality improvement initiative implementing tool