A5090264979- Frailty in Older Adults
- Palliative Care and End-of-Life Issues
- Cancer survivorship and care
- Health Systems, Economic Evaluations, Quality of Life
- COVID-19 and healthcare impacts
- Economic and Financial Impacts of Cancer
- Nutrition and Health in Aging
- Cancer-related cognitive impairment studies
- Global Cancer Incidence and Screening
- Geriatric Care and Nursing Homes
- Patient-Provider Communication in Healthcare
- Telemedicine and Telehealth Implementation
- Ethics in Clinical Research
- Mental Health and Patient Involvement
- Childhood Cancer Survivors' Quality of Life
- Biomedical Ethics and Regulation
- Health disparities and outcomes
- Cancer Treatment and Pharmacology
- Intensive Care Unit Cognitive Disorders
- Breast Cancer Treatment Studies
- Optimism, Hope, and Well-being
- Interprofessional Education and Collaboration
- Cancer Risks and Factors
- Statistical Methods in Clinical Trials
- BRCA gene mutations in cancer
City of Hope
2016-2025
Breast Cancer Options
2023-2024
The King's College
2023-2024
University of Rochester Medical Center
2017-2023
Patient Advocate Foundation
2022
University of Rochester
2016-2019
National Cancer Institute
2019
American Society of Clinical Oncology
2018
City Of Hope National Medical Center
2018
Memorial Sloan Kettering Cancer Center
2018
Purpose To provide guidance regarding the practical assessment and management of vulnerabilities in older patients undergoing chemotherapy. Methods An Expert Panel was convened to develop clinical practice guideline recommendations based on a systematic review medical literature. Results A total 68 studies met eligibility criteria form evidentiary basis for recommendations. Recommendations In ≥ 65 years receiving chemotherapy, geriatric (GA) should be used identify that are not routinely...
Older patients with cancer and their caregivers worry about the effects of treatment on aging-related domains (eg, function cognition). Quality conversations oncologists concerns could improve patient-centered outcomes. A geriatric assessment (GA) can capture evidence-based conditions associated poor clinical outcomes toxic effects) for older cancer.To determine whether providing a GA summary GA-guided recommendations to communication concerns.This cluster-randomized trial enrolled 541...
Purpose: The goal of this study was to evaluate the feasibility, reliability, and validity a computer-based geriatric assessment via two methods electronic data capture ( SupportScreen REDCap) compared with paper-and-pencil among older adults cancer. Methods: Eligible patients were ≥ 65 years old, had cancer diagnosis, fluent in English. Patients randomly assigned one four arms, which they completed twice: (1) REDCap paper pencil sessions 1 2; (2) both sessions; (3) (4) sessions. evaluated....
To evaluate the relationships between aging-related domains captured by geriatric assessment (GA) for older patients with advanced cancer and caregivers' emotional health quality of life (QOL).In this cross sectional study baseline data from a nationwide investigation their caregivers, completed GA that included validated tests to eight (eg, function, cognition).Thirty-one community oncology practices throughout United States.Enrolled were aged 70 older, had one or more domain impaired, an...
BACKGROUND/OBJECTIVE Exercise interventions improve anxiety and mood disturbances in patients with cancer. However, studies are limited older adults We assessed the effects of exercise on anxiety, mood, social emotional well‐being cancer during their first 6 weeks chemotherapy. DESIGN Exploratory secondary analysis a randomized controlled trial (RCT). SETTING Community oncology practices. PARTICIPANTS Older (aged 60 years or older) undergoing chemotherapy (N = 252). INTERVENTION Patients...
ObjectivesCare for older adults with cancer became more challenging during the COVID-19 pandemic. We sought to examine healthcare providers' clinical barriers, patient questions, and overall experiences related care delivery these patients pandemic.Materials methodsMembers of Advocacy Committee Cancer Aging Research Group along Association Community Centers developed a 20-question survey providers cancer. Eligible participants were recruited by email sent through professional organizations'...
LBA10003 Background: GA includes validated measures that assess age-related health domains (e.g., function, cognition) known to increase adverse outcomes. In this PCORI and NCI funded CRCT, we evaluated if providing a summary recommendations for GA-guided interventions improves communication about concerns older patients (pts) with cancer. Methods: Pts aged ≥ 70 advanced solid tumors or lymphoma at least 1 impaired domain were enrolled. Oncology practices randomized intervention (oncologists...
Active patient partner engagement with Stakeholders for Care in Oncology and Research our Elders board (a diverse group of older patients cancer, caregivers survivors, advocates) to conduct what, the authors' knowledge, is largest randomized geriatric assessment clinical trial published date has been shown be feasible result tangible invaluable benefits both research team partners alike. Actively engaging should an essential component development, conduct, completion all research.
A geriatric assessment (GA) intervention improves communication about aging-related concerns, but its effect on in patients with various levels of frailty is unknown.
The population of older adults with cancer in the United States is rapidly increasing, which will have a substantial impact on oncology and public health workforces across continuum, from prevention to end life. Unfortunately, inequities existing social structures that cause increased psychosocial stressors led disparities incidence morbidity mortality for individuals marginalized backgrounds. It imperative adults, especially those historically backgrounds, be adequately represented all...
The onset of the COVID-19 pandemic created major disruptions in conduct cancer clinical trials. In response, regulators and sponsors allowed modifications to traditional trial processes enable research care continue. We systematically evaluated how these mitigation strategies affected data quality overall conduct.
We present the case of a 92-year-old man, MH, who was given diagnosis colorectal cancer. His primary care physician, surgeon, geriatric oncologist, and family members all played important roles in his care. MH's is an example lack explicit shared goal setting by health providers with patient how that impeded planning health. This demonstrates importance explicitly discussing establishing goals team-based cancer delivery early on throughout process, especially for older adults. Each...
Care for older adults with cancer became more challenging during the COVID-19 pandemic. We sought to examine care providers' attitudes toward barriers and facilitators related these patients pandemic.Members of Advocacy Committee Cancer Aging Research Group, along Association Community Centers, developed survey distributed multidisciplinary healthcare providers responsible direct cancer. Participants were recruited by email sent through four professional organizations' listservs, blasts,...