A5057201921- Frailty in Older Adults
- Nutrition and Health in Aging
- Health Systems, Economic Evaluations, Quality of Life
- Cancer survivorship and care
- Palliative Care and End-of-Life Issues
- Economic and Financial Impacts of Cancer
- Advances in Oncology and Radiotherapy
- Innovations in Medical Education
- Cancer-related cognitive impairment studies
- Radiation Dose and Imaging
- Delphi Technique in Research
- Orthopaedic implants and arthroplasty
- Occupational and environmental lung diseases
- Canadian Identity and History
- Medical and Biological Sciences
- Musculoskeletal Disorders and Rehabilitation
- Pharmaceutical Practices and Patient Outcomes
- Multiple and Secondary Primary Cancers
- Diversity and Career in Medicine
- Musculoskeletal pain and rehabilitation
- Atrial Fibrillation Management and Outcomes
- Intensive Care Unit Cognitive Disorders
- Aging, Health, and Disability
- Primary Care and Health Outcomes
- Aging and Gerontology Research
University of Toronto
2018-2025
University Health Network
2014-2023
Mount Sinai Hospital
2014-2023
Sinai Health System
2021-2022
University of New Brunswick
2021
Canada Research Chairs
2021
Princess Margaret Cancer Centre
2018-2019
Toronto General Hospital
2018
Icahn School of Medicine at Mount Sinai
2013
PURPOSE American Society of Clinical Oncology recommends that older adults with cancer being considered for chemotherapy receive geriatric assessment (GA) and management (GAM), but few randomized controlled trials have examined its impact on quality life (QOL). PATIENTS AND METHODS The 5C study was a two-group parallel 1:1 single-blind multicenter trial GAM 6 months versus usual oncologic care. Eligible patients were age 70+ years, diagnosed solid tumor, lymphoma, or myeloma, referred...
Background: Professionalism is vital in medicine, yet gaps exist its teaching within post-graduate medical education (PGME). Methods: We developed an eight-session curriculum on professionalism for geriatrics residents at the University of Toronto. Topics included personal-professional identity, physician well-being, communication, and leadership, incorporating a focus self-reflection throughout. evaluated two ways: (1) we captured immediate reactions using standard evaluations with...
Geriatric assessment (GA) is supported by recent trials and guidelines yet rarely implemented due to a lack of resources. We performed an economic evaluation geriatric oncology clinic. Pre-GA proposed treatments post-GA actual were obtained from detailed chart review patients seen at single academic centre. GA-based costs for investigations referrals calculated. Unit surgical, radiation, systemic therapy, laboratory, imaging, physician, nursing, allied health care (all in 2019 Canadian...
Abstract Background Grip strength (GS) and the short physical performance battery (SPPB) have been shown to predict clinical outcomes in older adults with cancer. However, whether pre-treatment GS SPPB impact treatment decisions following comprehensive geriatric assessment (CGA) is poorly understood. Our objective was assess of low and/or on modification initially proposed plans cancer CGA. Methods This a retrospective cohort study who had undergone CGA before receiving treatment. Data were...
Geriatric assessment and management (GAM) is recommended by professional organizations recently several randomized controlled trials (RCTs) demonstrated benefits in multiple health outcomes. GAM typically leads to one or more recommendations for the older adult on how optimize their health. However, little known about well are adhered to. Understanding these issues vital designing clinical programs. Therefore, aim of this study was examine number made adherence satisfaction with intervention...
PurposeThe management of older adults with cancer is rapidly becoming a significant challenge in radiation oncology (RO) practice. The education future oncologists geriatric fundamental to ensuring that receive high-quality care. Currently RO trainees little training and oncology. objective this study was define core curriculum learning outcomes relevant worldwide.Methods MaterialsA 2-stage modified Delphi consensus conducted. Stage 1 involved the formation an expert reference panel (ERP)...
Objectives: Atrial fibrillation (AF), the most common arrhythmia in elderly patients, accounts for 15% of strokes. Oral anticoagulation (OAC) can reduce risk stroke by 60% but is underprescribed. The HAS-BLED score (Hypertension, Abnormal renal or liver function, Stroke, Bleeding, Labile INR, Elderly, Drugs) predict OAC bleeding complications. authors hypothesized that use help align decision making with current evidence. Methods: developed a survey four clinical vignettes designed to...
OPEN ACCESSOctober 3, 2013Low Back Pain Ambulatory Medicine Cases Arielle Berger, MD, Parag Sheth, Sara Bradley MD Icahn School of at Mount Sinai Google Scholar More articles by this author , Sheth https://doi.org/10.15766/mep_2374-8265.9565 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail AbstractThis case-based exercise contains three vignettes designed to facilitate discussion evaluation, diagnosis, and treatment the most common causes low back pain (LBP). After completing...
238 Background: Older adults with cancer are complex due to multiple comorbidities, polypharmacy, and functional/cognitive impairments, leading over-treatment undertreatment. Studies examining the impact of geriatric assessment (GA) in older various cancers found a median 39% treatment plans were revised after GA ( Ann Oncol 2014; 25:307). Although these findings support need for GO clinic, whether such clinic leads changes patients GU malignancies is not clear. We examined on plan patients,...
209 Background: The VES-13 is a well-studied brief frailty screening tool for ≥ 65 older adults (OAs) in the oncology setting. Vulnerable patients (scoring 3) are at higher risk adverse outcomes and will benefit from Comprehensive Geriatric assessment (CGA) cancer treatment decision optimization. Whether effective specifically with Genitourinary (GU) malignancies remains to be established. Primary objective: determine if can predict which OAs GU (Bladder, Prostate, Kidney) had subsequent...
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