Evidence map›Paper›PMID 37367094›Full record

ArticleGeriatrics (Basel, Switzerland)2023

Impact of Medical Specialties on Diagnostic and Therapeutic Management of Elderly Cancer Patients.

Ludovic Lafaie, Anne-Françoise Chanelière-Sauvant, Nicolas Magné, Wafa Bouleftour, Fabien Tinquaut, Thomas Célarier, Laurent Bertoletti

Open access · goldAbstract read
In one paragraph

Article in Geriatrics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 51% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Ludovic LafaieDépartement de Gérontologie Clinique, CHU de Saint-Étienne, F-42055 Saint-Etienne, France.
Anne-Françoise Chanelière-SauvantDépartement de Gérontologie Clinique, CHU de Saint-Étienne, F-42055 Saint-Etienne, France.
Nicolas MagnéDépartement de Radiothérapie, Institut Bergonié, F-33076 Bordeaux, France.
Wafa BouleftourDépartement d'Oncologie Médicale, CHU de Saint-Etienne, F-42055 Saint-Etienne, France.ORCID 0000-0002-8485-9386
Fabien TinquautDépartement de Santé Publique, CHU de Saint-Etienne, F-42055 Saint-Etienne, France.
Thomas CélarierDépartement de Gérontologie Clinique, CHU de Saint-Étienne, F-42055 Saint-Etienne, France.
Laurent BertolettiINSERM, UMR1059, Equipe Dysfonction Vasculaire et Hémostase, Université Jean-Monnet, F-42055 Saint-Etienne, France.ORCID 0000-0001-8214-3010
Centre Hospitalier Universitaire de Saint-Étienne · FRInserm · FRCancéropôle Lyon Auvergne-Rhône-Alpes · FRInstitut Bergonié · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The management (diagnostic and therapeutic) of cancer in the geriatric population involves a number of complex difficulties. The aim of this study was to assess the impact of a medical specialty on the diagnostic and therapeutic management of elderly cancer patients. Four clinical scenarios of cancer in the geriatric population, with a dedicated survey to gather information regarding each clinical case's diagnostic and therapeutic approaches, as well as the different criteria influencing physicians' therapeutic decisions, were exposed to geriatricians, oncologists, and radiotherapists in Saint-Etienne. The surveys were filled out by 13 geriatricians, 11 oncologists, and 7 radiotherapists. There was a homogeneity of responses regarding the confirmation of cancer diagnostics in the elderly. There were strong disparities (inter- and intra-specialties) for several clinical situations regarding the therapeutic management of cancer. There were significant disparities in terms of surgical management, the implementation of a chemotherapy protocol, and the adaptation of the chemotherapy dosage. Contrary to oncologists, who primarily consider the G8 and the Karnofsky score, geriatric autonomy scores and frailty with cognitive assessment were the key factors determining diagnostic/therapeutic therapy for geriatricians. These results raise important ethical questions, requiring specific studies in geriatric populations to provide the homogenous management of elderly patients with cancer.

Indexed as

cancerelderlygeriatric oncology

Identifiers

PMID37367094
PMCPMC10298006
OpenAlexW4379229390

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.