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Evaluating the association of frailty with communication about aging-related concerns between older patients with advanced cancer and their oncologists.

Nikesha J GilmoreHuiwen XuLee KehoeAmber S KlecknerKiran MoorthiLianlian LeiMostafa R S MohamedKah Poh LohEva CulakovaMarie FlanneryErika RamsdalePaul R DubersteinBeverly CaninCharles S KamenGilbert GiriErin WatsonAmita PatilAdedayo A OnitiloBrian BurnetteMichelle JanelsinsSupriya G Mohile
Published in: Cancer (2021)
A geriatric assessment (GA) intervention improves communication about aging-related concerns, but its effect on communication in patients with various levels of frailty is unknown. This study conducted a secondary analysis of a nationwide trial of patients aged ≥70 years with incurable cancer and 1 or more GA domain impairments. Patients were stratified as robust, prefrail, or frail. The number and quality of conversations about aging-related concerns that occurred during the clinic visit after the GA-intervention were determined. Patients with higher degrees of frailty and those in the GA intervention arm had more and higher quality conversations about aging-related concerns with oncologists.
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