Pretreatment Geriatric Assessments of Elderly Patients with Glioma: Development and Implications
Wang Yaning, Zhao Binghao, Chen Wanqi, Liu Lei, Chen Wenlin, Zhou Lizhou, Kong Ziren, Dai Congxin, Wang Yu, Ma Wenbin
Table 2 Preoperative, Preradiotherapy, Prechemotherapy Assessments for Glioma and Other Cancer Patients.
First author/published yearPatients' characteristics (mean age, M/F)Intervention (number)Comparison (number)ResultsFollow-upStudy designAssessment items
Preoperative assessments
Johnson et al/2012[10]53.9, 55/36WAIS-R, WAIS-III, HVLT-R questionnaireNAExecutive function and attention are cognitive domains related to prognosis of GBM9 yearretrospective studycognitive function
Rambeau et al/2018 [11]78 (70-93), 25/41MMSE (13)MoCA (44)MoCA seems to be more relevant to screen cognitive impairment1 yearRCTcognitive function
Fiorentino et al/2012 [12]72 (65-81), 17/18RTCHT (35)NAComorbidity assessments is an appropriate tool for predicting prognosis of elderly patients with GBM6 yearsingle-arm clinical trialcomorbidity
Ening et al/2015 [13]62 (15-84), 117/116NANABesides old age and low KPS score, higher CCI is significantly associated with poor OS and PFS in dismal GBM, hence decides patient stratification5 yearretrospective reviewcomorbidity
Cloney et al/2015 [14]no less than 65, NAsurgical resectionbiopsyFrailer elderly GBM patients are less likely to undergo surgical resection, have longer hospital stay, more complications, and less OS12 yearretrospective studyfrailty
Peters et al/2014 [15]mean 50, 161/76NANAGreater degree of fatigue was associated with poor survival in recurrent HGG patients, which shows fatigue is an independent predicator for OS rather than QoL2 yearprospective cohort studyfatigue and QoL
Borg et al/2011 [16]mean 60.1, 419/266NANAGBM patients with pre-operative hypoalbuminaemia status have less post-operative OS than normal albumin10 yearretrospective studylab indicators
He et al/2017 [17]44 (5-78), 197/129surgery (some received aggressive adjuvant treatment)NANewly diagnosed HGG patients with elevated fibrinogen level and decreased albumin levels have more risk of tumor progression and death2 yearsingle-arm clinical triallab indicators
Preradiotherapy assessments
VanderWalde et al/2017 [49]72.5 (65-92), 24/22NANACancer patients failed to receive pre-treatment are more likely to have low health-related quality of life.2 yearprospective cohort studyhealth-related quality of life
Antonio et al/2018 [50]79.5 (75-87), 76/9NANAFit NSCLC patients have longer mOS than medium-fit; patients with higher VES-13 will have shorter mOS and high risk of G3-4 toxicity8 yearprospective cohort studygeriatric assessments
Pottel et al/2014 [51]72 (65-86), 86/14NANACGA helps to identify the evolution of health problems and is indicative of quality of life in patients with head and neck carcinoma2 yearprospective cohort studygeriatric assessments
Gielda et al/2011 [52]64 (30-84), 22/32NANAWeight decrease strongly correlates with declined OS/PFS of NSCLC patients. Weight change during treatment should be treated as potential predicator11 yearprospective cohort studynutritional status
Fiorentino et al/2012 [12]more than 65, 17/18NANAElderly GBM patients with lower CCI score will have a longer OS than those with higher6 yearprospective cohort studycomorbidity
Chaichana et al/2011 [53]older than 65, 67/66NANAKPS score less than 80, motor deficit, language deficit, cognitive deficit are independently associated with decreased OS of elderly GBM patients10 yearretrospective studyKPS score, motor, language cognitive function
Prechemotherapy assessments
Wick et al/2017[47]57.7 (21.2-82.3), 265/172lomustine plus bevacizumab (288)lomustine
alone (149)
Despite somewhat prolonged PFS, lomustine plus bevacizumab did not confer a survival advantage over treatment with lomustine alone in glioblastoma patients. The combined therapy affected neither health related quality of life nor neurocognitive function. The MGMT status is prognostic3 yearRCTcognitive functiion
Aparicio et al/2013[59]80 (75-91), 66/57fluorouracil (62)fluorouracil with irinotecan (61)Cognitive function and autonomy impairment assessed by MMSE, IADL, MMSE are predictive of severe toxicity or unexpected hospitalization of elderly metastatic colorectal cancer patients7 yearRCTcognitive function, autonomy impairment
Aaldriks et al/2011[60]77 (71-92), 90/112NANAInferior MNA and MMSE scores increase the probability of elderly cancer patients not to complete hemotherapy3 yearprospective cohort studyMNA, MMSE