Oops, you're using an old version of your browser so some of the features on this page may not be displaying properly.

MINIMAL Requirements: Google Chrome 24+Mozilla Firefox 20+Internet Explorer 11Opera 15–18Apple Safari 7SeaMonkey 2.15-2.23

Poster presentation 2

1263 - Outcomes of geriatric assessment for advance non-small cell lung carcinoma (NSCLCA) patients from a dedicated geriatric oncology program


20 Dec 2015


Poster presentation 2


Dainik Patel


Annals of Oncology (2015) 26 (suppl_9): 125-147. 10.1093/annonc/mdv532


D. Patel1, A. Mah2, J. Turner3, F. Barry2, N. Singhal2

Author affiliations

  • 1 Medical Oncology, The Queen Elizabeth Hospital, 5011 - Adelaide/AU
  • 2 Medical Oncology, Royal Adelaide Hospital RAH Cancer Centre, 5000 - Adelaide/AU
  • 3 Centre For Medicine Use And Safety, Faculty Of Pharmacy And Pharmaceutical Sciences, Monash University, Parkville/AU


Abstract 1263


Non-small cell lung cancer (NSCLCA) incidence increases with age. However, limited data available regarding their management and outcome due poor representation in clinical trials. The Geriatric assessment (GA) assists in identifying areas of concern, guides treatment decisions and predicts toxicity in older people with cancer. The aim was to investigate the outcome of GA on older people with advance NSCLCA.


Patients ≥70 years with newly diagnosed metastatic and unresectable NSCLCA referred to the Royal Adelaide Hospital cancer centre between 2009 and 2010 were included. Data was collected using a structured self-administered questionnaire (Adelaide Tool) covering Karnofsky Performance Scale, exhaustion (CES-D), weight loss, physical function (SF-36), instrumental activities of daily living, distress (10-point visual analogue scale [VAS]), memory, falls, pain (10 point VAS) and polypharmacy (≥5 medications). Frailty was assessed using an adapted version of Fried's frailty phenotype. Kaplan-Meier curves assessed the impact of frailty on 12 month.


There were 55 older people diagnosed with advance NCLCA with a median age of 74 years (range 71-90) and 66% (n = 36) were male. Patients frailty status was categorised as ‘fit’ (33%, n = 18), ‘vulnerable’ (47%, n = 26) or ‘frail’ (20%, n = 11). The GA identified concerns relating to distress in 29% (n = 16), exhaustion in 22% (n = 12), falls in 18% (n = 10), memory in 18% (n = 10), pain in 23% (n = 13), polypharmacy in 65% (n = 36) and weight loss in 43% (n = 24). Most patients (70%, n = 39) received first line chemotherapy including doublet for 69% (n = 38) of patients and dose modification for 20% (n = 11) of patients. 38% of patients (n = 21) completed planned four cycles, 32% (n = 18) underwent second line treatment, while 29% (n = 16) received best supportive care. Overall survival was significantly worse for frail and vulnerable patients compared with fit patients (P = 0.01).


Routine incorporation of geriatric assessment like 'Adelaide Tool' provides important prognostic information and helps to identify areas of concerns. Limitations include small sample size and lack of toxicity data.

Clinical trial identification


All authors have declared no conflicts of interest.

This site uses cookies. Some of these cookies are essential, while others help us improve your experience by providing insights into how the site is being used.

For more detailed information on the cookies we use, please check our Privacy Policy.

Customise settings