Geriatric 8 screening of frailty in patients with prostate cancer

Objectives To evaluate the association between the score of the Geriatric 8 screening tool and treatment by disease stages in patients with prostate cancer. Methods Between January 2017 and June 2019, we prospectively evaluated the Geriatric 8 in 540 prostate cancer patients who were treated with ro...

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Veröffentlicht in:International journal of urology 2020-08, Vol.27 (8), p.642-648
Hauptverfasser: Momota, Masaki, Hatakeyama, Shingo, Soma, Osamu, Tanaka, Toshikazu, Hamano, Itsuto, Fujita, Naoki, Okamoto, Teppei, Yoneyama, Tohru, Yamamoto, Hayato, Imai, Atsushi, Yoshikawa, Kazuaki, Yoneyama, Takahiro, Hashimoto, Yasuhiro, Ohyama, Chikara
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container_end_page 648
container_issue 8
container_start_page 642
container_title International journal of urology
container_volume 27
creator Momota, Masaki
Hatakeyama, Shingo
Soma, Osamu
Tanaka, Toshikazu
Hamano, Itsuto
Fujita, Naoki
Okamoto, Teppei
Yoneyama, Tohru
Yamamoto, Hayato
Imai, Atsushi
Yoshikawa, Kazuaki
Yoneyama, Takahiro
Hashimoto, Yasuhiro
Ohyama, Chikara
description Objectives To evaluate the association between the score of the Geriatric 8 screening tool and treatment by disease stages in patients with prostate cancer. Methods Between January 2017 and June 2019, we prospectively evaluated the Geriatric 8 in 540 prostate cancer patients who were treated with robot‐assisted radical prostatectomy, radiotherapy, androgen deprivation therapy alone and standard of care for metastatic hormone‐naïve prostate cancer or castration‐resistant prostate cancer. The primary purpose was the association between frailty (Geriatric 8 ≤14) and robot‐assisted radical prostatectomy, radiotherapy, androgen deprivation therapy alone, and metastatic diseases. Secondary purposes included a comparison of the Geriatric 8 scores among the disease status and the influence of Geriatric 8 score on overall survival. Results The median age was 75 years. Geriatric 8 scores ≤14 were seen in 36% of robot‐assisted radical prostatectomy (n = 78/214), 57% of radiotherapy (n = 119/209), 91% of androgen deprivation therapy alone (n = 19/21) and 70% of metastatic diseases (n = 67/96). The median Geriatric 8 score in patients treated with robot‐assisted radical prostatectomy, radiotherapy, androgen deprivation therapy alone and metastatic diseases was 15.0, 14.0, 12.0 and 12.8, respectively. The median Geriatric 8 score was significantly higher in the metastatic disease than that in localized disease (14.5 vs 12.8, respectively). Robot‐assisted radical prostatectomy patients had a significantly higher Geriatric 8 score than radiotherapy patients, with the cut‐off value of 13 in metastatic hormone‐naïve prostate cancer patients, and between Geriatric 8 scores ≤12 and >12 in castration‐resistant prostate cancer patients. Conclusion The Geriatric 8 score is significantly associated with treatment by disease stages in patients with prostate cancer.
doi_str_mv 10.1111/iju.14256
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Methods Between January 2017 and June 2019, we prospectively evaluated the Geriatric 8 in 540 prostate cancer patients who were treated with robot‐assisted radical prostatectomy, radiotherapy, androgen deprivation therapy alone and standard of care for metastatic hormone‐naïve prostate cancer or castration‐resistant prostate cancer. The primary purpose was the association between frailty (Geriatric 8 ≤14) and robot‐assisted radical prostatectomy, radiotherapy, androgen deprivation therapy alone, and metastatic diseases. Secondary purposes included a comparison of the Geriatric 8 scores among the disease status and the influence of Geriatric 8 score on overall survival. Results The median age was 75 years. Geriatric 8 scores ≤14 were seen in 36% of robot‐assisted radical prostatectomy (n = 78/214), 57% of radiotherapy (n = 119/209), 91% of androgen deprivation therapy alone (n = 19/21) and 70% of metastatic diseases (n = 67/96). The median Geriatric 8 score in patients treated with robot‐assisted radical prostatectomy, radiotherapy, androgen deprivation therapy alone and metastatic diseases was 15.0, 14.0, 12.0 and 12.8, respectively. The median Geriatric 8 score was significantly higher in the metastatic disease than that in localized disease (14.5 vs 12.8, respectively). Robot‐assisted radical prostatectomy patients had a significantly higher Geriatric 8 score than radiotherapy patients, with the cut‐off value of &lt;14.5. The overall survival was significantly different between Geriatric 8 scores ≤13 and &gt;13 in metastatic hormone‐naïve prostate cancer patients, and between Geriatric 8 scores ≤12 and &gt;12 in castration‐resistant prostate cancer patients. Conclusion The Geriatric 8 score is significantly associated with treatment by disease stages in patients with prostate cancer.</description><identifier>ISSN: 0919-8172</identifier><identifier>EISSN: 1442-2042</identifier><identifier>DOI: 10.1111/iju.14256</identifier><identifier>PMID: 32500621</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>Aged ; Androgen Antagonists - therapeutic use ; Androgens ; Cancer surgery ; Castration ; Disease ; Early Detection of Cancer ; frailty ; Frailty - diagnosis ; geriatric screening ; Geriatrics ; Geriatric 8 ; Humans ; Male ; Metastases ; Metastasis ; prognosis ; Prostate cancer ; Prostatectomy ; Prostatic Neoplasms - surgery ; Radiation therapy ; Robots ; Survival</subject><ispartof>International journal of urology, 2020-08, Vol.27 (8), p.642-648</ispartof><rights>2020 The Japanese Urological Association</rights><rights>2020 The Japanese Urological Association.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4616-4ed70186ff7a2c286f2a9c3d4a3ac38bcfc3cc8c6daf90e198b6d75665fccbc3</citedby><cites>FETCH-LOGICAL-c4616-4ed70186ff7a2c286f2a9c3d4a3ac38bcfc3cc8c6daf90e198b6d75665fccbc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fiju.14256$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fiju.14256$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32500621$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Momota, Masaki</creatorcontrib><creatorcontrib>Hatakeyama, Shingo</creatorcontrib><creatorcontrib>Soma, Osamu</creatorcontrib><creatorcontrib>Tanaka, Toshikazu</creatorcontrib><creatorcontrib>Hamano, Itsuto</creatorcontrib><creatorcontrib>Fujita, Naoki</creatorcontrib><creatorcontrib>Okamoto, Teppei</creatorcontrib><creatorcontrib>Yoneyama, Tohru</creatorcontrib><creatorcontrib>Yamamoto, Hayato</creatorcontrib><creatorcontrib>Imai, Atsushi</creatorcontrib><creatorcontrib>Yoshikawa, Kazuaki</creatorcontrib><creatorcontrib>Yoneyama, Takahiro</creatorcontrib><creatorcontrib>Hashimoto, Yasuhiro</creatorcontrib><creatorcontrib>Ohyama, Chikara</creatorcontrib><title>Geriatric 8 screening of frailty in patients with prostate cancer</title><title>International journal of urology</title><addtitle>Int J Urol</addtitle><description>Objectives To evaluate the association between the score of the Geriatric 8 screening tool and treatment by disease stages in patients with prostate cancer. Methods Between January 2017 and June 2019, we prospectively evaluated the Geriatric 8 in 540 prostate cancer patients who were treated with robot‐assisted radical prostatectomy, radiotherapy, androgen deprivation therapy alone and standard of care for metastatic hormone‐naïve prostate cancer or castration‐resistant prostate cancer. The primary purpose was the association between frailty (Geriatric 8 ≤14) and robot‐assisted radical prostatectomy, radiotherapy, androgen deprivation therapy alone, and metastatic diseases. Secondary purposes included a comparison of the Geriatric 8 scores among the disease status and the influence of Geriatric 8 score on overall survival. Results The median age was 75 years. Geriatric 8 scores ≤14 were seen in 36% of robot‐assisted radical prostatectomy (n = 78/214), 57% of radiotherapy (n = 119/209), 91% of androgen deprivation therapy alone (n = 19/21) and 70% of metastatic diseases (n = 67/96). The median Geriatric 8 score in patients treated with robot‐assisted radical prostatectomy, radiotherapy, androgen deprivation therapy alone and metastatic diseases was 15.0, 14.0, 12.0 and 12.8, respectively. The median Geriatric 8 score was significantly higher in the metastatic disease than that in localized disease (14.5 vs 12.8, respectively). Robot‐assisted radical prostatectomy patients had a significantly higher Geriatric 8 score than radiotherapy patients, with the cut‐off value of &lt;14.5. The overall survival was significantly different between Geriatric 8 scores ≤13 and &gt;13 in metastatic hormone‐naïve prostate cancer patients, and between Geriatric 8 scores ≤12 and &gt;12 in castration‐resistant prostate cancer patients. Conclusion The Geriatric 8 score is significantly associated with treatment by disease stages in patients with prostate cancer.</description><subject>Aged</subject><subject>Androgen Antagonists - therapeutic use</subject><subject>Androgens</subject><subject>Cancer surgery</subject><subject>Castration</subject><subject>Disease</subject><subject>Early Detection of Cancer</subject><subject>frailty</subject><subject>Frailty - diagnosis</subject><subject>geriatric screening</subject><subject>Geriatrics</subject><subject>Geriatric 8</subject><subject>Humans</subject><subject>Male</subject><subject>Metastases</subject><subject>Metastasis</subject><subject>prognosis</subject><subject>Prostate cancer</subject><subject>Prostatectomy</subject><subject>Prostatic Neoplasms - surgery</subject><subject>Radiation therapy</subject><subject>Robots</subject><subject>Survival</subject><issn>0919-8172</issn><issn>1442-2042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10L1OwzAUBWALgWgpDLwAisQCQ6j_4jgjVFCKKrGUOXJubHCVJsVOVPVteBaeDJcUBiS82MOn43sPQucE35BwxnbZ3RBOE3GAhoRzGlPM6SEa4oxksSQpHaAT75cYE0aJPEYDRhOMBSVDdDfVzqrWWfj8kJEHp3Vt69eoMZFxylbtNrJ1tFat1XXro41t36K1a3yrWh2BqkG7U3RkVOX12f4eocXD_WLyGM-fp7PJ7TwGLoiIuS5TTKQwJlUUaHhQlQEruWIKmCzAAAOQIEplMqxJJgtRpokQiQEogI3QVR8bvn_vtG_zlfWgq0rVuul8TjnBLJEkIYFe_qHLpnN1GC4othtCMhnUda8g7OOdNvna2ZVy25zgfNdrHnrNv3sN9mKf2BUrXf7KnyIDGPdgYyu9_T8pnz299JFfuQGCNQ</recordid><startdate>202008</startdate><enddate>202008</enddate><creator>Momota, Masaki</creator><creator>Hatakeyama, Shingo</creator><creator>Soma, Osamu</creator><creator>Tanaka, Toshikazu</creator><creator>Hamano, Itsuto</creator><creator>Fujita, Naoki</creator><creator>Okamoto, Teppei</creator><creator>Yoneyama, Tohru</creator><creator>Yamamoto, Hayato</creator><creator>Imai, Atsushi</creator><creator>Yoshikawa, Kazuaki</creator><creator>Yoneyama, Takahiro</creator><creator>Hashimoto, Yasuhiro</creator><creator>Ohyama, Chikara</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>202008</creationdate><title>Geriatric 8 screening of frailty in patients with prostate cancer</title><author>Momota, Masaki ; 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Methods Between January 2017 and June 2019, we prospectively evaluated the Geriatric 8 in 540 prostate cancer patients who were treated with robot‐assisted radical prostatectomy, radiotherapy, androgen deprivation therapy alone and standard of care for metastatic hormone‐naïve prostate cancer or castration‐resistant prostate cancer. The primary purpose was the association between frailty (Geriatric 8 ≤14) and robot‐assisted radical prostatectomy, radiotherapy, androgen deprivation therapy alone, and metastatic diseases. Secondary purposes included a comparison of the Geriatric 8 scores among the disease status and the influence of Geriatric 8 score on overall survival. Results The median age was 75 years. Geriatric 8 scores ≤14 were seen in 36% of robot‐assisted radical prostatectomy (n = 78/214), 57% of radiotherapy (n = 119/209), 91% of androgen deprivation therapy alone (n = 19/21) and 70% of metastatic diseases (n = 67/96). The median Geriatric 8 score in patients treated with robot‐assisted radical prostatectomy, radiotherapy, androgen deprivation therapy alone and metastatic diseases was 15.0, 14.0, 12.0 and 12.8, respectively. The median Geriatric 8 score was significantly higher in the metastatic disease than that in localized disease (14.5 vs 12.8, respectively). Robot‐assisted radical prostatectomy patients had a significantly higher Geriatric 8 score than radiotherapy patients, with the cut‐off value of &lt;14.5. The overall survival was significantly different between Geriatric 8 scores ≤13 and &gt;13 in metastatic hormone‐naïve prostate cancer patients, and between Geriatric 8 scores ≤12 and &gt;12 in castration‐resistant prostate cancer patients. Conclusion The Geriatric 8 score is significantly associated with treatment by disease stages in patients with prostate cancer.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>32500621</pmid><doi>10.1111/iju.14256</doi><tpages>7</tpages></addata></record>
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subjects Aged
Androgen Antagonists - therapeutic use
Androgens
Cancer surgery
Castration
Disease
Early Detection of Cancer
frailty
Frailty - diagnosis
geriatric screening
Geriatrics
Geriatric 8
Humans
Male
Metastases
Metastasis
prognosis
Prostate cancer
Prostatectomy
Prostatic Neoplasms - surgery
Radiation therapy
Robots
Survival
title Geriatric 8 screening of frailty in patients with prostate cancer
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