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Albane de Thézy, Aurélie Lafargue, Lydie d'Arailh, Marina Dijos, Lionel Leroux, Nathalie Salles, Muriel Rainfray
Aortic stenosis (AS) may soon become a significant public health issue. Referring elderly suffering from aortic stenosis for a transcatheter aortic valve implantation (TAVI) versus surgical valve replacement might be difficult and requires a multidisciplinary staff. G8 is a geriatric screening scale for frailty, validated in oncogeriatry. We study sensibility and specificity of G8 used by cardiologists in comparison to a comprehensive geriatric assessment (CGA) performed by geriatrician. Prospective study, from February to July 2015, in Bordeaux university Hospital, France...
December 1, 2017: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
Sarah Schroyen, Stéphane Adam, Guy Jerusalem, Pierre Missotten
Cancer is a major health problem that is widespread in elderly people. Paradoxically, older people suffering from cancer are often excluded from clinical trials and are undertreated when compared to younger patients. One explanation for these observations is age stigma (ie, stereotypes linked to age, and thus ageism). These stigmas can result in deleterious consequences for elderly people's mental and physical health in "normal" aging. What, then, is the impact in a pathological context, such as oncology? Moreover, health care professionals' attitudes can be tainted with ageism, thus leading to undesirable consequences for patients...
2015: Clinical Interventions in Aging
S Schroyen, S Adam, G Jerusalem, P Missotten
Aging is a risk factor in oncology. Indeed, it is estimated that, in 2030, 70% of diagnosed cancers in the United States will concern subjects older than 65 years. Paradoxically, elderly are often excluded from clinical trials and are undertreated compared to younger patients. An important explanatory factor (and yet still not considered!) for these observations is the age stigma (in other words our stereotypes linked to age, and so ageism), age being actually the main motive for discrimination. In this perspective, our aim is to present ageism manifestations in oncogeriatry and their direct consequences for patients, interlocutors (that is to say health professionals) and interactions between them...
May 2014: Revue Médicale de Liège
Sarah Schroyen, Stéphane Adam, Guy Jerusalem, Pierre Missotten
Cancer is a major health problem for which age is a proved risk factor. Paradoxically, elderly suffering from cancer are often excluded from clinical trials and undertreated compared to younger patients. Also, their psychosocial needs remain unknown. An explanatory factor for these observations is the age stigma (that is to say our stereotypes about age and so, ageism), age being currently cited as the main reason for discrimination. Besides these age-related stigmas, cancerous patients face pathology-related stigmas because nowadays cancer (especially some types of cancer such as lung cancer) still conveys a lot of negative representations...
June 2014: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
J-L Pujol
No abstract text is available yet for this article.
November 2011: Revue des Maladies Respiratoires
P Senesse
In oncogeriatric patients, severe malnutrition is associated with increased morbidity and mortality, nosocomial infections, radiotherapy or chemotherapy toxicities, and decreased of quality of life. Therefore, systematic screening and care of malnutrition is mandatory, in accordance with the French guidelines in 2007. Now, dietary counselling should be purposed systematically in malnourish patients and when radiotherapy or radiochemotherapy are considered. Oral supplementation by specific diet (immune-enhancing diets) should be used with cautions, and actually, reserved only in digestive neoplasms and surgery...
October 2009: Cancer Radiothérapie: Journal de la Société Française de Radiothérapie Oncologique
Florence Barruel, Pascale Brunel, Karen Kraeuter, Didier Maillet
Medicine, as well as the whole society, should cope with a society getting older and older. Yet, to what extend are the peculiarities of elderly assessed and taken into account? And what about relationship and communication? Are elderly offered similar therapeutic projects and are they equally informed about them? Do they have, themselves, the same needs? Oncologists and the nursing staff encounter several peculiar difficulties while coping with elderly. These difficulties are not only due to a complicated medical situation of a multi-treated patient with along history of many other diseases, but also to strongly anchored received ideas that "it's easier to die when one is old" and that "it's better to preserve the patient by hiding his disease to him, and by lying to him about it, because it is worthless to tell him the truth"...
May 28, 2008: Bulletin du Cancer
Jean-Pierre Droz, Marie-Hélène Rodde-Dunet, Anne Vitoux
Incidence of cancer increases with the recent increase of the life expectancy. Aging is characterized by health status heterogeneity. It is therefore difficult to exactly predict tolerance to treatment and to make decision. One of the major question is to classify the problems on the base of their impact on health status and outcome. It is only possible if oncologists and geriatricians work together. The objectives at the national and international levels are the same: to develop formation (teaching programs), information (for professionals and the public), clinical research...
May 28, 2008: Bulletin du Cancer
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