Tuesday, September 26, 2023

Prostate cancer in the elderly ASCO education 2023

1. Geriatric assessment screen- G8

https://www.mdcalc.com/calc/10426/g8-geriatric-screening-tool

The G8 ranges from 0 to 17, with lower numbers associated with increasing frailty. In patients with cancer, scoring below 14 has an 85% sensitivity and 64% specificity for detecting frailty.


2. Life expectancy calculator

eprognosis by UCSF

https://eprognosis.ucsf.edu/calculators.php

3. Cognitive screening: Mini Cog Score of 3 or less indicates impairment with 89% specificity

Remember 3 objects, draw a clock face

4. My CARG chemo toxicity calculator:

https://www.mycarg.org/?page_id=2405

4. Bone health

DXA on initiation of ADT

- newly diagnosed castrate sensitive Prostate ca patients do not need antiresorptive therapy unless:

- prior fracture

-osteoporosis

-high risk osteopenia with FRAX showing greater than 20% risk of any fracture or 3% risk of hip fracture in 10 yr




No comments:

Post a Comment

Primary CNS lymphoma

 Reference: Annals of Oncology  June 2024 ESMO guidelines Diagnosis  Recommendations • Contrast-enhanced cranial MRI is the recommended imag...