Palliative Care and Symptom Management in Older Patients with Cancer

doi:10.1016/j.cger.2015.08.004

Review

. 2016 Feb;32(1):45-62.

doi: 10.1016/j.cger.2015.08.004. Epub 2015 Oct 17.

Palliative Care and Symptom Management in Older Patients with Cancer

Koshy Alexander¹, Jessica Goldberg², Beatriz Korc-Grodzicki³

Affiliations

¹ Geriatrics, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, Box 205, New York, NY 10065, USA; Department of Medicine, Weill Cornell Medical College, 425 East 61st Street, New York, NY 10065, USA. Electronic address: alexandk@mskcc.org.
² Palliative Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
³ Geriatrics, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, Box 205, New York, NY 10065, USA; Department of Medicine, Weill Cornell Medical College, 425 East 61st Street, New York, NY 10065, USA.

PMID: 26614860
PMCID: PMC5032900
DOI: 10.1016/j.cger.2015.08.004

Review

Palliative Care and Symptom Management in Older Patients with Cancer

Koshy Alexander et al. Clin Geriatr Med. 2016 Feb.

. 2016 Feb;32(1):45-62.

doi: 10.1016/j.cger.2015.08.004. Epub 2015 Oct 17.

Authors

Koshy Alexander¹, Jessica Goldberg², Beatriz Korc-Grodzicki³

Affiliations

¹ Geriatrics, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, Box 205, New York, NY 10065, USA; Department of Medicine, Weill Cornell Medical College, 425 East 61st Street, New York, NY 10065, USA. Electronic address: alexandk@mskcc.org.
² Palliative Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
³ Geriatrics, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, Box 205, New York, NY 10065, USA; Department of Medicine, Weill Cornell Medical College, 425 East 61st Street, New York, NY 10065, USA.

PMID: 26614860
PMCID: PMC5032900
DOI: 10.1016/j.cger.2015.08.004

Abstract

Older patients with cancer are best served by a multidisciplinary approach with palliative care (PC) playing an integral role. PC focuses on symptom control irrespective of its cause and should not be associated only with terminal care. It provides an additional layer of support in the care of patients with cancer with an emphasis on quality of life. This article discusses the evaluation and management of pain and other common nonpain symptoms that occur in elderly patients with cancer, as well as end-of-life care.

Keywords: Cancer; Geriatrics; Palliative care; Symptom management.

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References

1. Levy MH, Back A, Benedetti C, et al. NCCN clinical practice guidelines in oncology: palliative care. Journal of the National Comprehensive Cancer Network: JNCCN. 2009;7:436–73. - PubMed
1. Fogel JF, Hyman RB, Rock B, Wolf-Klein G. Predictors of hospital length of stay and nursing home placement in an elderly medical population. Journal of the American Medical Directors Association. 2000;1:202–10. - PubMed
1. Makris UE, Abrams RC, Gurland B, Reid MC. Management of persistent pain in the older patient: a clinical review. JAMA. United States. 2014:825–36. - PMC - PubMed
1. Korc-Grodzicki B, Boparai MK, Lichtman SM. Prescribing for older patients with cancer. Clinical advances in hematology & oncology: H&O. 2014;12:309–18. - PubMed
1. Pharmacological management of persistent pain in older persons. Journal of the American Geriatrics Society. 2009;57:1331–46. - PubMed

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[1] Levy MH, Back A, Benedetti C, et al. NCCN clinical practice guidelines in oncology: palliative care. Journal of the National Comprehensive Cancer Network: JNCCN. 2009;7:436–73. - PubMed

[2] Levy MH, Back A, Benedetti C, et al. NCCN clinical practice guidelines in oncology: palliative care. Journal of the National Comprehensive Cancer Network: JNCCN. 2009;7:436–73. - PubMed

[3] Fogel JF, Hyman RB, Rock B, Wolf-Klein G. Predictors of hospital length of stay and nursing home placement in an elderly medical population. Journal of the American Medical Directors Association. 2000;1:202–10. - PubMed

[4] Fogel JF, Hyman RB, Rock B, Wolf-Klein G. Predictors of hospital length of stay and nursing home placement in an elderly medical population. Journal of the American Medical Directors Association. 2000;1:202–10. - PubMed

[5] Makris UE, Abrams RC, Gurland B, Reid MC. Management of persistent pain in the older patient: a clinical review. JAMA. United States. 2014:825–36. - PMC - PubMed

[6] Makris UE, Abrams RC, Gurland B, Reid MC. Management of persistent pain in the older patient: a clinical review. JAMA. United States. 2014:825–36. - PMC - PubMed

[7] Korc-Grodzicki B, Boparai MK, Lichtman SM. Prescribing for older patients with cancer. Clinical advances in hematology & oncology: H&O. 2014;12:309–18. - PubMed

[8] Korc-Grodzicki B, Boparai MK, Lichtman SM. Prescribing for older patients with cancer. Clinical advances in hematology & oncology: H&O. 2014;12:309–18. - PubMed

[9] Pharmacological management of persistent pain in older persons. Journal of the American Geriatrics Society. 2009;57:1331–46. - PubMed

[10] Pharmacological management of persistent pain in older persons. Journal of the American Geriatrics Society. 2009;57:1331–46. - PubMed

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Palliative Care and Symptom Management in Older Patients with Cancer

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Palliative Care and Symptom Management in Older Patients with Cancer

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