Exploring the language used to describe older patients at multidisciplinary cancer conferences
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- dc.contributor.author Kim, Valerie S.
- dc.contributor.author Carrozzi, Anthony
- dc.contributor.author Papadopoulos, Efthymios
- dc.contributor.author Tejero, Isabel
- dc.contributor.author Thiruparanathan, Thirisangi
- dc.contributor.author Perlis, Nathan
- dc.contributor.author Hope, Andrew J.
- dc.contributor.author Jang, Raymond W.
- dc.contributor.author Alibhai, Shabbir
- dc.date.accessioned 2025-03-11T07:14:16Z
- dc.date.available 2025-03-11T07:14:16Z
- dc.date.issued 2024
- dc.description.abstract Older adults with cancer often present with distinct complexities that complicate their care, yet the language used to discuss their management at multidisciplinary cancer conferences (MCCs) remains poorly understood. A mixed methods study was conducted at a tertiary cancer centre in Toronto, Canada, where MCCs spanning five tumour sites were attended over six months. For presentations pertaining to a patient aged 75 or older, a standardized data collection form was used to record their demographic, cancer-related, and non-cancer-related information, as well as the presenter's specialty and training level. Descriptive statistics and thematic analysis were employed to explore MCC depictions of older patients (n = 75). Frailty status was explicitly mentioned in 20.0% of presentations, but discussions more frequently referenced comorbidity burden (50.7%), age (33.3%), and projected treatment tolerance (30.7%) as surrogate measures. None of the presentations included mentions of formal geriatric assessment (GA) or validated frailty tools; instead, presenters tended to feature select GA domains and subjective descriptions of appearance ("looks to be fit") or overall health ("relatively healthy"). In general, MCCs appeared to rely on age-focused language that may perpetuate ageism. Further work is needed to investigate how frailty and geriatric considerations can be objectively incorporated into discussions in geriatric oncology.
- dc.format.mimetype application/pdf
- dc.identifier.citation Kim VS, Carrozzi A, Papadopoulos E, Tejero I, Thiruparanathan T, Perlis N, et al. Exploring the language used to describe older patients at multidisciplinary cancer conferences. Cancers (Basel). 2024 Apr 12;16(8):1477. DOI: 10.3390/cancers16081477
- dc.identifier.doi http://dx.doi.org/10.3390/cancers16081477
- dc.identifier.issn 2072-6694
- dc.identifier.uri http://hdl.handle.net/10230/69906
- dc.language.iso eng
- dc.publisher MDPI
- dc.relation.ispartof Cancers (Basel). 2024 Apr 12;16(8):1477
- dc.rights © 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Communicate
- dc.subject.keyword Frailty
- dc.subject.keyword Geriatric assessment
- dc.subject.keyword Geriatric oncology
- dc.subject.keyword Language
- dc.subject.keyword Multidisciplinary cancer conferences
- dc.subject.keyword Tumour boards
- dc.title Exploring the language used to describe older patients at multidisciplinary cancer conferences
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion