Recommendations from EAU/ESTRO/SIOG for prostate cancer management in older patients: Recommendations for evaluation of health status

Health status evaluation

Treatment should be based on health status, rather than age, and also on patient preference. (Unchanged)

The task force recommends the screening of frailty using the G8 tool and of cognitive impairment through the Mini-Cog. Patients with Mini-Cog ≤3 out of 5 require a more detailed cognitive evaluation. (Unchanged)

In patients with G8 ≤14 out of 17, evaluation of dependence, comorbidities, and nutritional status is the first step in assigning patients to 1 of the 3 health status groups: (1) "healthy" or "fit" patients, (2) "vulnerable" patients, and (3) "frail" patients. Vulnerable and frail patients are candidates for geriatric assessment and geriatric interventions. (New)

Patients benefit most from a geriatric assessment when vulnerability/frailty is detected because geriatric management will allow a more appropriate treatment plan. (Modified)

EAU: European Association of Urology; ESTRO: European Society for Radiotherapy and Oncology; SIOG: International Society of Geriatric Oncology; G8: Geriatric 8.

Original figure modified for this publication. From: Boyle HJ, Alibhai S, Decoster L, et al. Updated recommendations of the International Society of Geriatric Oncology on prostate cancer management in older patients. Eur J Cancer 2019; 116:116. Table used with the permission of Elsevier Inc. All rights reserved.

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Recommendations from EAU/ESTRO/SIOG for prostate cancer management in older patients: Recommendations for evaluation of health status