Exploring the language used to describe older patients at multidisciplinary cancer conferences

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...

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Autores: Kim, Valerie S., Carrozzi, Anthony, Papadopoulos, Efthymios, Tejero, Isabel, Thiruparanathan, Thirisangi, Perlis, Nathan, Hope, Andrew J., Jang, Raymond W., Alibhai, Shabbir
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/69906
Acceso en línea:http://hdl.handle.net/10230/69906
http://dx.doi.org/10.3390/cancers16081477
Access Level:acceso abierto
Palabra clave:Communicate
Frailty
Geriatric assessment
Geriatric oncology
Language
Multidisciplinary cancer conferences
Tumour boards
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spelling Exploring the language used to describe older patients at multidisciplinary cancer conferencesKim, Valerie S.Carrozzi, AnthonyPapadopoulos, EfthymiosTejero, IsabelThiruparanathan, ThirisangiPerlis, NathanHope, Andrew J.Jang, Raymond W.Alibhai, ShabbirCommunicateFrailtyGeriatric assessmentGeriatric oncologyLanguageMultidisciplinary cancer conferencesTumour boardsOlder 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.MDPI202520252024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/69906http://dx.doi.org/10.3390/cancers16081477reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésCancers (Basel). 2024 Apr 12;16(8):1477© 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/).http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/699062026-06-12T07:21:37Z
dc.title.none.fl_str_mv Exploring the language used to describe older patients at multidisciplinary cancer conferences
title Exploring the language used to describe older patients at multidisciplinary cancer conferences
spellingShingle Exploring the language used to describe older patients at multidisciplinary cancer conferences
Kim, Valerie S.
Communicate
Frailty
Geriatric assessment
Geriatric oncology
Language
Multidisciplinary cancer conferences
Tumour boards
title_short Exploring the language used to describe older patients at multidisciplinary cancer conferences
title_full Exploring the language used to describe older patients at multidisciplinary cancer conferences
title_fullStr Exploring the language used to describe older patients at multidisciplinary cancer conferences
title_full_unstemmed Exploring the language used to describe older patients at multidisciplinary cancer conferences
title_sort Exploring the language used to describe older patients at multidisciplinary cancer conferences
dc.creator.none.fl_str_mv Kim, Valerie S.
Carrozzi, Anthony
Papadopoulos, Efthymios
Tejero, Isabel
Thiruparanathan, Thirisangi
Perlis, Nathan
Hope, Andrew J.
Jang, Raymond W.
Alibhai, Shabbir
author Kim, Valerie S.
author_facet Kim, Valerie S.
Carrozzi, Anthony
Papadopoulos, Efthymios
Tejero, Isabel
Thiruparanathan, Thirisangi
Perlis, Nathan
Hope, Andrew J.
Jang, Raymond W.
Alibhai, Shabbir
author_role author
author2 Carrozzi, Anthony
Papadopoulos, Efthymios
Tejero, Isabel
Thiruparanathan, Thirisangi
Perlis, Nathan
Hope, Andrew J.
Jang, Raymond W.
Alibhai, Shabbir
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Communicate
Frailty
Geriatric assessment
Geriatric oncology
Language
Multidisciplinary cancer conferences
Tumour boards
topic Communicate
Frailty
Geriatric assessment
Geriatric oncology
Language
Multidisciplinary cancer conferences
Tumour boards
description 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.
publishDate 2024
dc.date.none.fl_str_mv 2024
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/69906
http://dx.doi.org/10.3390/cancers16081477
url http://hdl.handle.net/10230/69906
http://dx.doi.org/10.3390/cancers16081477
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Cancers (Basel). 2024 Apr 12;16(8):1477
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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