By Arti Hurria, Lodovico Balducci

The administration of the older individual with melanoma is predicated at the estimate of existence expectancy, tolerance of remedy, sufferer choice, and socio-economic boundaries to therapy. The thrust of this publication is to make scientific oncologists and different wellbeing and fitness execs coping with older sufferers with melanoma conscious of fresh advancements in geriatric review and in melanoma administration for the older grownup. After consulting this article the practitioner can be capable of offer individualized therapy to the older melanoma sufferer, reflecting that patient's physiologic age and private wishes. This ebook also will offer a scaffold to arrange quickly constructing advances in geriatric evaluation. this can be relatively appropriate for oncologists because the majority of sufferers with melanoma are sixty five and older.

The aim audiences for this booklet are oncologists of all specialties, oncology nurses, fundamental care physicians, geriatricians, and all different health and wellbeing execs taken with the administration of older sufferers with cancer.

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J Gerontol A Biol Sci Med Sci 2007;62(7):738–43. 36. Fried LP, et al. Association of comorbidity with disability in older women: The Women’s Health and Aging Study. J Clin Epidemiol 1999;52(1):27–37. 37. Extermann M. Measuring comorbidity in older cancer patients. Eur J Cancer 2000;36(4):453–71. Assessing the Older Cancer Patient 41 38. Satariano WA, Ragland DR. The effect of comorbidity on 3-year survival of women with primary breast cancer. Ann Intern Med 1994;120(2):104–10. 39. Yancik R, et al.

Walter Introduction This chapter focuses on the special issues that need to be considered when making decisions to screen older persons for cancer. Specifically, while there is substantial evidence that screening for colorectal, breast, and cervical cancer reduces cancer mortality among persons in their 50s and 60s [1–6], few screening trials included persons over age 70. Therefore, clinicians must assess whether to extrapolate results from screening trials to their older patients. To determine the appropriateness of this extrapolation, clinicians need to know whether there are differences in the behavior of cancers in older people that change the benefit of early detection and treatment; whether there are differences in the accuracy of screening tests in older people that make the tests more or less likely to miss cancer; and whether there are differences among older individuals that alter the likelihood of receiving benefit versus harm from cancer screening [7].

Hurria A, et al. Developing a cancer-specific geriatric assessment: A feasibility study. Cancer 2005;104(9):1998–2005. 33. Richardson J. The Easy-Care assessment system and its appropriateness for older people. Nurs Older People. 2001;13(7):17–9. 34. Fried LP, et al. Risk factors for 5-year mortality in older adults: The Cardiovascular Health Study. J Am Med Assoc 1998;279(8):585–92. 35. Rockwood K, Andrew M, Mitnitski A. A comparison of two approaches to measuring frailty in elderly people. J Gerontol A Biol Sci Med Sci 2007;62(7):738–43.

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