30 Participants Needed

Geriatric Care for Breast Cancer Survivors

MK
Overseen ByMeghan Karuturi, MD
Age: 65+
Sex: Any
Trial Phase: Academic
Sponsor: M.D. Anderson Cancer Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Do I need to stop my current medications for this trial?

The trial does not specify if you need to stop taking your current medications. It seems you can continue with certain treatments like radiation, HER-2 targeted agents, and endocrine therapy.

What data supports the effectiveness of the treatment Comprehensive Geriatric Assessment for breast cancer survivors?

Research shows that Comprehensive Geriatric Assessment (CGA) helps identify health issues in older breast cancer survivors, allowing for tailored care plans that maintain their functional status and improve quality of life. In a study, CGA improved patients' quality of life scores and maintained their independence, highlighting its effectiveness in addressing multiple health problems.12345

Is the Comprehensive Geriatric Assessment safe for older adults, including breast cancer survivors?

The Comprehensive Geriatric Assessment is generally considered safe for older adults, including those with a history of breast cancer, as it helps identify care needs and develop plans to maintain their health.13678

How is the treatment Comprehensive Geriatric Assessment different from other treatments for breast cancer survivors?

Comprehensive Geriatric Assessment is unique because it systematically evaluates older breast cancer survivors to identify risks of functional decline, allowing for personalized care plans to maintain their independence and quality of life. Unlike standard cancer treatments, it involves a multidisciplinary team approach, including assessments by various specialists like physical therapists and nutritionists, to address the broader health needs of older patients.137910

What is the purpose of this trial?

This trial studies the effect of a geriatric care survivorship intervention in improving the overall health of older adults who have completed curative treatment for stage I-III breast cancer. Geriatric assessment is the complete examination of an elderly individual, which includes a full valuation of the physical and mental conditions, as well as a check of emotional state. Geriatric assessment and survivorship visits after treatment may reduce health burdens and improve the well-being and quality of life of elderly patients with breast cancer. Researchers hope to improve the overall health of older adults who have undergone curative treatment for stage I-III breast cancer.

Research Team

MK

Meghan Karuturi, MD

Principal Investigator

M.D. Anderson Cancer Center

Eligibility Criteria

This trial is for older adults who are at least 65 years old and have recently completed treatment for early-stage breast cancer (Stage I-III). They must be able to consent, speak English or Spanish, and meet all study requirements. Caregivers can also participate if they're over 18. People with significant medical conditions that prevent exercise participation cannot join.

Inclusion Criteria

Able to provide written, informed consent
I am willing and able to follow all study requirements.
As a caregiver, I can perform all needed study tasks.
See 3 more

Exclusion Criteria

The presence of significant medical conditions that in the physician's (either the patient's primary oncologist of the study principal investigator) judgement preclude participation in the exercise intervention

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessment

Participants complete a geriatric assessment to evaluate physical, mental, and emotional conditions

1 visit
1 visit (in-person)

Intervention

Participants receive a GA-guided intervention, survivorship care educational materials, and a wearable activity tracking device

12 months
3 visits (in-person) at baseline, 6 months, and 12 months

Follow-up

Participants are monitored for safety and effectiveness after intervention, including assessments at 6 and 12 months

12 months
2 visits (in-person) at 6 and 12 months

Treatment Details

Interventions

  • Comprehensive Geriatric Assessment
  • Health Education
  • Supportive Care
Trial Overview The trial is testing a geriatric care survivorship intervention aimed at improving health in elderly patients post-breast cancer treatment. It includes comprehensive assessments of physical and mental health, usage of medical devices, health education, and supportive care to enhance quality of life.
Participant Groups
1Treatment groups
Experimental Treatment
Group I: Supportive Care (GA-guided intervention)Experimental Treatment4 Interventions
Patients complete geriatric assessments at baseline, 6 months, and 12 months later. Based on the assessments, patients may receive further intervention at survivorship visit. Patients also receive survivorship care educational materials and wear a wearable activity tracking device for 1 year on study.

Find a Clinic Near You

Who Is Running the Clinical Trial?

M.D. Anderson Cancer Center

Lead Sponsor

Trials
3,107
Recruited
1,813,000+

National Cancer Institute (NCI)

Collaborator

Trials
14,080
Recruited
41,180,000+

Findings from Research

In a study of 292 cancer patients aged 65 and older, a high prevalence of geriatric conditions was found, including instrumental ADL impairment (78%) and depressive symptoms (65%), indicating significant health challenges in this population.
Mortality rates were notably high, with 38% of patients dying within 3 months and 64% within 12 months, but mortality was primarily linked to cancer-related factors rather than geriatric conditions, suggesting that cancer severity may be a more critical determinant of outcomes.
The value of a comprehensive geriatric assessment for patient care in acutely hospitalized older patients with cancer.Hamaker, ME., Buurman, BM., van Munster, BC., et al.[2021]
The Comprehensive Geriatric Assessment (CGA) program at Metro North Hospital identified health issues in older cancer patients, with 59% of the 1380 patients screened showing impairments that warranted further assessment.
The most common issues found through CGA included mobility problems, malnutrition, polypharmacy, and low mood, indicating that tailored interventions can significantly support older patients undergoing cancer treatment.
Our experience of nursing/allied health practitioner led geriatric screening and assessment of older patients with cancer - a highly accessible model of care.Thaker, DA., McGuire, P., Bryant, G., et al.[2021]
Older breast cancer survivors are at risk for a decline in functional status, which can lead to increased disability, higher healthcare costs, and a greater likelihood of nursing home placement.
The comprehensive geriatric assessment is an effective tool for identifying these at-risk individuals, enabling nurses to create targeted care plans to help maintain their functional status.
Declining functional status in older women with a history of breast cancer: implications for women's health nurses.Talley, C., Talley, H.[2013]

References

The value of a comprehensive geriatric assessment for patient care in acutely hospitalized older patients with cancer. [2021]
Our experience of nursing/allied health practitioner led geriatric screening and assessment of older patients with cancer - a highly accessible model of care. [2021]
Declining functional status in older women with a history of breast cancer: implications for women's health nurses. [2013]
A comprehensive geriatric intervention detects multiple problems in older breast cancer patients. [2019]
Comprehensive Geriatric Assessment for Older Women with Early-Stage (Non-Metastatic) Breast Cancer-An Updated Systematic Review of the Literature. [2023]
Feasibility of geriatric assessment in community oncology clinics. [2016]
Comprehensive Geriatric Assessment: Interprofessional Team Recommendations for Older Adult Women With Breast Cancer [2019]
[Risk assessment in medical geriatric oncology]. [2019]
Models of Care in Geriatric Oncology. [2020]
Is "Geriatric" Assessment Just for Older Patients? [2021]
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