Physiotherapy Role in Geriatric Oncology: Difference between revisions

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== Epidemiology  ==
== Epidemiology  ==


Background epidemiology to the disease or condition (to include prevalence and incidence as appropriate from a UK or Scottish perspective. (You may want to also look at the disease prevalence across different social economic groups).
Ageing is an indirect risk factor for cancer and one reason for this can be linked to increase exposure to carcinogenic substances in greater time that could predispose such individual to genetic changes and eventually tumor<ref>Swaminathan D, Swaminathan V. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4706517/#r10 Geriatric oncology: problems with under-treatment within this population.] Cancer biology & medicine. 2015 Dec;12(4):275.</ref> Cancer is highly prevalent among the older adults and the incidence and mortality of cancer increases with age. However, at very old age, >90 years, cancer prevalence decreases.<ref>Gentner D, Grudin J. [https://pubmed.ncbi.nlm.nih.gov/21953606/ The evolution of mental metaphors in psychology: A 90-year retrospective.] American Psychologist. 1985 Feb;40(2):181.</ref>  Aside the ageing being risk factors of cancer, gender is also associated with some certain cancer. Among common cancer in older adults,  incidence of the following cancer are high among male gender: prostate, lung, and bowel cancers, while,  breast, lung, bowel, stomach, and uterine cancer are of higher incident in female gender<ref>Ferlay J, Autier P, Boniol M, Heanue M, Colombet M, Boyle P. [https://pubmed.ncbi.nlm.nih.gov/17287242/ Estimates of the cancer incidence and mortality in Europe in 2006]. Annals of oncology. 2007 Mar 1;18(3):581-92.</ref>


== Aetiology==
== Aetiology==

Revision as of 10:06, 17 July 2020

Original Editor - Tolulope Adeniji
Top Contributors - Tolulope Adeniji, Kim Jackson, Vidya Acharya, Chelsea Mclene and Areeba RajaThis article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (Template:18/Template:07/Template:2020)

Overview of Geriatric Oncology[edit | edit source]

Geriatric oncology is a special area that deals with issues surrounding assessmeny and management of older adults with cancer.Due to ageing process that is complex, most newly diagnosed cancers are among this population[1]. And it is essential to understand the baseline health status of a patient before making treatment decisions. Generally, a geriatric assessment is supposed to be a comprehensive evaluation that includes medical, psychosocial, and functional problems in older patients with cancer[1]. Geriatric oncology should includes specific areas such as identification of vulnerability, predicting survival and toxicity, assist in clinical treatment decisions, and guide interventions in routine oncology practice. The information on this write up will elaborates on how physiotherapy contributes to geriatric oncology practice.

Epidemiology[edit | edit source]

Ageing is an indirect risk factor for cancer and one reason for this can be linked to increase exposure to carcinogenic substances in greater time that could predispose such individual to genetic changes and eventually tumor[2] Cancer is highly prevalent among the older adults and the incidence and mortality of cancer increases with age. However, at very old age, >90 years, cancer prevalence decreases.[3] Aside the ageing being risk factors of cancer, gender is also associated with some certain cancer. Among common cancer in older adults, incidence of the following cancer are high among male gender: prostate, lung, and bowel cancers, while, breast, lung, bowel, stomach, and uterine cancer are of higher incident in female gender[4]

Aetiology[edit | edit source]

Biragyn et al[5] noted that gut dysbiosis and inflammaging are possible cause of cancer during ageing

Investigations[edit | edit source]

This may well include any investigations used to gain a diagnosis or that you might need to gain information about your patient assessment.

Clinical Manifestations[edit | edit source]

Clinical manifestations (the signs and symptoms your patient may well present to you on an examination) ensure you relate this back to the underlying pathophysiology.

Physiotherapy and Other Management[edit | edit source]

Physiotherapy and other management. Other health professionals will be treating your patient. What is their input?

Prevention[edit | edit source]

Brief consideration of how this pathology could be prevented and the physiotherapy role in health promotion in relation to prevention of disease or disease progression.

Resources[edit | edit source]

add appropriate resources here


References[edit | edit source]

see adding references tutorial.

  1. 1.0 1.1 Loh KP, Soto-Perez-de-Celis E, Hsu T, de Glas NA, Battisti NM, Baldini C, Rodrigues M, Lichtman SM, Wildiers H. What every oncologist should know about geriatric assessment for older patients with cancer: young international society of geriatric oncology position paper. Journal of oncology practice. 2018 Feb;14(2):85-94.
  2. Swaminathan D, Swaminathan V. Geriatric oncology: problems with under-treatment within this population. Cancer biology & medicine. 2015 Dec;12(4):275.
  3. Gentner D, Grudin J. The evolution of mental metaphors in psychology: A 90-year retrospective. American Psychologist. 1985 Feb;40(2):181.
  4. Ferlay J, Autier P, Boniol M, Heanue M, Colombet M, Boyle P. Estimates of the cancer incidence and mortality in Europe in 2006. Annals of oncology. 2007 Mar 1;18(3):581-92.
  5. Biragyn A, Ferrucci L. Gut dysbiosis: a potential link between increased cancer risk in ageing and inflammaging. The Lancet Oncology. 2018 Jun 1;19(6):e295-304.