TENT


Older patients are heterogeneous with respect to their vitality and vulnerability, level of functioning and quality of life. Their individual situation and wishes is especially important for older patients who need invasive treatment, such as chemotherapy, an operation or radiotherapy. For vulnerable patients additional preventive measures may be indicated, other older patients may undergo procedures without exta measures. Not undergoing the procedure may be the best to maintain quality of life is a small group of very vulnerable older patients.

Ideally, the chances of negative outcomes are know to physician and patient prior to the treatment, allowing for calculated and evidence-based decision making. However, tools to predict outcomes in older patients who need to undergo severe treatments do not exist.

In the project "Triaging Elderly Needing Treatment" (TENT) COPE studies prediction of outcomes in older patients needing severe treatments. In first instance, patients from the Leiden University Medical Center, who are 70 years or older and need severe treatments are invited to participate in the study. As part of routine clinical practice, patients undergo a standardised geriatric assessment in the four geriatric domains: somatic disease, physical function, cognition, social environment. Additionally, patients will be followed in a standardised manner, allowing for development of predictive models for various endpoints (mortality, functional decline, quality of life).

As part of the study, we will study the use of moder technology to measure Physical Activity in a collaboration with Philips.

The study has starten in October 2014.
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