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SIOG Clinical Guidelines – Surgical (2004)

Ponnandi Somasundar, Daniel Anaya, Riccardo A. Audisio, Federico Bozzetti, K.L. Cheung, Nicola de Liguori Carino, Michael T. Jaklitsch, Massimo Maffezzini, Isacco Montroni, Malcolm Reed, Giampaolo Ugolini, Barbara van Leeuwen, Thomas Warkus, Malcolm West,

The SIOG Surgical Task Force has pointed out differences and similarities between the younger and older patients in surgery. The recommendations that the Task Force published (Eur J Cancer 2004; 40: 926-38) should help to reduce both surgical under- and over-treatment of geriatric cancer patients. The Task Force also investigated the value of the use of comprehensive geriatric assessment (CGA) to assess suitability of elderly patients with solid tumours for surgery. These findings were published in 2008 (Crit Rev Oncol Hematol 2008; 65: 156-63 – link opens PDF) and show that pre-operative assessment is a valuable tool that enhances the decision process and is recommended to be routinely used in surgical practice. In collaboration with Universities in Liverpool (UK) and Groningen (NL), the SIOG Surgical Task Force is currently executing a clinical study aimed at optimising pre-operative risk assessment for elderly cancer patients. Details on the study known as PREOP (Preoperative Risk Estimation for Onco-geriatric Patients) can be found here (link downloads PDF).

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Cancer cachexia: mechanisms and progress in treatment

Authors: Egidio Del Fabbro, Kenneth Fearon, Florian Strasser

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