04/21/2017

NCCN has published updates to the NCCN Guidelines® for Older Adult Oncology.

NCCN has published updates to the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines^®) for Older Adult Oncology. These NCCN Guidelines^® are currently available as Version 1.2017. 

• Considerations for Older Adults Undergoing Cancer Treatments
  • Falls
    • The use of early and preventative use of durable medical equipment and in-home safety evaluations is recommended for patients with neurotoxicities at high risk for falls.
  • Renal toxicity
    • Serum Creatinine is not a good indicator of renal function in older adults. Calculation of creatinine clearance is recommended to assess renal function and adjust dose to reduce systemic toxicity (OAO-4)
• Optimizing Communication with Older Adults is a new page in the guidelines. (OAO-B)
• Comprehensive Geriatric Assessment
  • A new section “Collaboration with the oncologist in the care of an older patient with cancer” was added that outlines the criteria for older adults that may benefit from a referral to a Geriatrician for risk stratification prior to cancer treatment. (OAO-D 1 of 7)
  • Comorbidities
    • Charleson comorbidities index, CIRS, and OARS were added as methods to assess comorbidities. (OAO-D 3 of 7)
• Care Process for older adults with cancer is a new table in the guidelines
  (OAO-D 5 of 7)

For the complete updated versions of the NCCN Guidelines, NCCN Guidelines with NCCN Evidence Blocks™, the NCCN Drugs & Biologics Compendium (NCCN Compendium^®), the NCCN Biomarkers Compendium^®, the NCCN Chemotherapy Order Templates (NCCN Templates^®), and the NCCN Imaging Appropriate Use Criteria (NCCN Imaging AUC™), please visit NCCN.org.