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Frailty in the Elderly Oncological and Oncohematological Patient.
Sponsor: Azienda Socio Sanitaria Territoriale Ovest Milanese, Ospedale di Legnano
Summary
The Italian population is progressively aging, and cancer incidence increases with age. Older patients are at higher risk of frailty, a condition associated with adverse outcomes such as disability, falls, hospitalization, and mortality. Key indicators of frailty include reduced balance, impaired physical activity, cognitive decline, and particularly sarcopenia, defined as the progressive loss of skeletal muscle mass and strength. After age 60, muscle mass decreases by 1.4-2.5% annually, while muscle strength declines by 15% between ages 60-70 and by up to 30% per decade thereafter. Sarcopenia increases the risk of falls, fractures, hospitalization, and non-cancer-related death. In cancer patients, its prevalence ranges from 11% to 74% and is associated with poorer survival outcomes in both early and advanced disease stages.In clinical oncology practice, several tools are available to assess frailty, identify vulnerable patients, and personalize care, treatment, and supportive interventions.
Official title: Impatto Della Diagnosi di fragilità Sulla tossicità da Terapia in Pazienti Anziani Affetti da Tumore oncoLogIco e onCoEmatologico.
Key Details
Gender
All
Age Range
70 Years - Any
Study Type
OBSERVATIONAL
Enrollment
160
Start Date
2025-03-21
Completion Date
2028-12-13
Last Updated
2026-06-03
Healthy Volunteers
No
Interventions
Frailty evaluation
Evaluation of the frailty impact on the toxicity grade 3-4 in patients undergoing chemotherapy treatment.
Locations (1)
Trial Office-ASST Ovest Milanese
Legnano, Italy, Italy