Background: The RPH Cancer Registry data shows a steady increase in the number of older patients diagnosed with cancer representing about 40% of new outpatients and 26% of inpatients. This patient group has complex medical and social needs and on average require longer in patient admissions when compared with their younger counterparts. This study aimed to evaluate the implementation of a comprehensive geriatric assessment program at the RPH utilising the existing allied health resources.

Methods: Data was prospectively collected for patients seen in the Seniors Adult Oncology clinic between August 2013 – August 2014 through a screening questionnaire (Modified Adelaide Tool) posted out to the patient prior to their first consultation. Baseline demographics and clinical data were recorded from the case notes and electronic patient records.

Results: Data was available for 56 patients. Their median age was 84 years.GI cancers (38%) and thoracic malignancies (18%) were the commonest tumour types with 54% of the patients having an advanced malignancy. Self-reported health status was good (40%), fair (35%) and poor (20%). 56% of patients had ≥ 4 co-morbidities. The number of patients on ≥ 5 medications was 62%. A limited proportion of patients had severe pain score or distress scores ≥ 7 (15% and 25% respectively). 42% of patients were living alone. Common interventions as a result of screening included dietetics and physiotherapist review, falls clinic referral, medication rationalisation and social worker review. The original management decision was reversed in three patients after review in the geriatric oncology clinic.

Conclusion: Our preliminary data indicates the feasibility of initiating a geriatric oncology service utilising the existing allied health resources.