Senior Adult Oncology Program Tools

CRASH Score Calculator
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This score stratifies patients in 4 risk categories of severe toxicity. Reference for derivation and validation results: Extermann et al. Cancer, Epub Nov 9, 2011. 
http://www.ncbi.nlm.nih.gov/pubmed/22072065. Formal clinical applications of the score still need to be studied.

Online CRASH score

Downloadable documents:
CRASH Scoring Analysis (PDF)
Mini Mental State Examination (PDF)
Instrumental Activities of Daily Living  (PDF)
Mini Nutritional Assessment (PDF) courtesy of Nestlé Nutrition Institute

CIRS-G Calculator
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This calculator is based on Miller et al. Cumulative Illness Rating Scale-Geriatric: Miller et al., Psychiatry Res, 41,237-48, 1992.We corrected some discrepancies in the manual and added some comments. Pubmed ID: 1594710

Online CIRS-G score calculator

Downloadable Documents: 
Appendix 5 CIRS-G (PDF)
Comorbidity Recording Sheet - Multicentric (Word Doc)

Low Neutropenia Risk Calculator:

If the MAX2 of the chemotherapy is <0.20 and the patient had no 1st cycle neutropenia, then the risk of G4 neutropenia in the subsequent cycles is <5%, and the risk of febrile neutropenia <1.5%. Ref: Janssen-Heijnen et al., Crit Rev Oncol Hematol, e-pub Aug 2, 2010. Pubmed ID: 20685130

Alphabetical list of MAX2 score

SAOP2 Screening Questionnaire
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This short screening questionnaire is the questionnaire we use for new patients in the Senior Adult Oncology Program. It is aimed at defining who needs a multidisciplinary evaluation by a geriatric oncology team. Its sensitivity/specifity performance can be found in: Extermann, Evaluation of the senior cancer patient: Comprehensive geriatric assessment: Screening tools for the elderly. Handbook of cancer in the senior patient, Schrijvers D, Aapro M, Zakotnik B, Audisio R, van Halteren H, Hurria A eds. Informa Healthcare, New York, NY. 2010. pp 13-21.

Downloadable forms along with instructions for use: