{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T21:08:52Z","timestamp":1790024932193,"version":"4.0.1"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T00:00:00Z","timestamp":1606262400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["NIH\/NIA T32AG023480"],"award-info":[{"award-number":["NIH\/NIA T32AG023480"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["NIH\/NCI P50 CA100707"],"award-info":[{"award-number":["NIH\/NCI P50 CA100707"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["NIH\/NCI P50 CA206963"],"award-info":[{"award-number":["NIH\/NCI P50 CA206963"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["NIH\/NCI T32 CA092203"],"award-info":[{"award-number":["NIH\/NCI T32 CA092203"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2021,3,15]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Brief measures of physical function such as gait speed may be useful to optimize treatment intensity for older adults who have blood cancer; however, little is known about whether such assessments are already captured within oncologists' \u201cgestalt\u201d assessments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Gait speed was assessed in 782 patients \u226575 years of age who had blood cancer, with results reported to providers after treatment decisions were made; 408 patients required treatment when different intensities were available per National Comprehensive Cancer Network (NCCN) guidelines. We performed structured abstractions of treatment intensity recommendations into standard intensity, reduced intensity, or supportive care, based on NCCN guidelines. We modeled gait speed and survival using Cox regression and performed ordinal logistic regression to assess predictors of NCCN\u2010based categorizations of oncologists' treatment intensity recommendations, including gait speed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median survival by gait speed category was 10.8 months (&lt;0.4 m\/s), 18.6 months (0.4\u20100.6 m\/s), 34.0 months (0.6\u20100.8 m\/s), and unreached (&gt;0.8 m\/s). Univariable hazard ratios (HRs) for death increased for each lower category compared with \u22650.8 m\/s (0.6\u20100.8 m\/s: HR, 1.76; 0.4\u20100.6 m\/s: HR, 2.30; &lt;0.4 m\/s: HR, 3.31). Gait speed predicted survival in multivariable Cox regression (all <jats:italic>P<\/jats:italic> &lt; .05). In multivariable models including age, sex, and Eastern Cooperative Oncology Group performance status, gait speed did not predict oncologists' recommended treatment intensity (all <jats:italic>P<\/jats:italic> &gt; .05) and did not add to a base model predicting recommended treatment intensity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In older adults with blood cancer who presented for treatment, gait speed predicted survival but not treatment intensity recommendation. Incorporating gait speed into decision making may improve optimal treatment selection.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.33344","type":"journal-article","created":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T10:44:04Z","timestamp":1606301044000},"page":"875-883","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Gait speed, survival, and recommended treatment intensity in older adults with blood cancer requiring treatment"],"prefix":"10.1002","volume":"127","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9612-3643","authenticated-orcid":false,"given":"Andrew","family":"Hantel","sequence":"first","affiliation":[{"name":"Division of Population Sciences Dana\u2010Farber Cancer Institute Boston Massachusetts"},{"name":"Division of Inpatient Oncology Dana\u2010Farber Cancer Institute Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clark","family":"DuMontier","sequence":"additional","affiliation":[{"name":"Division of Aging Brigham and Women's Hospital Boston Massachusetts"},{"name":"Marcus Institute for Aging Research Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8117-7224","authenticated-orcid":false,"given":"Oreofe O.","family":"Odejide","sequence":"additional","affiliation":[{"name":"Division of Population Sciences Dana\u2010Farber Cancer Institute Boston Massachusetts"},{"name":"Division of Hematologic Malignancies Dana\u2010Farber Cancer Institute Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlise R.","family":"Luskin","sequence":"additional","affiliation":[{"name":"Division of Hematologic Malignancies Dana\u2010Farber Cancer Institute Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam S.","family":"Sperling","sequence":"additional","affiliation":[{"name":"Division of Hematologic Malignancies Dana\u2010Farber Cancer Institute Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tammy","family":"Hshieh","sequence":"additional","affiliation":[{"name":"Division of Aging Brigham and Women's Hospital Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Population Sciences Dana\u2010Farber Cancer Institute Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Soiffer","sequence":"additional","affiliation":[{"name":"Division of Hematologic Malignancies Dana\u2010Farber Cancer Institute Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane A.","family":"Driver","sequence":"additional","affiliation":[{"name":"Division of Aging Brigham and Women's Hospital Boston Massachusetts"},{"name":"New England Geriatric Research and Educational Center, VA Boston Healthcare System Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory A.","family":"Abel","sequence":"additional","affiliation":[{"name":"Division of Population Sciences Dana\u2010Farber Cancer Institute Boston Massachusetts"},{"name":"Division of Hematologic Malignancies Dana\u2010Farber Cancer Institute Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,25]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2017-09-746420"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41571-018-0016-0"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.19.02809"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.blre.2020.100670"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2014-12-615187"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60342-6"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2018.78.8687"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2015.08.007"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/10428194.2015.1091933"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2017.5674"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood.2019000758"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood.2020005498"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1182\/hematology.2019000076"},{"key":"e_1_2_8_15_1","unstructured":"KallenM SlotkinJ GriffithJ et al.NIH Toolbox Technical Manual. 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