Background: The International Society of Geriatric Oncology recommends that all older people with cancer have a geriatric evaluation before beginning treatment.

Objective: To determine the prevalence of frailty in people 75 years and older diagnosed with lung or gynecological cancer and evaluate the adaptation of standard therapeutic strategies based on frailty, following the implementation of telephone-based frailty screening with the Vulnerable Elders Survey (VES-13).

Interventions/methods: We performed a retrospective observational study in 362 people screened by an advanced practice nurse before their first oncology appointment. We collected secondary data from electronic medical records. The main variables were degree of frailty (according to VES-13 and comprehensive geriatric assessment), type of cancer treatment (standard and prescribed), treatment completion, sociodemographic characteristics, and comorbidities.

Results: The VES-13 detected 186 people (51.4%) at risk of health deterioration, and the comprehensive geriatric assessment confirmed some degree of frailty in 157 people (43.4%), with a κ coefficient of 0.84. People with more comorbidities, greater frailty, and more geriatric syndromes were more likely to need treatment readjustment ( P < .001).

Conclusions: Telephone-based frailty screening by an advanced practice nurse showed high applicability, with very good agreement between the proportion of people classified as frail before the initial visit and in the subsequent geriatric assessment.

Implications for practice: A protocol for establishing frailty risk through telephone screening by an advanced practice nurse facilitates the care process and helps clinicians adapt therapeutic decision-making to the needs of each patient and their family.

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背景: 国际老年肿瘤学会建议所有癌症患者在接受治疗前进行全面的老年人评估。

目的: 确定75岁及以上被诊断为肺癌或妇科癌症的人群中衰弱症的患病率，并根据电话衰弱筛查（Vulnerable Elders Survey，VES-13）的结果来评价基于衰弱的标准治疗策略的适应性。

干预措施/方法: 我们对在首次肿瘤科预约前由高级执业护士进行筛查的362名患者进行了回顾性观察研究。从电子医疗记录中收集了次要数据，主要变量包括衰弱程度（根据VES-13和全面老年评估）、癌症治疗方法（标准治疗方案），完成治疗情况、社会人口学特征以及合并症。

结果: VES-13检测出186人（51.4%）有健康状况恶化的风险，而全面的老年评估确认了157人（43.4%）存在一定程度的衰弱症状，κ系数为0.84。合并症更多、衰弱程度更严重以及老年综合征更多的患者需要治疗调整的可能性更大（P

结论: 由高级执业护士进行的电话筛查具有高度适用性，并且在首次访问前将患者归类为衰弱与随后的老年评估中结果非常一致。

实践意义: 通过高级执业护士进行电话筛查以确定衰弱风险的协议简化了护理过程，有助于临床医生根据每位患者的需要和家庭情况调整治疗决策。