A Study Comparing Geriatric Co-Management With Geriatric Guided Supportive Care in Older Patients Receiving Chemoradiation Therapy for Their Head and Neck Cancer

Pilot Randomized Clinical Trial of Geriatric Comanagement or Geriatric Guided Supportive Care for Older Patients With Head and Neck Cancer Receiving Radiation and Chemotherapy

The researchers are doing this study to see whether geriatric co-management or geriatric guided supportive care are good approaches for managing side effects in older patients who have head and neck cancer and are receiving chemoradiation therapy. This study will provide valuable information about different ways to manage side effects in older patients receiving chemoradiation therapy.

Inclusion Criteria:

• Age ≥ 65
• Pathologically (histologically or cytologically) diagnosis of head and neck cancer of oral cavity, oropharynx, larynx, or hypopharynx
• Patient will receive a 6 to 7 week course of intensity modulated radiation therapy and concurrent chemotherapy either in definitive or post-operative setting
• Able to read and understand English
• Able to provide informed consent

Exclusion Criteria:

• Patients who have previously consulted with or are followed by a geriatrician
• Inability to use telemedicine if unable to present to clinic visits in person
• Inability to complete the eRFA (patient is unable to comprehend or answer questions included on the eRFA)
• Treatment with proton therapy
• Patients on therapeutic clinical trials of experimental therapies or those not receiving standard of care