Age 65 years or older with ECOG performance status at least 2 or at least two material co...

Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.

ID	`RF-UNIVERSAL-OLDER-ADULT-VULNERABILITY`
Type	Red flag
Status	reviewed 2026-08-02
Diseases	None declared
Sources	`SRC-ASCO-GERIATRIC-ASSESSMENT-2023` `SRC-ESMO-SIOG-GERIATRIC-ASSESSMENT-2024`

Red Flag Origin

Definition	Age 65 years or older with ECOG performance status at least 2 or at least two material comorbidities — conduct a geriatric assessment and use the identified vulnerabilities to inform multidisciplinary treatment planning. This flag does not prescribe a regimen, dose change, or automatic de-escalation.
Clinical direction	investigate
Category	frailty-age

Trigger Logic

{
  "all_of": [
    {
      "comparator": ">=",
      "finding": "age_years",
      "threshold": 65
    },
    {
      "any_of": [
        {
          "comparator": ">=",
          "finding": "ecog_status",
          "threshold": 2
        },
        {
          "comparator": ">=",
          "finding": "comorbidity_count",
          "threshold": 2
        }
      ]
    }
  ],
  "type": "composite_clinical"
}

Notes

Universal because geriatric-assessment needs are driven by the person and proposed therapy, not tumour histology. This is assessment-only metadata: an oncologist confirms the interpretation and any treatment adaptation.

Used By

No reverse references found in the YAML corpus.