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INTRODUCTION AND OBJECTIVE: Despite a great interface between palliative care (PC) and geriatrics, there are currently no curriculum proposals of palliative medicine (PM) competencies for geriatricians in Brazil. Thus, the aim was to develop a competency framework of palliative medicine for geriatricians (CFPMG), especially for those under training. METHOD: The first phase consisted of preparing a pilot framework. To reach a consensus, geriatricians with expertise in the field of PM from all Brazilian regions were invited to express their opinions on the competencies listed in the pilot framework. A modified Delphi method was used in the 2nd and 3rd phases to obtain a consensus (level of agreement greater than 50% and 80%, respectively). Finally, a public consultation phase was conducted in the 21st Brazilian Congress on Geriatrics and Gerontology, and via Brazilian National Academy of Palliative Care website. RESULTS: Nineteen experts in PM and geriatrics evaluated the CFPMG. The level of agreement in all thematic areas was greater than that required, except for palliative sedation (20% of disagreement). The CFPMG concluded with 13 thematic areas and 105 competencies, including 11 prerequisite, 52 core, 24 desirable, and 18 advanced competencies. CONCLUSION: The defined competency framework of PC may be integrated into medical education, specifically into geriatric medicine training. Our suggestion is that residency programs in geriatrics provide training at least in the core competencies from the proposed thematic areas, thereby strengthening PC education homogeneously across the country.

The Comprehensive Geriatric Assessment (CGA) estimates the tolerability to cancer treatment and survival rate, aiding in the more appropriate choice of treatment, reducing serious adverse events.The number of elderly women diagnosed with gynecologic cancer is increasing all around the world. Certain components of the comprehensive geriatric assessment (CGA) correlate with risk of early mortality in elderly gynecological cancer patients (GECP). Methods: a prospective cohort study. Participants with a recent diagnosis of cancer were from eight community hospitals and one cancer center in Northeast Brazil and were recruited during their first medical appointment at the outpatient oncologic clinic. A basal CGA was done before the treatment decision (ADL, Charlson Comorbidity Index- CCI, Karnofsky Performance status u2013 KPS, GDS15, IPAQ, MMSE, MNA, MNA-SF, PS, PPS, Polipharmacy, TUG). During the follow up of six months, information about the treatments performed, the targeted interventions and early death was collected. Overall survival was estimated using the Kaplanu2013Meier method, and survival curves were compared using the Log rank test for categorical variables. A multivariate Cox proportional hazards model was used to select early death risk factors.RESULTS: From 2015-2017, 84 EGCP, mean age 69,6u00b17,9; range 60-96), were enrolled,25% were metastatic disease. tumor site:40,4% cervical uterine, 36,9%endometrial,20,2% ovary and 2,3 vulva. Nine (10.7%) ECP died in less than 12 months of follow-up.In our multivariate model, controlled by age, site of cancer and cancer stage, the remaining significant risk factors were malnutrition/nonutrition determined by MNA-SF (HR 3.70, 95%CI 1.81-5.99, p 2 (HR 2,74, CI 1.0.74-10.20, p=0.013) and Polipharmacy(HR 2.65, CI 0.71-9.81, p