The abbreviated comprehensive geriatric assessment (aCGA): a retrospective analysis

Overcash, Janine; Beckstead, Jason W.; Extermann, Martine; Cobb, Sara

doi:10.1016/j.critrevonc.2004.12.002

Cited by 129 publications

(74 citation statements)

References 35 publications

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“…One form of the GDS is also a component in the Abbreviated Comprehensive Geriatric Assessment (Mann et al, 2004;Overcash et al, 2005). CGA has been advocated (Balducci, 2003;Wieland & Hirth, 2003) and widely adopted in oncology and hematology (Repetto et al, 2002;Extermann, 2003;Deschler et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

The geriatric depression scale in palliative care

Crawford

Robinson

2008

Pall Supp Care

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Objective: This research examined the psychometric properties of previously published short forms of the Geriatric Depression Scale (GDS) in patients receiving palliative care. It also uses the full form of the GDS to examine the prevalence of nonsomatic symptoms of depression in palliative patients.Method: Participants were 84 patients with advanced cancer attending palliative care outpatient clinics. Scores for short forms of the GDS were derived from administering the original 30-item scale. Patients also completed the single item numerical analogue scale for depression from the Edmonton Symptom Assessment System and parallel numerical analogue scales for will-to-live and hope. A subset of the sample completed the measures twice. Short forms were judged on the extent to which they captured information gained from the full scale and their internal consistency, test -retest reliability, convergent and concurrent validity, and their distribution of scores.Results: Overall, five short forms showed good psychometric properties at both visits. Two of these forms were very brief. Some nonsomatic symptoms assessed on the full GDS were reported with high frequency. However, few individuals reported a large number of symptoms. At both visits, patients identified as likely to have severe depression gave different responses from other patients on most items on the GDS-30.Significance of results: Several short forms of the GDS may be appropriate for use in palliative care. Patients identified as likely to have severe depression showed many of the same symptoms that characterise depression in other geriatric populations.

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Section: Introductionmentioning

confidence: 99%

The geriatric depression scale in palliative care

Crawford

Robinson

2008

Pall Supp Care

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“…3,4 Although the time commitment and burden on patients and caregivers are concerns, recently developed cancer-specific geriatric assessment tools can gather a wealth of information in a relatively short amount of time. 5,6 In this work, we briefly describe the utility of geriatric assessment in the care of older adults with cancer and provide a practical approach to geriatric assessment in oncology.…”

Section: Introductionmentioning

confidence: 99%

What Every Oncologist Should Know About Geriatric Assessment for Older Patients With Cancer: Young International Society of Geriatric Oncology Position Paper

Loh

Soto‐Pérez‐de‐Celis

Hsu

et al. 2018

JOP

134

105

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Aging is a heterogeneous process. Most newly diagnosed cancers occur in older adults, and it is important to understand a patient's underlying health status when making treatment decisions. A geriatric assessment provides a detailed evaluation of medical, psychosocial, and functional problems in older patients with cancer. Specifically, it can identify areas of vulnerability, predict survival and toxicity, assist in clinical treatment decisions, and guide interventions in routine oncology practice; however, the uptake is hampered by limitations in both time and resources, as well as by a lack of expert interpretation. In this review, we describe the utility of geriatric assessment by using an illustrative case and provide a practical approach to geriatric assessment in oncology. CASE J.K. is a 73-year-old man who presented to his primary care physician complaining of bright red blood per rectum. He has a medical history of coronary artery disease, hypertension, hyperlipidemia, and cerebrovascular disease. He is on aspirin, lisinopril, metoprolol, and atorvastatin. A subsequent colonoscopy revealed a 3-cm mass in his descending colon. Biopsy of the mass showed invasive adenocarcinoma. He underwent computed tomography scans of the chest, abdomen, and pelvis, which showed no evidence of metastases. A laparoscopic colectomy was performed, and his cancer was staged as T2N2 (stage III) and microsatellite stable. He is referred to you to discuss adjuvant chemotherapy.

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“…Ces outils exigent peu de temps et sont faciles à administrer (Deschodt et al, 2011); de plus, ils évitent de faire une EG et conviennent aux patients âgés qui ne nécessitent pas d'évaluation exhaustive. Plusieurs outils de dépistage sont utilisés en oncologie, comme le questionnaire G8 (Bellera et al, 2012;Soubeyran et al, 2008), la version flamande de l'outil de dépistage des risques au triage (Triage Risk Screening Tool [fTRST]; Braes et al, 2009;Kenis et al, 2006;Meldon et al, 2003;Moons et al, 2007), l'indice de fragilité Groningern (Groningern Frailty Indicator; Slaets, 2006), le sondage pour les personnes âgées vulnérables (Vulnerable Elders Survey-13 [VES-13]; Mohile et al, 2007), et l'évaluation gériatrique exhaustive abré-gée (Comprehensive Geriatric Assessment; Overcash et al, 2005). Toutefois, la validation adéquate de ces outils quant à leur capacité à établir un pronostic sur le déclin fonctionnel et le taux de survie des patients atteints d'un cancer manque encore.…”

Section: Gériatrieunclassified