Validation of the G8 screening tool in older patients with cancer considered for surgical treatment

Evaluation of The Comprehensive Geriatric Assessment (CGA) Tool As A Predictor of Postoperative Complications Following Major Oncological Abdominal Surgery in Older Patients

“…Our study did not nd a relation between altered G8 and major complications (de ned as Clavien-Dindo grade > II). When investigating this same relationship in 143 patients of the same age group, requiring surgery for a suspected solid malignancy, Bruijnen et al, found no difference in the occurrence of major 30-day complications [27]. However, three studies did describe an association between G8 and the occurrence of major Clavien-Dindo complications.…”

“…However, three studies did describe an association between G8 and the occurrence of major Clavien-Dindo complications. One study included grade II complications and found this association in 78 patients who underwent surgery for colorectal cancer [9], while another in 184 patients who underwent emergency abdominal surgery (including non-oncological patients) [28] and a third in 71 patients treated for hepatocellular carcinoma [12] con rmed these ndings.…”

“…Our ndings indicate the importance of preoperative nutritional assessment in major oncological abdominal surgery in order to provide valuable patient information, to assess surgical risk-bene t ratio, and to possibly provide individualized nutritional therapy by multidisciplinary teams even though the impact of normalization of potentially reversible factors on postoperative complications is still under investigation [22]. However, despite recommendations on geriatric assessment in older patients with cancer published in 2005 by the SIOG, there is no consensus regarding which speci c instruments should be included in a CGA [12]. Inclusion of nutritional impairment screening is of high interest as this reversible factor seems to be an indicator of increased postoperative morbidity.…”

“…Some components of the CGA have been found to be consistently associated with adverse postoperative outcomes; however, based on current evidence, it is not possible to reach a consensus as to how an optimal geriatric assessment (GA) should be conducted and recommendations vary based on patient age, type of surgery (i.e., minor versus major), and other risk factors [8,11]. Moreover, geriatric screening using the G8 assessment tool has been reported to be a powerful outcome predictor in surgical oncogeriatric patients in terms of hospital stay, rate of postoperative delirium, and 1-year mortality rates [12].…”

Management of Elderly and Old Cancer Patients – Geriatric Oncology

“…Screening using the relatively quick and easy-to-apply GA tests can help identify vulnerable patients most likely to benefit from a full CGA assessment before starting treatment; therefore, GA screening tests can help preserve clinical time and personnel resources. 53,54 Validated GA screening tools in the evaluation of physical fragility include the Geriatric 8 (G8) questionnaire, 55 abbreviated Comprehensive Geriatric Assessment (aCGA), 56 Triage Risk Screening Tool (TRST), 57 and Vulnerable Elders Survey-13 (VES-13), many of which can be completed in less than six minutes. 54,58,59 GA screening can also be targeted, e.g., to older cancer patients.…”