Comprehensive Geriatric Assessment as a Versatile Tool to Enhance the Care of the Older Person Diagnosed with Cancer
Abstract
:1. Defining a Comprehensive Geriatric Assessment
2. Instruments Included in a Comprehensive Geriatric Assessment
3. Multidisciplinary Team
4. Management of Problems Detected by Comprehensive Geriatric Assessment
5. Comprehensive Geriatric Assessment with Limited Resources
6. Models of Geriatric Oncology Programs Using CGA
7. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
- Rocque, G.; Azuero, A.; Halilova, K.; Williams, C.; Kenzik, K.; Yagnik, S.K.; Pisu, M. Most Impactful Factors on the Health-Related Quality of Life of a Geriatric Population with Cancer (S769). J. Pain Symptom Manag. 2018, 55, 694–695. [Google Scholar] [CrossRef] [Green Version]
- Hurria, A. Management of Elderly Patients With Cancer. J. Natl. Compr. Cancer Netw. 2013, 11, 698–701. [Google Scholar] [CrossRef]
- Vallet-Regí, M.; Manzano, M.; López, M.C.; Aapro, M.; Barbacid, M.; Guise, T.A.; Balducci, L.; Mena, A.C.; Romero, P.L.O.; Orellana, M.R.; et al. Management of Cancer in the Older Age Person: An Approach to Complex Medical Decisions. Oncol. 2017, 22, 335–342. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Balducci, L. Treatment of Breast Cancer in Women Older Than 80 Years Is a Complex Task. J. Oncol. Pr. 2016, 12, 133–134. [Google Scholar] [CrossRef] [PubMed]
- Williams, G.R.; Deal, A.M.; Lund, J.L.; Chang, Y.; Muss, H.B.; Pergolotti, M.; Guerard, E.J.; Shachar, S.S.; Wang, Y.; Kenzik, K.; et al. Patient-Reported Comorbidity and Survival in Older Adults with Cancer. Oncologist 2018, 23, 433–439. [Google Scholar] [CrossRef]
- Klepin, H.D.; Pitcher, B.N.; Ballman, K.V.; Kornblith, A.B.; Hurria, A.; Winer, E.P.; Hudis, C.; Cohen, H.J.; Muss, H.B.; Kimmick, G.G.; et al. Comorbidity, Chemotherapy Toxicity, and Outcomes Among Older Women Receiving Adjuvant Chemotherapy for Breast Cancer on a Clinical Trial: CALGB 49907 and CALGB 361004 (Alliance). J. Oncol. Pr. 2014, 10, e285–e292. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kim, K.H.; Lee, J.J.; Kim, J.; Zhou, J.-M.; Gomes, F.; Sehovic, M.; Extermann, M. Association of multidimensional comorbidities with survival, toxicity, and unplanned hospitalizations in older adults with metastatic colorectal cancer treated with chemotherapy. J. Geriatr. Oncol. 2019. [Google Scholar] [CrossRef]
- Mariano, C.; Williams, G.; Deal, A.; Alston, S.; Bryant, A.L.; Jolly, T.; Muss, H.B. Geriatric Assessment of Older Adults With Cancer During Unplanned Hospitalizations: An Opportunity in Disguise. Oncol. 2015, 20, 767–772. [Google Scholar] [CrossRef] [Green Version]
- Tjong, M.C.; Menjak, I.; Trudeau, M.; Mehta, R.; Wright, F.; Leahey, A.; Ellis, J.; Gallagher, D.; Gibson, L.; Bristow, B.; et al. Perceptions and Expectations of Older Women in the Establishment of the Senior Women’s Breast Cancer Clinic (SWBCC): A Needs Assessment Study. J. Cancer Educ. 2017, 32, 850–857. [Google Scholar] [CrossRef]
- Magnuson, A.; Dale, W.; Mohile, S. Models of Care in Geriatric Oncology. Curr. Geriatr. Rep. 2014, 3, 182–189. [Google Scholar] [CrossRef]
- O’Donovan, A.; Leech, M.; Mohile, S. Expert consensus panel guidelines on geriatric assessment in oncology. Eur. J. Cancer Care 2015, 24, 574–589. [Google Scholar] [CrossRef] [PubMed]
- Burhenn, P.S.; Perrin, S.; McCarthy, A.L.; Information, P.E.K.F.C. Models of Care in Geriatric Oncology Nursing. Semin. Oncol. Nurs. 2016, 32, 24–32. [Google Scholar] [CrossRef] [PubMed]
- Overcash, J. Integrating Geriatrics Into Oncology Ambulatory Care Clinics. Clin. J. Oncol. Nurs. 2015, 19, E80–E86. [Google Scholar] [CrossRef] [PubMed]
- Goede, V.; Stauder, R. Multidisciplinary care in the hematology clinic: Implementation of geriatric oncology. J. Geriatr. Oncol. 2018, 10, 497–503. [Google Scholar] [CrossRef] [PubMed]
- Chapman, A.E.; Swartz, K.; Schoppe, J.; Arenson, C. Development of a comprehensive multidisciplinary geriatric oncology center, the Thomas Jefferson University Experience. J. Geriatr. Oncol. 2014, 5, 164–170. [Google Scholar] [CrossRef]
- Le Saux, O.; Falandry, C.; Gan, H.K.; You, B.; Freyer, G.; Péron, J. Changes in the Use of Comprehensive Geriatric Assessment in Clinical Trials for Older Patients with Cancer over Time. Oncol. 2019. [Google Scholar] [CrossRef] [PubMed]
- Puts, M.T.E.; Hardt, J.; Monette, J.; Girre, V.; Springall, E.; Alibhai, S.M.H. Use of Geriatric Assessment for Older Adults in the Oncology Setting: A Systematic Review. J. Natl. Cancer Inst. 2012, 104, 1134–1164. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Szumacher, E.; Sattar, S.; Neve, M.; Do, K.; Ayala, A.; Gray, M.; Lee, J.; Alibhai, S.; Puts, M. Use of Comprehensive Geriatric Assessment and Geriatric Screening for Older Adults in the Radiation Oncology Setting: A Systematic Review. Clin. Oncol. 2018, 30, 578–588. [Google Scholar] [CrossRef]
- Alibhai, S.M.; Jin, R.; Loucks, A.; Yokom, D.W.; Watt, S.; Puts, M.; Timilshina, N.; Berger, A. Beyond the black box of geriatric assessment: Understanding enhancements to care by the geriatric oncology clinic. J. Geriatr. Oncol. 2018, 9, 679–682. [Google Scholar] [CrossRef]
- Festen, S.; Kok, M.; Hopstaken, J.S.; van der Wal-Huisman, H.; van der Leest, A.; Reyners, A.K.L.; de Bock, G.H.; de Graeff, P.; van Leeuwen, B.L. How to incorporate geriatric assessment in clinical decision-making for older patients with cancer. An implementation study. J. Geriatr. Oncol. 2019. [Google Scholar] [CrossRef]
- Solomon, D. National Institutes of Health Consensus Development Conference Statement: Geriatric Assessment Methods for Clinical Decision-Making. Am. Geriatr. Soc. 1988, 36, 342–437. [Google Scholar]
- Wildiers, H.; Heeren, P.; Puts, M.; Topinkova, E.; Janssen-Heijnen, M.L.; Extermann, M.; Falandry, C.; Artz, A.; Brain, E.; Colloca, G.; et al. International Society of Geriatric Oncology Consensus on Geriatric Assessment in Older Patients With Cancer. J. Clin. Oncol. 2014, 32, 2595–2603. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Mohile, S.G.; Velarde, C.; Hurria, A.; Magnuson, A.; Lowenstein, L.; Pandya, C.; O’Donovan, A.; Gorawara-Bhat, R.; Dale, W. Geriatric Assessment-Guided Care Processes for Older Adults: A Delphi Consensus of Geriatric Oncology Experts. J. Natl. Compr. Cancer Netw. 2015, 13, 1120–1130. [Google Scholar] [CrossRef] [Green Version]
- Kenis, C.; Baitar, A.; DeCoster, L.; De Grève, J.; Lobelle, J.-P.; Flamaing, J.; Milisen, K.; Wildiers, H. The added value of geriatric screening and assessment for predicting overall survival in older patients with cancer. Cancer 2018, 124, 3753–3763. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Lundqvist, M.; Alwin, J.; Henriksson, M.; Husberg, M.; Carlsson, P.; Ekdahl, A.W. Cost-effectiveness of comprehensive geriatric assessment at an ambulatory geriatric unit based on the AGe-FIT trial. BMC Geriatr. 2018, 18, 32. [Google Scholar] [CrossRef] [PubMed]
- Hamaker, M.E.; Vos, A.G.; Smorenburg, C.H.; De Rooij, S.E.; Van Munster, B.C. The Value of Geriatric Assessments in Predicting Treatment Tolerance and All-Cause Mortality in Older Patients With Cancer. Oncol. 2012, 17, 1439–1449. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Freyer, G.; Geay, J.-F.; Touzet, S.; Provencal, J.; Weber, B.; Jacquin, J.-P.; Ganem, G.; Mathieu, N.T.; Gisserot, O.; Pujade-Lauraine, E. Comprehensive geriatric assessment predicts tolerance to chemotherapy and survival in elderly patients with advanced ovarian carcinoma: A GINECO study. Ann. Oncol. 2005, 16, 1795–1800. [Google Scholar] [CrossRef] [PubMed]
- Soto-Perez-De-Celis, E.; Li, D.; Yuan, Y.; Lau, Y.M.; Hurria, A. Functional versus chronological age: Geriatric assessments to guide decision making in older patients with cancer. Lancet Oncol. 2018, 19, e305–e316. [Google Scholar] [CrossRef]
- Kristjansson, S.R.; Nesbakken, A.; Jordhøy, M.S.; Skovlund, E.; Audisio, R.A.; Johannessen, H.-O.; Bakka, A.; Wyller, T.B. Comprehensive geriatric assessment can predict complications in elderly patients after elective surgery for colorectal cancer: A prospective observational cohort study. Crit. Rev. Oncol. 2010, 76, 208–217. [Google Scholar] [CrossRef] [Green Version]
- Schiphorst, A.H.; Ten Bokkel Huinink, D.; Breumelhof, R.; Burgmans, J.P.; Pronk, A.; Hamaker, M.E. Geriatric consultation can aid in complex treatment decisions for elderly cancer patients. Eur. J. Cancer Care (Engl.) 2016, 25, 365–370. [Google Scholar] [CrossRef]
- Caillet, P.; Laurent, M.; Bastuji-Garin, S.; Liuu, E.; Culine, S.; Lagrange, J.-L.; Canoui-Poitrine, F.; Paillaud, E. Optimal management of elderly cancer patients: Usefulness of the Comprehensive Geriatric Assessment. Clin. Interv. Aging 2014, 9, 1645–1660. [Google Scholar] [PubMed]
- Horgan, A.M.; Leighl, N.B.; Coate, L.; Liu, G.; Palepu, P.; Knox, J.J.; Perera, N.; Emami, M.; Alibhai, S.M. Impact and feasibility of a comprehensive geriatric assessment in the oncology setting: A pilot study. Am. J. Clin. Oncol. 2012, 35, 322–328. [Google Scholar] [CrossRef] [PubMed]
- Hamaker, M.E.; Molder, M.T.; Thielen, N.; Van Munster, B.C.; Schiphorst, A.H.; Van Huis, L.H. The effect of a geriatric evaluation on treatment decisions and outcome for older cancer patients – A systematic review. J. Geriatr. Oncol. 2018, 9, 430–440. [Google Scholar] [CrossRef] [PubMed]
- Yesavage, J.A.; Brink, T.; Rose, T.L.; Lum, O.; Huang, V.; Adey, M.; Leirer, V.O. Development and validation of a geriatric depression screening scale: A preliminary report. J. Psychiatr. Res. 1982, 17, 37–49. [Google Scholar] [CrossRef]
- Charlson, M.E.; Pompei, P.; Ales, K.L.; MacKenzie, C. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. J. Chronic Dis. 1987, 40, 373–383. [Google Scholar] [CrossRef]
- Borson, S.; Scanlan, J.; Brush, M.; Vitaliano, P.; Dokmak, A. The Mini-Cog: A cognitive “vital signs” measure for dementia screening in multi-lingual elderly. Int. J. Geriatr. Psychiatry 2000, 15, 1021–1027. [Google Scholar] [CrossRef]
- Katz, S.; Grotz, R.C.; Downs, T.D.; Cash, H.R. Progress in Development of the Index of ADL. Gerontol. 1970, 10, 20–30. [Google Scholar] [CrossRef] [PubMed]
- Lawton, M.P.; Brody, E.M. Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living. Gerontol. 1969, 9, 179–186. [Google Scholar] [CrossRef]
- Kellogg International Work Group. A report of the Kellogg International Work Group on the Prevention of Falls by the Elderly. Dan. Med. Bull. 1987, 34 (Suppl. 4), 1–24. [Google Scholar]
- Vellas, B.; Guigoz, Y.; Garry, P.J.; Nourhashemi, F.; Bennahum, D.; Lauque, S.; Albarède, J.-L. The mini nutritional assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutr. 1999, 15, 116–122. [Google Scholar] [CrossRef]
- Baronner, A.; MacKenzie, A. Using Geriatric Assessment Strategies to Lead End-of-Life Care Discussions. Curr. Oncol. Rep. 2017, 19. [Google Scholar] [CrossRef] [PubMed]
- Rajasekaran, T.; Tan, T.; Ong, W.S.; Koo, K.N.; Chan, L.; Poon, D.; Chowdhury, A.R.; Krishna, L.; Kanesvaran, R.; Information, P.E.K.F.C. Comprehensive Geriatric Assessment (CGA) based risk factors for increased caregiver burden among elderly Asian patients with cancer. J. Geriatr. Oncol. 2016, 7, 211–218. [Google Scholar] [CrossRef] [PubMed]
- Hamaker, M.; Seynaeve, C.; Wymenga, A.; Van Tinteren, H.; Nortier, J.; Maartense, E.; De Graaf, H.; De Jongh, F.; Braun, J.; Los, M.; et al. Baseline comprehensive geriatric assessment is associated with toxicity and survival in elderly metastatic breast cancer patients receiving single-agent chemotherapy: Results from the OMEGA study of the Dutch Breast Cancer Trialists’ Group. Breast 2014, 23, 81–87. [Google Scholar] [CrossRef] [PubMed]
- International Society of Oncology Geraitrics. Comprehensive Geraitric Assessment of the Older Person with Cancer. 2015. Available online: http://www.siog.org/content/comprehensive-geriatric-assessment-cga-older-patient-cancer (accessed on 11 June 2019).
- Podsiadlo, D.; Richardson, S. The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons. J. Am. Geriatr. Soc. 1991, 39, 142–148. [Google Scholar] [PubMed]
- Berg, K.O.; Wood-Dauphinee, S.L.; Williams, J.I.; Maki, B. Measuring balance in the elderly: Validation of an instrument. Can. J. Public Heal. 1992, 83, S7–S11. [Google Scholar]
- Mathiowetz, V.; Weber, K.; Volland, G.; Kashman, N. Reliability and validity of grip and pinch strength evaluations. J. Hand Surg. 1984, 9, 222–226. [Google Scholar] [CrossRef]
- Jones, C.J.; Rikli, R.E.; Beam, W.C. A 30-s Chair-Stand Test as a Measure of Lower Body Strength in Community-Residing Older Adults. Res. Q. Exerc. Sport 1999, 70, 113–119. [Google Scholar] [CrossRef]
- Borson, S.; Brush, M.; Gil, E.; Scanlan, J.; Vitaliano, P.; Chen, J.; Cashman, J.; Maria, M.M.S.; Barnhart, R.; Roques, J. The Clock Drawing Test: Utility for Dementia Detection in Multiethnic Elders. Journals Gerontol. Ser. A: Boil. Sci. Med Sci. 1999, 54, M534–M540. [Google Scholar] [CrossRef]
- Cella, D.F.; Tulsky, D.S.; Gray, G.; Sarafian, B.; Linn, E.; Bonomi, A.; Silberman, M.; Yellen, S.B.; Winicour, P.; Brannon, J. The Functional Assessment of Cancer Therapy scale: Development and validation of the general measure. J. Clin. Oncol. 1993, 11, 570–579. [Google Scholar] [CrossRef]
- Sakurai, R.; Kawai, H.; Suzuki, H.; Kim, H.; Watanabe, Y.; Hirano, H.; Ihara, K.; Obuchi, S.; Fujiwara, Y. Poor Social Network, Not Living Alone, Is Associated With Incidence of Adverse Health Outcomes in Older Adults. J. Am. Med Dir. Assoc. 2019. [Google Scholar] [CrossRef]
- Thornton, M.; Travis, S.S. Analysis of the Reliability of the Modified Caregiver Strain Index. Journals Gerontol. Ser. B 2003, 58, S127–S132. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Robinson, B.C. Validation of a Caregiver Strain Index. J. Gerontol. 1983, 38, 344–348. [Google Scholar] [CrossRef] [PubMed]
- Bień-Barkowska, K.; Doroszkiewicz, H.; Bień, B. Silent strain of caregiving: Exploring the best predictors of distress in family carers of geriatric patients. Clin. Interv. Aging 2017, 12, 263–274. [Google Scholar] [CrossRef] [PubMed]
- Dauphinot, V.; Ravier, A.; Novais, T.; Delphin-Combe, F.; Moutet, C.; Xie, J.; Mouchoux, C.; Krolak-Salmon, P.; Information, P.E.K.F.C. Relationship Between Comorbidities in Patients With Cognitive Complaint and Caregiver Burden: A Cross-Sectional Study. J. Am. Med Dir. Assoc. 2016, 17, 232–237. [Google Scholar] [CrossRef]
- Dionne-Odom, J.N.; Demark-Wahnefried, W.; Taylor, R.A.; Rocque, G.B.; Azuero, A.; Acemgil, A.; Martin, M.Y.; Astin, M.; Ejem, D.; Kvale, E.; et al. The Self-Care Practices of Family Caregivers of Persons with Poor Prognosis Cancer: Differences by Varying Levels of Caregiver Well-being and Preparedness. Support. Care Cancer 2017, 25, 2437–2444. [Google Scholar] [CrossRef] [PubMed]
- Geng, H.M.; Chuang, D.M.; Yang, F.; Yang, Y.; Liu, W.M.; Liu, L.H.; Tian, H.M. Prevalence and determinants of depression in caregivers of cancer patients: A systematic review and meta-analysis. Medicine (Baltimore) 2018, 97, e11863. [Google Scholar] [CrossRef]
- Bonin-Guillaume, S.; Durand, A.-C.; Yahi, F.; Curiel-Berruyer, M.; Lacroix, O.; Cretel, E.; Alazia, M.; Sambuc, R.; Gentile, S. Predictive factors for early unplanned rehospitalization of older adults after an ED visit: Role of the caregiver burden. Aging Clin. Exp. Res. 2015, 27, 883–891. [Google Scholar] [CrossRef] [PubMed]
- Aggarwal, B.; Liao, M.; Christian, A.; Mosca, L. Influence of caregiving on lifestyle and psychosocial risk factors among family members of patients hospitalized with cardiovascular disease. J. Gen. Intern. Med. 2009, 24, 93–98. [Google Scholar] [CrossRef]
- Lawn, S.; Westwood, T.; Jordans, S.; O’Connor, J. Support workers as agents for health behavior change: An Australian study of the perceptions of clients with complex needs, support workers, and care coordinators. Gerontol. Geriatr. Educ. 2017, 38, 496–516. [Google Scholar] [CrossRef]
- DuGoff, E.H.; Canudas-Romo, V.; Buttorff, C.; Leff, B.; Anderson, G.F. Multiple chronic conditions and life expectancy: A life table analysis. Med. Care 2014, 52, 688–694. [Google Scholar] [CrossRef]
- Nelson, C.J.; Saracino, R.M.; Roth, A.J.; Harvey, E.; Martin, A.; Moore, M.; Marcone, D.; Poppito, S.R.; Holland, J. Cancer and Aging: Reflections for Elders (CARE): A pilot randomized controlled trial of a psychotherapy intervention for older adults with cancer. Psychooncology 2019, 28, 39–47. [Google Scholar] [CrossRef] [PubMed]
- Rubenstein, L.Z.; Josephson, K.R.; Wieland, G.D.; English, P.A.; Sayre, J.A.; Kane, R.L. Effectiveness of a Geriatric Evaluation Unit. New Engl. J. Med. 1984, 311, 1664–1670. [Google Scholar] [CrossRef] [PubMed]
- Warren, M.W. Care of Chronic Sick. Br. Med. J. 1943, 2, 822–823. [Google Scholar] [CrossRef] [PubMed]
- Trotta, R.L.; Rao, A.D.; Hermann, R.M.; Boltz, M.P. Development of a Comprehensive Geriatric Assessment Led by Geriatric Nurse Consultants: A Feasibility Study. J. Gerontol. Nurs. 2018, 44, 25–34. [Google Scholar] [CrossRef] [PubMed]
- Flood, K.L.; Booth, K.; Vickers, J.; Simmons, E.; James, D.H.; Biswal, S.; Deaver, J.; White, M.L.; Bowman, E.H. Acute Care for Elders (ACE) Team Model of Care: A Clinical Overview. Geriatr. 2018, 3, 50. [Google Scholar] [CrossRef] [PubMed]
- Balducci, L.; Yates, J. General guidelines for the management of older patients with cancer. Oncol. (Williston Park. N.Y.) 2000, 14, 221–227. [Google Scholar]
- Karnakis, T.; Gattas-Vernaglia, I.F.; Saraiva, M.D.; Gil-Junior, L.A.; Kanaji, A.L.; Jacob-Filho, W. The geriatrician’s perspective on practical aspects of the multidisciplinary care of older adults with cancer. J. Geriatr. Oncol. 2016, 7, 341–345. [Google Scholar] [CrossRef] [PubMed]
- Piers, R.D.; Versluys, K.; Devoghel, J.; Vyt, A.; Noortgate, N.V.D. Interprofessional teamwork, quality of care and turnover intention in geriatric care: A cross-sectional study in 55 acute geriatric units. Int. J. Nurs. Stud. 2019, 91, 94–100. [Google Scholar] [CrossRef]
- Nazir, A.; Unroe, K.; Tegeler, M.; Khan, B.; Azar, J.; Boustani, M. Systematic Review of Interdisciplinary Interventions in Nursing Homes. J. Am. Med Dir. Assoc. 2013, 14, 471–478. [Google Scholar] [CrossRef]
- Maly, R.C.; Leake, B.; Frank, J.C.; DiMatteo, M.R.; Reuben, D.B. Implementation of consultative geriatric recommendations: The role of patient-primary care physician concordance. J. Am. Geriatr. Soc. 2002, 50, 1372–1380. [Google Scholar] [CrossRef]
- McConnell, E.S.; Lekan, D.; Bunn, M.; Egerton, E.; Corazzini, K.N.; Hendrix, C.D.; E Bailey, D. Teaching evidence-based nursing practice in geriatric care settings: The geriatric nursing innovations through education institute. J. Gerontol. Nurs. 2009, 35, 26–33. [Google Scholar] [PubMed]
- American Assocaition of Colleges of Nursing. Adult Gerontology Acute Care and Primary Care Competencies. 2016. Available online: http://www.aacnnursing.org/Portals/42/AcademicNursing/pdf/Adult-Gero-NP-Comp-2016.pdf (accessed on 20 June 2019).
- American Nurses Credentialing Center. Gerontological Nursing Certification. 2018. Available online: https://www.nursingworld.org/our-certifications/gerontological-nurse/ (accessed on 20 June 2019).
- Gilje, F.; Lacey, L.; Moore, C. Gerontology and Geriatric Issues and Trends in U.S. Nursing Programs: A National Survey. J. Prof. Nurs. 2007, 23, 21–29. [Google Scholar] [CrossRef] [PubMed]
- Bednash, G.; Mezey, M.; Tagliareni, E. The Hartford Geriatric Nursing Initiative experience in geriatric nursing education: Looking back, looking forward. Nurs. Outlook 2011, 59, 228–235. [Google Scholar] [CrossRef] [PubMed]
- National Hartford Center of Nursing Excellence. Distinguished Educator in Gerontological Nursing. 2018. Available online: https://www.nhcgne.org/leadership-development/distinguished-educator-in-gerontological-nursing-program (accessed on 18 May 2019).
- Burhenn, P.S.; McCarthy, A.L.; Begue, A.; Nightingale, G.; Cheng, K.; Kenis, C. Geriatric assessment in daily oncology practice for nurses and allied health care professionals: Opinion paper of the Nursing and Allied Health Interest Group of the International Society of Geriatric Oncology (SIOG). J. Geriatr. Oncol. 2016, 7, 315–324. [Google Scholar] [CrossRef] [PubMed]
- Tkacheva, O.N.; Runikhina, N.K.; Ostapenko, V.S.; Sharashkina, N.V.; A Mkhitaryan, E.; Onuchina, J.S.; Lysenkov, S.N.; Yakhno, N.N.; Press, Y. Prevalence of geriatric syndromes among people aged 65 years and older at four community clinics in Moscow. Clin. Interv. Aging 2018, 13, 251–259. [Google Scholar] [CrossRef] [PubMed]
- Overcash, J.; Cope, D.G.; Van Cleave, J.H. Frailty in Older Adults: Assessment, Support, and Treatment Implications in Patients With Cancer. Clin. J. Oncol. Nurs. 2018, 22, 8–18. [Google Scholar]
- Banysch, M.; Akkaya, T.; Gurenko, P.; Papadakis, M.; Heuer, T.; Kasim, E.; Tavarajah, S.S.; Kaiser, G.M. Surgery for colorectal cancer in elderly patients: Is there such a thing as being too old? G Chir 2018, 39, 355–362. [Google Scholar]
- Vitale, S.G.; Capriglione, S.; Zito, G.; Lopez, S.; Gulino, F.A.; Di Guardo, F.; Vitagliano, A.; Noventa, M.; La Rosa, V.L.; Sapia, F.; et al. Management of endometrial, ovarian and cervical cancer in the elderly: Current approach to a challenging condition. Arch. Gynecol. Obstet. 2019, 299, 299–315. [Google Scholar] [CrossRef]
- Boehm, K.; Dell’Oglio, P.; Tian, Z.; Capitanio, U.; Chun, F.K.H.; Tilki, D.; Haferkamp, A.; Saad, F.; Montorsi, F.; Graefen, M.; et al. Comorbidity and age cannot explain variation in life expectancy associated with treatment of non-metastatic prostate cancer. World J. Urol. 2017, 35, 1031–1036. [Google Scholar] [CrossRef]
- Shachar, S.S.; Hurria, A.; Muss, H.B. Breast Cancer in Women Older Than 80 Years. J. Oncol. Pr. 2016, 12, 123–132. [Google Scholar] [CrossRef]
- Droz, J.-P.; Boyle, H.; Albrand, G.; Mottet, N.; Puts, M. Role of Geriatric Oncologists in Optimizing Care of Urological Oncology Patients. Eur. Urol. Focus 2017, 3, 385–394. [Google Scholar] [CrossRef] [PubMed]
- Sarrió, R.G.; On behalf of the Spanish Working Group on Geriatric Oncology of the Spanish Society of Medical Oncology (SEOM); Rebollo, M.A.; Garrido, M.J.M.; Guillen-Ponce, C.; Blanco, R.; Flores, E.G.; Saldaña, J. General recommendations paper on the management of older patients with cancer: The SEOM geriatric oncology task force’s position statement. Clin. Transl. Oncol. 2018, 20, 1246–1251. [Google Scholar]
- Morin, T.; Lanièce, I.; Desbois, A.; Amiard, S.; Gavazzi, G.; Couturier, P. Evaluation of adherence to recommendations within 3 months after comprehensive geriatric assessment by an inpatient geriatric consultation team. Geriatr Psychol Neuropsychiatr Vieil 2012, 10, 285–293. [Google Scholar] [PubMed]
- Overcash, J. Comprehensive Geriatric Assessment: Interprofessional Team Recommendations for Older Adult Women With Breast Cancer. Clin. J. Oncol. Nurs. 2018, 22, 304–315. [Google Scholar] [CrossRef] [PubMed]
- Balducci, L. Frailty: A Common Pathway in Aging and Cancer. Primate Reproductive Aging 2013, 38, 61–72. [Google Scholar]
- Boulahssass, R.; Gonfrier, S.; Champigny, N.; Lassalle, S.; François, E.; Hofman, P.; Guerin, O. The Desire to Better Understand Older Adults with Solid Tumors to Improve Management: Assessment and Guided Interventions—The French PACA EST Cohort Experience. Cancers 2019, 11, 192. [Google Scholar] [CrossRef] [PubMed]
- Extermann, M.; Aapro, M.; Bernabei, R.; Cohen, H.J.; Droz, J.P.; Lichtman, S.; Topinkova, E. Use of comprehensive geriatric assessment in older cancer patients: Recommendations from the task force on CGA of the International Society of Geriatric Oncology (SIOG). Crit. Rev. Oncol. Hematol. 2005, 55, 241–252. [Google Scholar] [CrossRef]
- Mohile, S.G.; Dale, W.; Somerfield, M.R.; Schonberg, M.A.; Boyd, C.M.; Burhenn, P.S.; Canin, B.; Cohen, H.J.; Holmes, H.M.; Hopkins, J.O.; et al. Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy: ASCO Guideline for Geriatric Oncology. J. Clin. Oncol. 2018, 36, 2326–2347. [Google Scholar] [CrossRef]
- Verweij, N.M.; Souwer, E.T.D.; Schiphorst, A.H.W.; Maas, H.A.; Portielje, J.E.A.; Pronk, A.; Bos, F.V.D.; Hamaker, M.E. The effect of a geriatric evaluation on treatment decisions for older patients with colorectal cancer. Int. J. Color. Dis. 2017, 32, 1625–1629. [Google Scholar] [CrossRef]
- Puts, M.T.; Strohschein, F.J.; Del Giudice, M.E.; Jin, R.; Loucks, A.; Ayala, A.P.; Alibhai, S.H. Role of the geriatrician, primary care practitioner, nurses, and collaboration with oncologists during cancer treatment delivery for older adults: A narrative review of the literature. J. Geriatr. Oncol. 2018, 9, 398–404. [Google Scholar] [CrossRef]
- Overcash, J.A.; Beckstead, J.; Extermann, M.; Cobb, S. The abbreviated comprehensive geriatric assessment (aCGA): A retrospective analysis. Crit. Rev. Oncol. 2005, 54, 129–136. [Google Scholar] [CrossRef]
- Soubeyran, P.-L.; Bellera, C.; Goyard, J.; Heitz, D.; Curé, H.; Rousselot, H.; Albrand, G.; Servent, V.; Jean, O.S.; Van Praagh, I.; et al. Screening for Vulnerability in Older Cancer Patients: The ONCODAGE Prospective Multicenter Cohort Study. PLOS ONE 2014, 9, 115060. [Google Scholar] [CrossRef] [PubMed]
- Mohile, S.G.; Bylow, K.; Dale, W.; Dignam, J.; Martin, K.; Petrylak, D.P.; Stadler, W.M.; Rodin, M. A pilot study of the vulnerable elders survey-13 compared with the comprehensive geriatric assessment for identifying disability in older patients with prostate cancer who receive androgen ablation. Cancer 2007, 109, 802–810. [Google Scholar] [CrossRef] [PubMed]
- Torres, C.H.; Hsu, T. Comprehensive Geriatric Assessment in the Older Adult with Cancer: A Review. Eur. Urol. Focus 2017, 3, 330–339. [Google Scholar] [CrossRef] [PubMed]
- Locher, C.; Pourel, N.; Le Caer, H.; Bérard, H.; Auliac, J.-B.; Monnet, I.; Descourt, R.; Vergnenègre, A.; Lafay, I.M.; Greillier, L.; et al. Impact of a comprehensive geriatric assessment to manage elderly patients with locally advanced non-small–cell lung cancers: An open phase II study using concurrent cisplatin–oral vinorelbine and radiotherapy (GFPC 08-06). Lung Cancer 2018, 121, 25–29. [Google Scholar] [CrossRef]
- Palmer, K.; Onder, G. Comprehensive geriatric assessment: Benefits and limitations. Eur. J. Intern. Med. 2018, 54, e8–e9. [Google Scholar] [CrossRef] [PubMed]
- Decker, V.; Sikorskii, A.; Given, C.W.; Given, B.A.; Vachon, E.; Krauss, J.C. Effects of depressive symptomatology on cancer-related symptoms during oral oncolytic treatment. Psychooncology 2019, 28, 99–106. [Google Scholar] [CrossRef]
- Moyer, V.A.; Force, U.P.S.T. Screening for cognitive impairment in older adults: U.S. Preventive Services Task Force recommendation statement. Ann. Intern. Med. 2014, 160, 791–797. [Google Scholar] [CrossRef]
- Extermann, M. Geriatric Assessment with Focus on Instrument Selectivity for Outcomes. Cancer J. 2005, 11, 474–480. [Google Scholar] [CrossRef]
- Eamer, G.; Saravana-Bawan, B.; Van Der Westhuizen, B.; Chambers, T.; Ohinmaa, A.; Khadaroo, R.G. Economic evaluations of comprehensive geriatric assessment in surgical patients: A systematic review. J. Surg. Res. 2017, 218, 9–17. [Google Scholar] [CrossRef]
- Gardner, M.; Tsiachristas, A.; Langhorne, P.; Burke, O.; Harwood, R.H.; Conroy, S.P.; Kircher, T.; Somme, D.; Saltvedt, I.; Wald, H.; et al. Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database Syst. Rev. 2017, 2017, CD006211. [Google Scholar] [Green Version]
- Ekdahl, A.W.; Alwin, J.; Eckerblad, J.; Husberg, M.; Jaarsma, T.; Mazya, A.L.; Milberg, A.; Krevers, B.; Unosson, M.; Wiklund, R.; et al. Long-Term Evaluation of the Ambulatory Geriatric Assessment: A Frailty Intervention Trial (AGe-FIT): Clinical Outcomes and Total Costs After 36 Months. J. Am. Med. Dir. Assoc. 2016, 17, 263–268. [Google Scholar] [CrossRef] [PubMed]
- Bhatt, V.R. Personalizing therapy for older adults with acute myeloid leukemia: Role of geriatric assessment and genetic profiling. Cancer Treat. Rev. 2019, 75, 52–61. [Google Scholar] [CrossRef]
- NCCN. Clinical Practice Guidelines in Oncology: Older Adult Oncology; NCCN: Plymouth Meeting, PA, USA, 2019. [Google Scholar]
- Xue, D.-D.; Cheng, Y.; Wu, M.; Zhang, Y. Comprehensive geriatric assessment prediction of postoperative complications in gastrointestinal cancer patients: A meta-analysis. Clin. Interv. Aging 2018, 13, 723–736. [Google Scholar] [CrossRef] [PubMed]
- Maekawa, Y.; Sugimoto, K.; Yamasaki, M.; Takeya, Y.; Yamamoto, K.; Ohishi, M.; Ogihara, T.; Shintani, A.; Doki, Y.; Mori, M.; et al. Comprehensive Geriatric Assessment is a useful predictive tool for postoperative delirium after gastrointestinal surgery in old-old adults. Geriatr. Gerontol. Int. 2016, 16, 1036–1042. [Google Scholar] [CrossRef] [PubMed]
- Mason, M.C.; Crees, A.L.; Dean, M.R.; Bashir, N. Establishing a proactive geriatrician led comprehensive geriatric assessment in older emergency surgery patients: Outcomes of a pilot study. Int. J. Clin. Pr. 2018, 72, e13096. [Google Scholar] [CrossRef] [PubMed]
- Ghignone, F.; Van Leeuwen, B.; Montroni, I.; Huisman, M.; Somasundar, P.; Cheung, K.; Audisio, R.; Ugolini, G. The assessment and management of older cancer patients: A SIOG surgical task force survey on surgeons’ attitudes. Eur. J. Surg. Oncol. (EJSO) 2016, 42, 297–302. [Google Scholar] [CrossRef]
- To, T.H.M.; Soo, W.K.; Lane, H.; Khattak, A.; Steer, C.; Devitt, B.; Dhillon, H.M.; Booms, A.; Phillips, J. Utilization of geriatric assessment in oncology—A survey of Australian medical oncologists. J. Geriatr. Oncol. 2019, 10, 216–221. [Google Scholar] [CrossRef]
- Koneru, R.; Freedman, O.; Lemonde, M.; Froese, J. Evaluation of a comprehensive geriatric assessment tool in geriatric cancer patients undergoing adjuvant chemotherapy: A pilot study. Support. Care Cancer 2019, 27, 1871–1877. [Google Scholar] [CrossRef]
- Kagan, E.; Freud, T.; Punchik, B.; Barzak, A.; Peleg, R.; Press, Y.A. Comparative Study of Models of Geriatric Assessment and the Implementation of Recommendations by Primary Care Physicians. Rejuvenation Res. 2017, 20, 278–285. [Google Scholar] [CrossRef]
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Overcash, J.; Ford, N.; Kress, E.; Ubbing, C.; Williams, N. Comprehensive Geriatric Assessment as a Versatile Tool to Enhance the Care of the Older Person Diagnosed with Cancer. Geriatrics 2019, 4, 39. https://doi.org/10.3390/geriatrics4020039
Overcash J, Ford N, Kress E, Ubbing C, Williams N. Comprehensive Geriatric Assessment as a Versatile Tool to Enhance the Care of the Older Person Diagnosed with Cancer. Geriatrics. 2019; 4(2):39. https://doi.org/10.3390/geriatrics4020039
Chicago/Turabian StyleOvercash, Janine, Nikki Ford, Elizabeth Kress, Caitlin Ubbing, and Nicole Williams. 2019. "Comprehensive Geriatric Assessment as a Versatile Tool to Enhance the Care of the Older Person Diagnosed with Cancer" Geriatrics 4, no. 2: 39. https://doi.org/10.3390/geriatrics4020039
APA StyleOvercash, J., Ford, N., Kress, E., Ubbing, C., & Williams, N. (2019). Comprehensive Geriatric Assessment as a Versatile Tool to Enhance the Care of the Older Person Diagnosed with Cancer. Geriatrics, 4(2), 39. https://doi.org/10.3390/geriatrics4020039