The abbreviated comprehensive geriatric assessment (aCGA) for use in the older cancer patient as a prescreen: scoring and interpretation

Abstract

The abbreviated CGA (aCGA) can be used as a prescreening assessment to identify patients who would most benefit from the complete CGA.

Objective: To develop cutpoints for scoring the aCGA that are consistent with existing limitations as revealed by the full CGA.

Design/setting: A retrospective chart review of patients at the H. Lee Moffitt Cancer Center.

Participants: Over 500 charts between 1995 and 2001 were reviewed on cancer patients 70 and over.

Measurements: Each of the four domains: functional status (activities of daily living (ADL), instrumental activities of daily living (IADL), depression, using the geriatric depression scale (GDS), and cognition using the mini-mental state examination (MMSE)) are scored separately.

Results: For the depression domain, a score of 2 or more toward depression indicates that the entire GDS be administered. For the MMSE, a score of 6 or lower indicates necessity of the entire MMSE. For the ADL/IADL, any deficit on either scale (needs assistance or complete assistance) requires further clinical evaluation using the entire instruments.

Conclusions: These guidelines provide the clinician with parameters to target patients most likely to benefit from more intensive geriatric evaluation.