Comprehensive Geriatric Assessment as a Versatile Tool to Enhance the Care of the Older Person Diagnosed with Cancer

doi:10.3390/geriatrics4020039

Review

. 2019 Jun 24;4(2):39.

doi: 10.3390/geriatrics4020039.

Comprehensive Geriatric Assessment as a Versatile Tool to Enhance the Care of the Older Person Diagnosed with Cancer

Janine Overcash¹, Nikki Ford², Elizabeth Kress³, Caitlin Ubbing⁴, Nicole Williams⁵

Affiliations

¹ The College of Nursing, The Ohio State University, 1585 Neil Ave, Newton Hall, Columbus, OH 43201, USA. Overcash.1@osu.edu.
² Stephanie Spielman Comprehensive Breast Center, The Ohio State University, 1145 Olentangy River Road, Columbus, OH 43121, USA. Nikki.Ford@osumc.edu.
³ Stephanie Spielman Comprehensive Breast Center, The Ohio State University, 1145 Olentangy River Road, Columbus, OH 43121, USA. Eizabeth.Kress@osumc.edu.
⁴ Stephanie Spielman Comprehensive Breast Center, The Ohio State University, 1145 Olentangy River Road, Columbus, OH 43121, USA. Caitlin.Ubbing@osumc.edu.
⁵ Stephanie Spielman Comprehensive Breast Center, The Ohio State University, 1145 Olentangy River Road, Columbus, OH 43121, USA. Nicole.Williams@osumc.edu.

PMID: 31238518
PMCID: PMC6630523
DOI: 10.3390/geriatrics4020039

Review

Comprehensive Geriatric Assessment as a Versatile Tool to Enhance the Care of the Older Person Diagnosed with Cancer

Janine Overcash et al. Geriatrics (Basel). 2019.

. 2019 Jun 24;4(2):39.

doi: 10.3390/geriatrics4020039.

Authors

Janine Overcash¹, Nikki Ford², Elizabeth Kress³, Caitlin Ubbing⁴, Nicole Williams⁵

Affiliations

¹ The College of Nursing, The Ohio State University, 1585 Neil Ave, Newton Hall, Columbus, OH 43201, USA. Overcash.1@osu.edu.
² Stephanie Spielman Comprehensive Breast Center, The Ohio State University, 1145 Olentangy River Road, Columbus, OH 43121, USA. Nikki.Ford@osumc.edu.
³ Stephanie Spielman Comprehensive Breast Center, The Ohio State University, 1145 Olentangy River Road, Columbus, OH 43121, USA. Eizabeth.Kress@osumc.edu.
⁴ Stephanie Spielman Comprehensive Breast Center, The Ohio State University, 1145 Olentangy River Road, Columbus, OH 43121, USA. Caitlin.Ubbing@osumc.edu.
⁵ Stephanie Spielman Comprehensive Breast Center, The Ohio State University, 1145 Olentangy River Road, Columbus, OH 43121, USA. Nicole.Williams@osumc.edu.

PMID: 31238518
PMCID: PMC6630523
DOI: 10.3390/geriatrics4020039

Abstract

The comprehensive geriatric assessment (CGA) is a versatile tool for the care of the older person diagnosed with cancer. The purpose of this article is to detail how a CGA can be tailored to Ambulatory Geriatric Oncology Programs (AGOPs) in academic cancer centers and to community oncology practices with varying levels of resources. The Society for International Oncology in Geriatrics (SIOG) recommends CGA as a foundation for treatment planning and decision-making for the older person receiving care for a malignancy. A CGA is often administered by a multidisciplinary team (MDT) composed of professionals who provide geriatric-focused cancer care. CGA can be used as a one-time consult for surgery, chemotherapy, or radiation therapy providers to predict treatment tolerance or as an ongoing part of patient care to manage malignant and non-malignant issues. Administrative support and proactive infrastructure planning to address scheduling, referrals, and provider communication are critical to the effectiveness of the CGA.

Keywords: CGA; cancer; comprehensive geriatric assessment; multidisciplinary team; senior adult.

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Conflict of interest statement

We have no conflicts of interest to declare.

Figures

**Figure 1**
Prescreening using CGA to Determine Further Treatment or Diagnostics.

**Figure 2**
Smaller CGA to Determine Further Treatment or Diagnostics.

See this image and copyright information in PMC

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References

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[1] 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. doi: 10.1016/j.jpainsymman.2017.12.423. - DOI - PubMed

[2] 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. doi: 10.1016/j.jpainsymman.2017.12.423. - DOI - PubMed

[3] Hurria A. Management of Elderly Patients With Cancer. J. Natl. Compr. Cancer Netw. 2013;11:698–701. doi: 10.6004/jnccn.2013.0205. - DOI - PubMed

[4] Hurria A. Management of Elderly Patients With Cancer. J. Natl. Compr. Cancer Netw. 2013;11:698–701. doi: 10.6004/jnccn.2013.0205. - DOI - PubMed

[5] 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. doi: 10.1634/theoncologist.2016-0276. - DOI - PMC - PubMed

[6] 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. doi: 10.1634/theoncologist.2016-0276. - DOI - PMC - PubMed

[7] Balducci L. Treatment of Breast Cancer in Women Older Than 80 Years Is a Complex Task. J. Oncol. Pr. 2016;12:133–134. doi: 10.1200/JOP.2015.010405. - DOI - PubMed

[8] Balducci L. Treatment of Breast Cancer in Women Older Than 80 Years Is a Complex Task. J. Oncol. Pr. 2016;12:133–134. doi: 10.1200/JOP.2015.010405. - DOI - PubMed

[9] 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. doi: 10.1634/theoncologist.2017-0404. - DOI - PMC - PubMed

[10] 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. doi: 10.1634/theoncologist.2017-0404. - DOI - PMC - PubMed

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Comprehensive Geriatric Assessment as a Versatile Tool to Enhance the Care of the Older Person Diagnosed with Cancer

Affiliations

Comprehensive Geriatric Assessment as a Versatile Tool to Enhance the Care of the Older Person Diagnosed with Cancer

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

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Cited by

References

Publication types

LinkOut - more resources

Full Text Sources

Research Materials