Developing a cancer‐specific geriatric assessment: A feasibility study
Open accessAbstract
BACKGROUND: As the U.S. population ages, there is an emerging need to characterize the “functional age” of older patients with cancer to tailor treatment decisions and stratify outcomes based on factors other than chronologic age. The goals of the current study were to develop a brief, but comprehensive, primarily self‐administered cancer‐specific geriatric assessment measure and to determine its feasibility as measured by 1) the percentage of patients able to complete the measure on their own, 2) the length of time to complete, and 3) patient satisfaction with the measure. METHODS: The geriatric and oncology literature was reviewed to choose validated measures of geriatric assessment across the following domains: functional status, comorbidity, cognition, psychological status, social functioning and support, and nutritional status. Criteria applied to geriatric assessment measurements included reliability, validity, brevity, and ability to self‐administer. The measure was administered to patients with breast carcinoma, lung carcinoma, colorectal carcinoma, or lymphoma who were fluent in English and receiving chemotherapy at Memorial Sloan‐Kettering Cancer Center (New York, NY) or the University of Chicago (Chicago, IL). RESULTS: The instrument was completed by 43 patients (mean age, 74 yrs; range, 65–87 yrs). The majority had AJCC Stage IV disease (68%). The mean time to completion of the assessment was 27 minutes (range, 8–45 mins). Most patients were able to complete the self‐administered portion of the assessment without assistance (78%) and were satisfied with the questionnaire length (90%). There was no association noted between age (P = 0.56) or educational level (P = 0.99) and the ability to complete the assessment without assistance. CONCLUSIONS: In this cohort, this brief but comprehensive geriatric assessment could be completed by the majority of patients without assistance. Prospective trials of its generalizability, reliability, and validity are justified. Cancer 2005. © 2005 American Cancer Society.
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The self-administered CGA has been shown to be feasible, taking less than 30 minutes with all but 5 minutes patient self-reported.
“since the self-administered CGA has been shown to be feasible (less than 30 minutes, of which all but 5 minutes are patient self-reported) (9,10)”
From Frailty as determined by a comprehensive geriatric assessment-derived deficit-accumulation index in older patients with cancer who receive chemotherapy (2016) · cites this paper as [9]
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- Authors
- Hurria, A., Gupta, S., Zauderer, M., Zuckerman, E. L., Cohen, H. J., Muss, H., Rodin, M., Panageas, K. S., Holland, J. C., Saltz, L., Kris, M. G., Noy, A., Gomez, J., Jakubowski, A., Hudis, C., & Kornblith, A. B.
- Affiliations
- American Society of Clinical Oncology (US)
- University of Chicago (US)
- Columbia University (US)
- Memorial Sloan Kettering Cancer Center (US)
- Duke University (US)
- University of Vermont (US)
- Dana-Farber Cancer Institute (US)
- Corresponding author
- Hurria, Arti
- ORCID
- Venue
- Cancer
- Publisher
- Wiley
- Published
- 2005-10-04
- Volume
- 104
- Issue
- 9
- Pages
- 1998-2005
- ISSN
- 0008-543X (ISSN-L)
- 1097-0142
- OpenAlex
- W1519189106
- Cited by
- 623
- References
- 32
- Citations by year
- 2026: 19 · 2025: 12 · 2024: 29 · 2023: 32 · 2022: 51 · 2021: 45 · 2020: 48 · 2019: 42 · 2018: 49 · 2017: 40 · 2016: 29 · 2015: 31 · 2014: 31 · 2013: 21 · 2012: 28
- FWCI
- 7.08
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cancer (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Federation for Aging Research
- Memorial Sloan-Kettering Cancer Center
- National Institutes of Health
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- geriatric assessment, elderly cancer patients, functional status, comorbidities, cognitive status, social functioning, nutritional status, self-administered questionnaire, feasibility, patient satisfaction, chemotherapy, functional age, breast cancer, lung cancer, colorectal cancer, lymphoma
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Depression, Educational Status, Feasibility Studies, Female, Humans, Male, Manifest Anxiety Scale, Neoplasms, Psychometrics, Self-Assessment, Social Support, Geriatric Assessment, Patient Satisfaction, Marital Status, Karnofsky Performance Status
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