Screening tools for multidimensional health problems warranting a geriatric assessment in older cancer patients: an update on SIOG recommendations
Open accessAbstract
Background Screening tools are proposed to identify those older cancer patients in need of geriatric assessment (GA) and multidisciplinary approach. We aimed to update the International Society of Geriatric Oncology (SIOG) 2005 recommendations on the use of screening tools.Materials and methods SIOG composed a task group to review, interpret and discuss evidence on the use of screening tools in older cancer patients. A systematic review was carried out and discussed by an expert panel, leading to a consensus statement on their use.Results Forty-four studies reporting on the use of 17 different screening tools in older cancer patients were identified. The tools most studied in older cancer patients are G8, Flemish version of the Triage Risk Screening Tool (fTRST) and Vulnerable Elders Survey-13 (VES-13). Across all studies, the highest sensitivity was observed for: G8, fTRST, Oncogeriatric screen, Study of Osteoporotic Fractures, Eastern Cooperative Oncology Group-Performance Status, Senior Adult Oncology Program (SAOP) 2 screening and Gerhematolim. In 11 direct comparisons for detecting problems on a full GA, the G8 was more or equally sensitive than other instruments in all six comparisons, whereas results were mixed for the VES-13 in seven comparisons. In addition, different tools have demonstrated associations with outcome measures, including G8 and VES-13.Conclusions Screening tools do not replace GA but are recommended in a busy practice in order to identify those patients in need of full GA. If abnormal, screening should be followed by GA and guided multidisciplinary interventions. Several tools are available with different performance for various parameters (including sensitivity for addressing the need for further GA). Further research should focus on the ability of screening tools to build clinical pathways and to predict different outcome parameters.
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The use of these tools has not been validated in COVID-19, and evidence for their use is limited.
“However, others have highlighted that their use has not been validated in these circumstances, and advocate for cautious implementation in the context of the pandemic as clear evidence is limited [34,35].”
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- Authors
- Decoster, L., Van Puyvelde, K., Mohile, S., Wedding, U., Basso, U., Colloca, G., Rostoft, S., Overcash, J., Wildiers, H., Steer, C., Kimmick, G., Kanesvaran, R., Luciani, A., Terret, C., Hurria, A., Kenis, C., Audisio, R., & Extermann, M.
- Affiliations
- Vrije Universiteit Brussel (BE)
- University of Rochester Medicine (US)
- Jena University Hospital (DE)
- Istituto Oncologico Veneto (IT)
- Università Cattolica del Sacro Cuore (IT)
- Oslo University Hospital (NO)
- The Ohio State University (US)
- Universitair Ziekenhuis Leuven (BE)
- Duke University (US)
- National Cancer Centre Singapore (SG)
- Ospedale San Paolo (IT)
- Centre Léon Bérard (FR)
- City Of Hope National Medical Center (US)
- KU Leuven (BE)
- University of Liverpool (GB)
- University of South Florida (US)
- Corresponding author
- Decoster, L.
- ORCID
- Venue
- Annals of Oncology
- Publisher
- Elsevier BV
- Published
- 2015-02
- Volume
- 26
- Issue
- 2
- Pages
- 288-300
- ISSN
- 0923-7534 (ISSN-L)
- OpenAlex
- W2126838184
- Cited by
- 794
- References
- 70
- Citations by year
- 2026: 49 · 2025: 45 · 2024: 56 · 2023: 70 · 2022: 79 · 2021: 97 · 2020: 90 · 2019: 78 · 2018: 66 · 2017: 72 · 2016: 53 · 2015: 29 · 2014: 5
- FWCI
- 27.02
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Annals of Oncology (publishedVersion)
- PubMed (publishedVersion)
- Lirias (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Keywords
- geriatric assessment, elderly cancer patients, screening tool, G8, VES-13, frailty screening, sensitivity, performance status, frailty assessment
- MeSH terms
- Aged, Aged, 80 and over, Female, Geriatrics, Humans, Male, Mass Screening, Medical Oncology, Neoplasms, Geriatric Assessment
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