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The DOI matches its OpenAlex record; 49 of the 49 references it cites were found in a registry or an index.

Comprehensive Geriatric Assessment Adds Information to Eastern Cooperative Oncology Group Performance Status in Elderly Cancer Patients: An Italian Group for Geriatric Oncology Study

Lazzaro Repetto, Lucia Fratino, Riccardo Alberto Audisio, Antonella Venturino, Walter Gianni, Marina Vercelli, Stefano Parodi, Denise Dal Lago, Flora Gioia, Silvio Monfardini, Matti Aapro, Diego Serraino, Vittorina Zagonel·2002·Journal of Clinical Oncology

Abstract

PURPOSE: To appraise the performance of Comprehensive Geriatric Assessment (CGA) in elderly cancer patients (> or = 65 years) and to evaluate whether it could add further information with respect to the Eastern Cooperative Oncology Group performance status (PS). PATIENTS AND METHODS: We studied 363 elderly cancer patients (195 males, 168 females; median age, 72 years) with solid (n = 271) or hematologic (n = 92) tumors. In addition to PS, their physical function was assessed by means of the activity of daily living (ADL) and instrumental activities of daily living (IADL) scales. Comorbidities were categorized according to Satariano's index. The association between PS, comorbidity, and the items of the CGA was assessed by means of logistic regression analysis. RESULTS: These 363 elderly cancer patients had a good functional and mental status: 74% had a good PS (ie, lower than 2), 86% were ADL-independent, and 52% were IADL-independent. Forty-one percent of patients had one or more comorbid conditions. Of the patients with a good PS, 13.0% had two or more comorbidities; 9.3% and 37.7% had ADL or IADL limitations, respectively. By multivariate analysis, elderly cancer patients who were ADL-dependent or IADL-dependent had a nearly two-fold higher probability of having an elevated Satariano's index than independent patients. A strong association emerged between PS and CGA, with a nearly five-fold increased probability of having a poor PS (ie, > or = 2) recorded in patients dependent for ADL or IADL. CONCLUSION: The CGA adds substantial information on the functional assessment of elderly cancer patients, including patients with a good PS. The role of PS as unique marker of functional status needs to be reappraised among elderly cancer patients.

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Research works printed but not linked: 7

  1. Rubenstein LZ, Josephson KR, Nichol-Seamson M, et al: Comprehensive health screening of well elderly adults. J Gerontol 41: 343,1986–352, · doi:10.1093/geronj/41.3.342
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  3. 10.1002/(SICI)1097-0142(19990301)85:5<1210::AID-CNCR40>3.0.CO;2-I · doi:10.1002/(sici)1097-0142(19990301)85:5<1210::aid-cncr40>3.0.co;2-i
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Metadata

Authors
Repetto, L., Fratino, L., Audisio, R. A., Venturino, A., Gianni, W., Vercelli, M., Parodi, S., Lago, D. D., Gioia, F., Monfardini, S., Aapro, M., Serraino, D., & Zagonel, V.
Venue
Journal of Clinical Oncology
Published
2002-01-15
Volume
20
Issue
2
Pages
494-502
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W2099847305
Cited by
912
References
49
FWCI
16.79
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Comprehensive Geriatric Assessment Adds Information to Eastern Cooperative Oncology Group Performance Status in Elderly Cancer Patients: An Italian Group for Geriatric Oncology Study. https://app.cochat.ai/papers/10.1200/jco.20.2.494
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Repetto, L., Fratino, L., Audisio, R. A., Venturino, A., Gianni, W., Vercelli, M., Parodi, S., Lago, D. D., Gioia, F., Monfardini, S., Aapro, M., Serraino, D., & Zagonel, V. (2002). Comprehensive Geriatric Assessment Adds Information to Eastern Cooperative Oncology Group Performance Status in Elderly Cancer Patients: An Italian Group for Geriatric Oncology Study. Journal of Clinical Oncology. https://doi.org/10.1200/jco.20.2.494

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