How to Implement a Geriatric Assessment in Your Clinical Practice
Open accessAbstract
Cancer is a disease that mostly affects older adults. Other health conditions, changes in functional status, and use of multiple medications change the risks and benefits of cancer treatment for older adults. Several international organizations, such as the International Society of Geriatric Oncology, the European Organization for Research and Treatment of Cancer, recommend the conduct of a geriatric assessment (GA) for older adults with cancer to help select the most appropriate treatment and identify any underlying undetected medical, functional, and psychosocial issues that can interfere with treatment. The aim of this review is to describe what a GA is and how to implement it in daily clinical practice for older adults with cancer in the oncology setting. We provide an overview of commonly used tools. Key considerations in performing the GA include the resources available (staff, space, and time), patient population (who will be assessed), what GA tools to use, and clinical follow-up (who will be responsible for using the GA results for developing care plans and who will provide follow-up care). Important challenges in implementing GA in clinical practice include not having easy and timely access to geriatric expertise, patient burden of the additional hospital visits, and establishing collaboration between the GA team and oncologists regarding expectations of the population referred for GA and expected outcomes of the GA. Finally, we provide some possible interventions for problems identified during the GA.
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The CGA is now being used more widely in clinical trials and practice.
“is now being used more widely in clinical trials and in practice (25,26)”
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 [26]
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- Authors
- Sattar, S., Alibhai, S. M. H., Wildiers, H., & Puts, M. T. E.
- Affiliations
- University of Toronto (CA)
- University Health Network (CA)
- Universitair Ziekenhuis Leuven (BE)
- Corresponding author
- Puts, Martine T.E.
- Venue
- The Oncologist
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-09-03
- Volume
- 19
- Issue
- 10
- Pages
- 1056-1068
- ISSN
- 1083-7159 (ISSN-L)
- 1549-490X
- PMC
- PMC4200997
- OpenAlex
- W2123662332
- Cited by
- 75
- References
- 164
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 7 · 2022: 6 · 2021: 9 · 2020: 9 · 2019: 9 · 2018: 7 · 2017: 7 · 2016: 7 · 2015: 7 · 2014: 1
- FWCI
- 0.63
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- The Oncologist (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- 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, geriatric oncology, geriatric assessment tools, clinical implementation, functional status, polypharmacy, treatment selection, care planning, multidisciplinary collaboration, psychosocial assessment
- MeSH terms
- Accidental Falls, Activities of Daily Living, Aged, Aged, 80 and over, Cognition, Humans, Neoplasms, Nutritional Status, Social Class, Syndrome, Geriatric Assessment, Frail Elderly, Polypharmacy, Pain Management
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