A comprehensive geriatric assessment screening questionnaire (CGA‐GOLD) for older people undergoing treatment for cancer

Oncology services do not routinely assess broader needs of older people with cancer. This study evaluates a comprehensive geriatric assessment and comorbidity screening questionnaire (CGA‐GOLD) covering evidence‐based domains and quality of life (EORTC‐QLQ‐C30). Patients aged 65+ attending oncology...

Full description

Saved in:
Bibliographic Details
Published in:European journal of cancer care 2017-09, Vol.26 (5), p.e12509-n/a
Main Authors: Whittle, A.K., Kalsi, T., Babic‐Illman, G., Wang, Y., Fields, P., Ross, P.J., Maisey, N.R., Hughes, S., Kwan, W., Harari, D.
Format: Article
Language:English
Subjects:
Activities of Daily Living
Aged
Aged, 80 and over
Cancer
Cohort Studies
comorbidities
Comorbidity
comprehensive geriatric assessment
Diabetes mellitus
Diabetes Mellitus - diagnosis
Diabetes Mellitus - epidemiology
Dyspnea
Dyspnea - diagnosis
Dyspnea - epidemiology
Fatigue
Fatigue - diagnosis
Fatigue - epidemiology
Female
Flat surfaces
Geriatric Assessment - methods
Geriatrics
Gold
Health risks
Humans
Hypertension
Hypertension - diagnosis
Hypertension - epidemiology
Intervention
London - epidemiology
Male
Mass Screening - methods
Medical screening
Mobility Limitation
Needs Assessment
Neoplasms - epidemiology
Neoplasms - therapy
Nursing
older
Older people
Oncology
Patients
Polypharmacy
Quality of life
Questionnaires
Residence Characteristics
Respiration
Risk Assessment
screening
self‐report questionnaire
Social interactions
Social Isolation
Surveys and Questionnaires
Urinary incontinence
Urinary Incontinence - diagnosis
Urinary Incontinence - epidemiology
Walking
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Oncology services do not routinely assess broader needs of older people with cancer. This study evaluates a comprehensive geriatric assessment and comorbidity screening questionnaire (CGA‐GOLD) covering evidence‐based domains and quality of life (EORTC‐QLQ‐C30). Patients aged 65+ attending oncology services were recruited into (1) Observational cohort (completed CGA‐GOLD, received standard oncology care), (2) Intervention cohort (responses categorised ‘low‐risk’, ‘high‐risk’, ‘possible need’ by geriatricians). N = 417 observational patients (1002 invited by post, 418 consented, age 73.9 ± 5.4) completed CGA‐GOLD in 11.7 ± 7.9 min, 86.3% required no assistance, 3.1% overall missing responses. Multiple problems reported: hypertension (18.1%), diabetes (16.9%), dyspnoea on flat surfaces (27.6%), polypharmacy (46%), difficulty walking (14.9%), fatigue (40.5%), living alone (30.9%), social isolation (11.2%), recent functional dependence (27.8%), urinary incontinence (21.4%), falls (13.3%). 237/239 intervention patients completed CGA‐GOLD and consecutive subsets examined. The doctor and nurse specialist independently identified same need level in 87.3% (high inter‐rater reliability kappa = 0.80), taking 1–2 min per questionnaire. Need level remained unchanged following hospital notes review against responses in 90% (75/83). ‘Possible need’ patients were telephoned with change in 29% (16/55) to low‐risk and none to high‐risk, confirming high need was not being missed. CGA‐GOLD screening questionnaire was acceptable to older patients, feasibly administered in NHS cancer services, described comorbidities, CGA and QOL needs, and reliably identified higher risk patients requiring further input for optimal cancer treatment.
ISSN:0961-5423
1365-2354
DOI:10.1111/ecc.12509