Comprehensive Geriatric Assessment

Rubenstein, Laurence Z.; Wieland, Darryl

doi:10.1007/978-3-662-40455-3_5

Cited by 23 publications

(17 citation statements)

References 94 publications

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“…Stolee et al [38] and Yip et al [40] assessed content validity by comparing identified goal areas with a list of assessment areas derived from position statements describing the essential components of geriatric assessment [41][42][43] . In Stolee et al [38] , 2 geriatricians independently identified 82% (71 out of 87) of the goal areas; the remainder were set by consensus.…”

Section: Content Validitymentioning

confidence: 99%

Review of Goal Attainment Scaling as a Useful Outcome Measure in Psychogeriatric Patients with Cognitive Disorders

Bouwens

Heugten

Verhey

2008

Dement Geriatr Cogn Disord

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Background: Since evidence-based interventions are the standard, there is an urgent need for more information concerning individual ways of measuring clinically relevant outcomes of interventions in cognitive disorders such as dementia. Goal Attainment Scaling (GAS) seems to offer a meaningful outcome measure. Aim: To examine the applicability of GAS in psychogeriatric patients with cognitive disorders. Methods: A systematic review was performed on the available literature on the clinimetric aspects and the feasibility of GAS when used as an outcome measure for psychogeriatric patients with cognitive disorders. Eight databases were screened. Two authors independently reviewed all the data. Ten studies were included. Results: Mixed results were found for responsiveness, content validity, inter-rater reliability and construct/convergent validity. The involvement of patient and/or caregiver in the goal-setting procedure is possible and multiple domains can be implemented. The possibility to set at least 3 realistic goals per patient in less than 30 min is unclear and the need for involvement of a blinded assessor is not well established. Conclusion: GAS proved to be useful on important aspects of an outcome measure for psychogeriatric patients with cognitive disorders. Since other relevant aspects showed mixed results and the number of studies investigating the use of GAS in psychogeriatric patients with cognitive disorders is small, the evidence is not strong enough yet to state that GAS is an applicable outcome measure in this population.

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Section: Content Validitymentioning

confidence: 99%

Review of Goal Attainment Scaling as a Useful Outcome Measure in Psychogeriatric Patients with Cognitive Disorders

Bouwens

Heugten

Verhey

2008

Dement Geriatr Cogn Disord

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“…Multidimensional geriatric assessment, which includes medical, functional, psychosocial, and environmental assessments, is a common thread in most reported geriatric home prevention programs. Similar assessments performed in hospital‐based geriatric programs have resulted in such important benefits as prolonged survival, improved function, and reduced use of nursing homes 12–15 …”

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confidence: 99%

An In‐Home Preventive Assessment Program for Independent Older Adults: A Randomized Controlled Trial

Fabacher

Josephson

Pietruszka

et al. 1994

J American Geriatrics Society

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166

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“…CGA, generally the accepted gold standard for caring for frail older people in hospital, 45 is a multidisciplinary diagnostic process intended to determine medical, psychosocial and functional capabilities and limitations, and develop an overall plan for treatment and long-term follow-up. 46,47 CGA allows for assessment, diagnosis and institution of person-centred interventions to optimize one or more of the following: physical and mental health, polypharmacy, nutrition, hearing, vision, continence, social circumstances and ultimately functional capability, and is the most important clinical tool in geriatric medicine. In routine surgical settings, the structured nature of the CGA may capture the many facets of an older person's health that could otherwise be easily overlooked.…”

Section: Comprehensive Geriatric Assessmentmentioning

confidence: 99%

Frailty in the older person undergoing elective surgery: a trigger for enhanced multidisciplinary management – a narrative review

Subramaniam

Tiruvoipati

Lodge

et al. 2020

ANZ Journal of Surgery

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Background The ageing of our society has led to increasing numbers of older people requiring elective surgical procedures. Preoperative frailty is a strong predictor of adverse post‐operative outcomes. This review aims to summarize the evidence for interventions aimed at improving outcomes in frail older people who may undergo elective surgery. Methods Articles published on perioperative management of frailty between 1 January 1970 and 31 May 2019 were searched using PubMed and EMBASE. Results We identified very few studies investigating such interventions, such as comprehensive geriatric assessment, prehabilitation (alone or as a multicomponent strategy) and other multicomponent interventions. Administration of a comprehensive geriatric assessment was shown to be associated with reduced mortality, fewer complications and shorter length of hospital stay, and may be best targeted towards those who are identified as frail for resource efficiency. Multicomponent interventions including prehabilitation may be associated with improved outcomes, but the evidence base for these needs to be strengthened. Conclusion Establishing multidisciplinary collaborative services to provide person‐centred models of care should be considered for older people presenting for elective surgery, particularly in those with greater preoperative frailty. Further large‐scale studies should focus on implementing and evaluating such multicomponent models of care.

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Comprehensive Geriatric Assessment

Cited by 23 publications

References 94 publications

Review of Goal Attainment Scaling as a Useful Outcome Measure in Psychogeriatric Patients with Cognitive Disorders

Review of Goal Attainment Scaling as a Useful Outcome Measure in Psychogeriatric Patients with Cognitive Disorders

An In‐Home Preventive Assessment Program for Independent Older Adults: A Randomized Controlled Trial

Frailty in the older person undergoing elective surgery: a trigger for enhanced multidisciplinary management – a narrative review

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