Geriatric assessment and care for older cancer inpatients admitted in acute care for elders unit

Rétornaz, F.; Seux, V.; Pauly, Vanessa; Soubeyrand, J.

doi:10.1016/j.critrevonc.2008.04.001

Cited by 20 publications

(8 citation statements)

References 36 publications

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“…In the present study, we demonstrated that, in our population of 292 acutely hospitalized older cancer patients, most of whom were living independently prior to admission, geriatric conditions were highly prevalent, but none of the elements of the CGA were associated with mortality. The high prevalence of geriatric conditions that we found was also seen in a hospital-based, retrospective study, which reported comparable rates of functional limitations, impaired mobility, malnutrition, and depression [17]. Interestingly, we found no differences in the presence of geriatric conditions between patients receiving active care and those receiving supportive care only.…”

Section: Discussionsupporting

confidence: 55%

The Value of a Comprehensive Geriatric Assessment for Patient Care in Acutely Hospitalized Older Patients with Cancer

et al. 2011

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Introduction.A comprehensive geriatric assessment systematically collects information on geriatric conditions and is propagated in oncology as a useful tool when assessing older cancer patients.Objectives. The objectives were: (a) to study the prevalence of geriatric conditions in cancer patients aged >65 years, acutely admitted to a general medicine ward; (b) to determine functional decline and mortality within 12 months after admission; and (c) to assess which geriatric conditions and cancer-related variables are associated with 12-month mortality.Methods. This was an observational cohort study of 292 cancer patients aged >65 years, acutely admitted to the general medicine and oncology wards of two university hospitals and one secondary teaching hospital. Baseline assessments included patient characteristics, reason for admission, comorbidity, and geriatric conditions. Follow-up at 3 and 12 months was aimed at func-

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Section: Discussionsupporting

confidence: 55%

The Value of a Comprehensive Geriatric Assessment for Patient Care in Acutely Hospitalized Older Patients with Cancer

et al. 2011

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“…Twenty-five studies were conducted in North America: 23 in the United States  (25,30–33,37,38,43,46,52,54,58,62,64,73,74,77,78,80,81,83,85,86, 88–92) and two in Canada (93–95). Forty-three studies were conducted in Europe: 19 in Italy (20,26,34–36,40,42, 44,51,53,57,59,61,63,67,69,70,76,79), 14 in France (19,27–29,39,45,48,72,82,84,87, 96–98), three in Spain (47,55,56), two in Germany (41,68,99), one in the United Kingdom (22,23), one in Norway (71,75), one in Greece (24), one in the Netherlands (18), and one in Austria (65). Two studies were conducted in Asia: one in Japan (100) and one in Korea (50).…”

Section: Resultsmentioning

confidence: 99%

“…Most of the studies recruited participants either through convenience sampling (25 studies) (24–26,30–32,36,37,39,51,52,59,65, 67,69,73,74,76–78,84,88–90,93–95,97,99) or by consecutive sampling (32 studies) (18,19,21,27,33–35,40,41,45–48,55,57,58,60–64,66,68,71,75,79,80,82,85,86,91,92,96,98,100) techniques. Three studies used other sampling methods (29,38,54), and in 13 studies the method used for recruitment was not clear or not reported (20,22,23,42–44,49,50,53,56,70,72,81,83,87).…”

Section: Resultsmentioning

confidence: 99%

“…In 61 of the 73 studies, the geriatric assessment was conducted in a hospital (18–21,24,25,27–41,43–8,50–53,55–69,71,72,74–79,81–90,92–100). In 11 studies, patients underwent geriatric assessment during admission or stay at inpatient ward (21,38,41,60,61,63,65,68,69,79,82,86,92), and participants in 11 studies were evaluated during initial or routine clinic visits (33,34,46–48,56,62,64,74,77,88). In four studies, the geriatric assessment took place either at inpatient admission or in the outpatient clinic (57,72,93–95).…”

Section: Resultsmentioning

confidence: 99%

“…A nutritional assessment was conducted in 40 studies (18–20, 25,27–29,32–36,38,39,43,45,47,48,50,51,53,55–57,63,65,66,71, 74–76,79,82,84,87–90,92–97,99,100), and 27 studies assessed the risk of falls (19,25,27,38,42,43,45,47,48,50,52,54,58,61,63,66, 72,76–78,80,82,84,88–96,98,99). Performance status was assessed in 37 studies (20,21,24,30–32,34,35,39,41,44, 46–48, 50,51,53,55,56,60–71,74,75,86–90,93–98,100).…”

Section: Resultsmentioning

confidence: 99%

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Use of Geriatric Assessment for Older Adults in the Oncology Setting: A Systematic Review

Puts

Hardt²,

Monette³

et al. 2012

JNCI: Journal of the National Cancer Institute

300

178

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BackgroundGeriatric assessment is a multidisciplinary diagnostic process that evaluates the older adult’s medical, psychological, social, and functional capacity. No systematic review of the use of geriatric assessment in oncology has been conducted. The goals of this systematic review were: 1) to provide an overview of all geriatric assessment instruments used in the oncology setting; 2) to examine the feasibility and psychometric properties of those instruments; and 3) to systematically evaluate the effectiveness of geriatric assessment in predicting or modifying outcomes (including the impact on treatment decision making, toxicity of treatment, and mortality).MethodsWe searched Medline, Embase, Psychinfo, Cinahl, and the Cochrane Library for articles published in English, French, Dutch, or German between January 1, 1996, and November 16, 2010, reporting on cross-sectional, longitudinal, interventional, or observational studies that assessed the feasibility or effectiveness of geriatric assessment instruments. The quality of articles was evaluated using relevant quality assessment frameworks.ResultsWe identified 83 articles that reported on 73 studies. The quality of most studies was poor to moderate. Eleven studies examined psychometric properties or diagnostic accuracy of the geriatric assessment instruments used. The assessment generally took 10–45min. Geriatric assessment was most often completed to describe a patient’s health and functional status. Specific domains of geriatric assessment were associated with treatment toxicity in 6 of 9 studies and with mortality in 8 of 16 studies. Of the four studies that examined the impact of geriatric assessment on the cancer treatment decision, two found that geriatric assessment impacted 40%–50% of treatment decisions.ConclusionGeriatric assessment in the oncology setting is feasible, and some domains are associated with adverse outcomes. However, there is limited evidence that geriatric assessment impacted treatment decision making. Further research examining the effectiveness of geriatric assessment on treatment decisions and outcomes is needed.

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Geriatric Models of Care

Capezuti¹,

Boltz²,

Kim³

2011

Principles and Practice of Geriatric Surgery

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Geriatric assessment and care for older cancer inpatients admitted in acute care for elders unit

Cited by 20 publications

References 36 publications

The Value of a Comprehensive Geriatric Assessment for Patient Care in Acutely Hospitalized Older Patients with Cancer

The Value of a Comprehensive Geriatric Assessment for Patient Care in Acutely Hospitalized Older Patients with Cancer

Use of Geriatric Assessment for Older Adults in the Oncology Setting: A Systematic Review

Geriatric Models of Care

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