Identifying an accurate pre-screening tool in geriatric oncology

Kellen, Eliane, Bulens, Paul, Deckx, Laura, Schouten, Harry, Van Dijk, Marjan, Verdonck, Ilse and Buntinx, Frank (2010) Identifying an accurate pre-screening tool in geriatric oncology. Critical Reviews in Oncology/Hematology, 75 3: 243-248. doi:10.1016/j.critrevonc.2009.12.002

Author Kellen, Eliane
Bulens, Paul
Deckx, Laura
Schouten, Harry
Van Dijk, Marjan
Verdonck, Ilse
Buntinx, Frank
Title Identifying an accurate pre-screening tool in geriatric oncology
Journal name Critical Reviews in Oncology/Hematology   Check publisher's open access policy
ISSN 1040-8428
Publication date 2010-09-03
Year available 2010
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.critrevonc.2009.12.002
Open Access Status Not Open Access
Volume 75
Issue 3
Start page 243
End page 248
Total pages 6
Place of publication Shannon, Ireland
Publisher Elsevier Ireland
Language eng
Abstract The use of comprehensive geriatric assessment (CGA) in cancer patients older than 70 is recommended. Three pre-screening instruments have been proposed: the abbreviated comprehensive geriatric assessment (aCGA), the Vulnerable Elders Survey (VES-13), and the Groningen frailty index (GFI). The objective of the study was to identify the most efficient pre-screening tool that accurately determines individuals who may benefit from the entire CGA. A total of 113 elderly cancer patients were assessed by means of the aCGA, VES-13, GFI and the full CGA. The sensitivity, specificity of the three instruments was calculated, using the results from the entire CGA as the gold standard for the GFI and the VES-13. The aCGA was assessed whether each sub-component reliably predicts impairment on each sub-component of the full CGA.The majority of the participants were defined as being at risk of vulnerability: 68.14% had two or more impairments of the CGA or were cognitively impaired. The physical and disability questions are useful, but all other screening instruments miss too many cases.
Keyword Frail elderly
Geriatric assessment
Geriatric oncology
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: Discipline of General Practice Publications
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