Advertisement

Supportive Care in Cancer

, Volume 27, Issue 5, pp 1871–1877 | Cite as

Evaluation of a comprehensive geriatric assessment tool in geriatric cancer patients undergoing adjuvant chemotherapy: a pilot study

  • Rama Koneru
  • Orit Freedman
  • Manon Lemonde
  • Jane FroeseEmail author
Original Article
  • 84 Downloads

Abstract

Purpose

It is recommended to use comprehensive geriatric assessment (CGA) in clinical oncology practice to improve care for geriatric cancer patients and to identify medical and social issues that may need further intervention. The purpose of this pragmatic pilot study was to evaluate the effectiveness of the Hurria et al. CGA in cancer patients 70 years of age or older undergoing adjuvant chemotherapy, as well as the feasibility of integrating it into a busy clinic practice and the psychosocial impact on these patients.

Method

Twenty-five patients were recruited. Descriptive analysis was performed via a geriatric assessment questionnaire completed by the participants prior to their first adjuvant chemotherapy treatment and during follow-up, 2 to 6 weeks after last treatment. Additionally, study staff performed a geriatric healthcare assessment at both time points.

Results

The results of this pilot study show that administration is feasible despite some challenges. Administration of a CGA in a clinic setting presented some logistical issues with regard to time and space available in clinic. Analysis of patient data indicated only minor variations in patient domains from pre-chemo to post-chemo confirming previous research. Participants expressed gratitude for the extra time spent with them at a stressful time in their lives.

Conclusion

Further information regarding the usefulness of a comprehensive geriatric assessment with regard to improving treatment selection, identifying undetected medical problems, and avoiding toxicity will be obtained if the administration of comprehensive geriatric questionnaires is incorporated into the clinic setting and considered into the allocated time for staff workload.

Keywords

Cancer Comprehensive geriatric assessment Adjuvant chemotherapy Geriatric assessment tool Geriatric cancer 

Notes

Acknowledgments

We acknowledge the contribution of Research Assistant Archit Malyala in conducting this study.

Compliance with ethical standards

The study was approved by the local research ethics board (RID#2014–061).

Informed consent

Informed consent was obtained from all participants in the study.

Conflict of interest

The authors declare that they have no conflicts of interest.

References

  1. 1.
    Canadian Cancer Society (2017). Canadian Cancer Statistics 2016. Retrieved from http://www.cancer.ca/statistics
  2. 2.
  3. 3.
    Fried LP, Storer DJ, King DE, Lodder F (1991) Diagnosis of illness presentation in the elderly. J Am Geriatr Soc 39:117–123CrossRefGoogle Scholar
  4. 4.
    Lloyd AJ (2001) The extent of patients’ understanding of the risk of treatments. Quality in Health Care 10(Suppl 1):i14–i18CrossRefGoogle Scholar
  5. 5.
    Puts MTE, Hardt J, Monette V, Girre E, Springall E, Alibhai SM (2012) Use of geriatric assessment for older adults in the oncology setting: a systematic review. J Natl Cancer Inst 104(15):1134–1164CrossRefGoogle Scholar
  6. 6.
    Devons CAJ (2002) Comprehensive geriatric assessment: making the most of the aging years. Current Opinion Clinical Nutrition Metabolic Care 5(1):19–24CrossRefGoogle Scholar
  7. 7.
    Hurria A, Lachs MS, Cohen HJ, Muss HB, Kornblith AB (2006) Geriatric assessment for oncologists: rationale and future directions. Crit Rev Oncol Hematol 59(3):211–217CrossRefGoogle Scholar
  8. 8.
    Hurria A, Cirrincione CT, Muss HB, Kornblith AB, Barry W, Artz AS, Schmieder L, Ansari R, Tew WP, Weckstein D, Kirshner J, Togawa K, Hansen K, Katheria V, Stone R, Galinsky I, Postiglione J, Cohen HJ (2011) Implementing a geriatric assessment in cooperative group clinical cancer trials: CALGB 360401. J Clin Oncol 29(10):1290–1296CrossRefGoogle Scholar
  9. 9.
    Piccirillo JF, Vlahiotis A, Barrett LB, Flood KL, Spitznagel EL, Steyerberg EW (2008) The changing prevalence of comorbidity across the age spectrum. Crit Rev Oncol Hematol 67(2):124–132CrossRefGoogle Scholar
  10. 10.
    Balducci L, Colloca G, Cesari M, Gambassi G (2010) Assessment and treatment of elderly patients with cancer. Surg Oncol 19:117–123CrossRefGoogle Scholar
  11. 11.
    Decoster L, Van Puyvelde K, Mohile S, Wedding U, Basso U, Colloca G, Rostoft S, Overcash J, Wildier H, Steer C, Kimmick G, Kanesvaran R, Luciani A, Terret C, Hurria A, Kenis C, Audisio R, Extermann M (2015) Screening tools for multidimensional health problems warranting a geriatric assessment in older cancer patients: an update on SIOG recommendations. Ann Oncol 26:288–300.  https://doi.org/10.1093/annonc/mdu210 CrossRefGoogle Scholar
  12. 12.
    Bellera, CA, Rainfray M, Mathoulin-Pelissier S, Mertens C, Delva F, Fonck M, Soubeyran PL (2012) Screening older cancer patients: first evaluation of the G-8 geriatric screening tool. Annals of Oncology : mdr587, 23, 2166, 2172Google Scholar
  13. 13.
    Hurria A, Gupta S, Zauderer M, Zuckerman EL, Cohen HJ, Muss H, Rodin M, Panageas KS, Holland JC, Saltz L, Kris MG, Noy A, Gomez J, Jakubowski A, Hudis C, Kornblith AB (2005) Developing a cancer-specific geriatric assessment. Cancer 104(9):1998–2005CrossRefGoogle Scholar
  14. 14.
    Puts MTE, Santos B, Hardt J, Monette J, Girre V, Atenafu EG, et al. An update of a systematic on the use of geriatric assessment for older adults in oncology. Ann Oncol 2013; In pressGoogle Scholar
  15. 15.
    Syme R, Stiles C (2012) Promoting nursing research and innovation by staff nurses. Appl Nurs Res 25(1):17–24CrossRefGoogle Scholar
  16. 16.
    Roxburgh M (2005) An exploration of factors which constrain nurses from research participation. J Clin Nurs 15:535–545 2006CrossRefGoogle Scholar
  17. 17.
    Delgado-Rodriguez M, Llorca J (2004) Bias. J Epidemiol Community Health 58:635–641CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.RS McLaughlin Durham Regional Cancer CentreLakeridge HealthOshawaCanada
  2. 2.Research AssociateLakeridge HealthOshawaCanada

Personalised recommendations