Developing a cancer-specific geriatric assessment - A feasibility study

被引:486
作者
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
机构
[1] Mem Sloan Kettering Canc Ctr, Dept Med Psychiat & Behav Sci & Biostat, New York, NY 10021 USA
[2] Univ Chicago, Dept Med, Chicago, IL 60637 USA
[3] Columbia Univ, Coll Phys & Surg, New York, NY USA
[4] Durham Vet Affairs Med Ctr, Ctr Study Aging, Durham, NC USA
[5] Duke Univ, Durham, NC USA
[6] Univ Vermont, Dept Med, Burlington, VT USA
[7] Dana Farber Canc Inst, Dept Med Oncol, Boston, MA 02115 USA
关键词
geriatric assessment; older patient; chemotherapy;
D O I
10.1002/cncr.21422
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BACKGROUND. As the U.S. population ages, there is an emerging need to characterize the "functional age" of older patients with cancer to tailor treatment decisions and stratify outcomes based on factors other than chronologic age. The goals of the current study were to develop a brief, but comprehensive, primarily self-administered cancer-specific geriatric assessment measure and to determine its feasibility as measured by 1) the percentage of patients able to complete the measure on their own, 2) the length of time to complete, and 3) patient satisfaction with the measure. METHODS. The geriatric and oncology literature was reviewed to choose validated measures of geriatric assessment across the following domains: functional status, comorbidity, cognition, psychological status, social functioning and support, and nutritional status. Criteria applied to geriatric assessment measurements included reliability, validity, brevity, and ability to self-administer. The measure was administered to patients with breast carcinoma, lung carcinoma, colorectal carcinoma, or lymphoma who were fluent in English and receiving chemotherapy at Memorial Sloan-Kettering Cancer Center (New York, NY) or the University of Chicago (Chicago, IL). RESULTS. The instrument was completed by 43 patients (mean age, 74 yrs; range, 65-87 yrs). The majority had AJCC Stage IV disease (68%). The mean time to completion of the assessment was 27 minutes (range, 8-45 mins). Most patients were able to complete the self-administered portion of the assessment without assistance (78%) and were satisfied with the questionnaire length (90%). There was no association noted between age (P = 0.56) or educational level (P = 0.99) and the ability to complete the assessment without assistance. CONCLUSIONS. In this cohort, this brief but comprehensive geriatric assessment could be completed by the majority of patients without assistance. Prospective trials of its generalizability, reliability, and validity are justified.
引用
收藏
页码:1998 / 2005
页数:8
相关论文
共 31 条
[1]  
[Anonymous], [No title captured]
[2]  
[Anonymous], EVALUATION CHEMOTHER
[3]  
Balducci L, 2001, Cancer Control, V8, P1
[4]   SCREENING FOR DEPRESSION AND ANXIETY IN CANCER-PATIENTS USING THE HOSPITAL ANXIETY AND DEPRESSIONS SCALE [J].
CARROLL, BT ;
KATHOL, RG ;
NOYES, R ;
WALD, TG ;
CLAMON, GH .
GENERAL HOSPITAL PSYCHIATRY, 1993, 15 (02) :69-74
[5]   A controlled trial of inpatient and outpatient geriatric evaluation and management [J].
Cohen, HJ ;
Feussner, JR ;
Weinberger, M ;
Carnes, M ;
Hamdy, RC ;
Hsieh, F ;
Phibbs, C ;
Lavori, P ;
Courtney, D ;
Lyles, KW ;
May, C ;
McMurtry, C ;
Pennypacker, L ;
Smith, DM ;
Ainslie, N ;
Hornick, T ;
Brodkin, K .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 346 (12) :905-912
[6]   PROGNOSTIC EFFECT OF WEIGHT-LOSS PRIOR TO CHEMOTHERAPY IN CANCER-PATIENTS [J].
DEWYS, WD ;
BEGG, C ;
LAVIN, PT ;
BAND, PR ;
BENNETT, JM ;
BERTINO, JR ;
COHEN, MH ;
DOUGLASS, HO ;
ENGSTROM, PF ;
EZDINLI, EZ ;
HORTON, J ;
JOHNSON, GJ ;
MOERTEL, CG ;
OKEN, MM ;
PERLIA, C ;
ROSENBAUM, C ;
SILVERSTEIN, MN ;
SKEEL, RT .
AMERICAN JOURNAL OF MEDICINE, 1980, 69 (04) :491-497
[7]   RELATION BETWEEN COGNITIVE IMPAIRMENT AND EARLY DEATH IN THE ELDERLY [J].
EAGLES, JM ;
BEATTIE, JAG ;
RESTALL, DB ;
RAWLINSON, F ;
HAGEN, S ;
ASHCROFT, GW .
BRITISH MEDICAL JOURNAL, 1990, 300 (6719) :239-240
[8]   Comorbidity and functional status are independent in older cancer patients [J].
Extermann, M ;
Overcash, J ;
Lyman, GH ;
Parr, J ;
Balducci, L .
JOURNAL OF CLINICAL ONCOLOGY, 1998, 16 (04) :1582-1587
[9]   THE DEVELOPMENT, VALIDITY, AND RELIABILITY OF THE OARS MULTIDIMENSIONAL FUNCTIONAL ASSESSMENT QUESTIONNAIRE [J].
FILLENBAUM, GG ;
SMYER, MA .
JOURNALS OF GERONTOLOGY, 1981, 36 (04) :428-434
[10]   Lower extremity function and subsequent disability: Consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery [J].
Guralnik, JM ;
Ferrucci, L ;
Pieper, CF ;
Leveille, SG ;
Markides, KS ;
Ostir, GV ;
Studenski, S ;
Berkman, LF ;
Wallace, RB .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2000, 55 (04) :M221-M231