During the current study, Dr. Hurria's salary was supported by the American Society of Clinical Oncology Young Investigator Award and the American Federation for Aging Research.
Developing a cancer-specific geriatric assessment†
A feasibility study
Article first published online: 4 OCT 2005
Copyright © 2005 American Cancer Society
Volume 104, Issue 9, pages 1998–2005, 1 November 2005
How to Cite
Hurria, A., Gupta, S., Zauderer, M., Zuckerman, E. L., Cohen, H. J., Muss, H., Rodin, M., Panageas, K. S., Holland, J. C., Saltz, L., Kris, M. G., Noy, A., Gomez, J., Jakubowski, A., Hudis, C. and Kornblith, A. B. (2005), Developing a cancer-specific geriatric assessment. Cancer, 104: 1998–2005. doi: 10.1002/cncr.21422
Presented at the 40th annual meeting of the American Society of Clinical Oncology, New Orleans, Louisiana, June 5–8, 2004.
- Issue published online: 17 OCT 2005
- Article first published online: 4 OCT 2005
- Manuscript Accepted: 16 MAY 2005
- Manuscript Revised: 23 MAR 2005
- Manuscript Received: 13 DEC 2004
- Memorial Sloan-Kettering Cancer Center (MSKCC) Patrick Byrne Research Fund
- MSKCC NIH P20
- geriatric assessment;
- older patient;
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.
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).
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.
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. Cancer 2005. © 2005 American Cancer Society.