Copyright ©2008 The WJG Press and Baishideng.
World J Gastroenterol. Mar 28, 2008; 14(12): 1812-1822
Published online Mar 28, 2008. doi: 10.3748/wjg.14.1812
Table 1 Comprehensive geriatric assessment
FunctionActivities of daily living (ADL)
Instrumental activities of daily living (IADL)
Performance status (PS)
HealthNumber of co-morbid conditions
Socio-economic statusIncome, education, living conditions, caregiver
Geriatric syndromesDementia (Mini-mental state examination, MMSE)
Depression (Geriatric depression scale, GDS)
Incontinence, failure to thrive, neglect and abuse
PharmacyPolypharmacy (other medications being taken)
NutritionMini nutritional assessment
Table 2 Classification of patients into 3 treatment categories based on CGA
1Healthy, good PSStandard cancer treatment
2Partially dependent, ≤ 2 comorbidities
Life expectancy shortened by cancer
if can tolerate treatmentStandard cancer treatment
if cannot tolerate treatmentPalliation
Life expectancy not shortened by cancerPalliation
3Frail patients who are totally dependent with ≥ 3 comorbidities or 1 geriatric syndromePalliation