Visit the ACCC COVID-19 Resource Center & Discussion Group for Insights on Providing Optimal Patient Care During the Pandemic.
 

Resources

For cancer programs taking the initiative to enhance their care for older adults with cancer, a first step is completing the Geriatric Oncology Gap Assessment Tool (Coming Soon). Once your assessment is complete, return to this page for resources and tools to support your improvement plan(s). The first 9 categories below address criteria found in the gap assessment tool; additional resources follow. 

Not sure where to start? This How-To Guide (Coming Soon) offers detailed instructions for strategies in each domain that can be implemented without significant burden on staff or budgets. 

We encourage you to submit resources for inclusion on this list. Please contact Elana Plotkin, CMP-HC, Senior Program Manager, ACCC Provider Education. 

Functional Status

Dependency on others in performing activities of daily living (ADLs), instrumental activities of daily living (IADLs), and mobility are associated with treatment-related toxicity, functional decline, catastrophic disability, and death. Functional disability is incredibly costly and accounts for almost half of all Medicare expenditures. Questions about functional status are most often patient-reported outcomes that any member of the clinical team (medical assistant, nursing staff, advanced practice provider, or physician) can ask. The answers are easily captured on either paper or using an electronic format during waiting room time or prior to the clinic visit.

ADLs: Activities of Daily Living (Katz) and IADLs: Instrumental Activities of Daily Living (Lawton) 
(Sample instrument and Instructions included in link.) This ADL instrument assesses functional status as a measurement of the patient’s ability to perform activities of daily living independently. Clinicians typically use the tool to detect problems in performing activities of daily living and to plan care accordingly. The Index ranks adequacy of performance in six functions: bathing, dressing, toileting, transferring, continence, and feeding. The IADL instrument assesses independent living skills within eight domains of function.

Falls: Ask patients if they have had any falls within the last 6 months.

Timed Up and Go (TUG)
This brief physical test is used to observe the patient’s postural stability, gait, stride length, and sway. The TUG considers balance in the ability to rise from a sitting position and ambulate 10 feet and return to a sitting position. The TUG has been found to be correlated with falls and can be administered by anyone on the healthcare team. This test can be used with any older patient to screen for risk of falls and lower extremity weakness that could potentially be addressed with a physical therapy referral.  The TUG is an objective measure that provides the clinician a view of how a patient can rise from a chair and walk a short distance.  An objective measure avoids patients who may over-estimate physical abilities and may need some help with tasks to live independently. The TUG is measured in seconds and can be compared at each visit.  A limitation of the TUG is that it is only an objective measure and narrative surrounding physical ability is not recorded. Other mobility activities for consideration are the ability to walk a quarter mile, climb a flight of stairs, lift/carry 10 lbs., and driving. Patients can report the extent of their ability to perform these tasks which offers the clinician a sense of functional capability. Difficulty on any of the activities may indicate pending or worsening disability. 

Short Physical Performance Battery (SPPB)
This battery of tests assesses lower extremity function using measures of balance, mobility, and strength. Clinically, the results of SPPB predict impairments in activities of daily living, falls, and mobility. This page includes training materials and videos.

CARG Fall Prevention Resources for Patients
Fall prevention fact sheets, webinars, homes exercises, and more. This page also includes driving safety resources and medical alert systems.

MOS-SF 12: Medical Outcomes Study - Short Form 12-item questionnaire
The Medical Outcomes Study (MOS) Physical Functioning Scale is a 12-item scale used to assess the relationship between health and physical activities such as self-care, walking, climbing hills and stairs, bending, lifting, and moderate and vigorous activities. The MOS physical functioning scale is advantageous because of the low-test administration burden on staff and patients. Interpretation of score results from the MOS physical functioning scale may limit widespread use. This tool requires a license to use.

MOS Full: Medical Outcomes Study – SF 36

CARG Activity and Mobility Resources for Patients
Fact sheets on exercise, physical activity, recovery from surgery, and more.

Functional trajectories before and after a new cancer diagnosis among community-dwelling older adults.
Presley CJ, Han L, Leo-Summers L, et al. Published online 2018. Published in final edited form as J Geriatr Oncol. 2019;10(1):60-67.

Prognostic value of handgrip strength in people aged 60 years and older: A systematic review and meta-analysis.
Rijk JM, Roos P, Deckx L, et al. GeriatrGerontolInt. 2016;16:5-20.

Cognition

Cognition changes may occur with aging. The prevalence of dementia in individuals aged 71 and above  is nearly 14%. Mild cognitive impairment (MCI) increases with age and can be as high as 25% in those over 80 years of age. Declines in cognition can lead to a loss of independent function and can affect the patient’s ability to provide self-care during and after cancer treatment. Screening for MCI and dementia in the oncology setting can help identify patients in need of additional support during and after treatment. National Comprehensive Cancer Network (NCCN) guidelines recommend evaluating cognition if impaired cognition would affect treatment, there is concern about a patient’s decision-making capacity, or if the provider or caregivers have concerns about a patient’s cognition. Assessment of cognitive function should be performed at baseline and repeated periodically to determine changes over time.

Blessed Orientation-Memory Concentration (BOMC) Test
This screening tool allows family members, caregivers, or healthcare professionals to check for suspected dementia or cognitive disability for patients over age 55. It may also be used in younger patients to screen for cognitive disability.

Mini Mental Status Examination (MMSE)
A brief, quantitative measure of cognitive status in adults, the MMSE can be used to screen for cognitive impairment, to estimate the severity of cognitive impairment at a given point in time, to follow the course of cognitive changes in an individual over time, and to document an individual's response to treatment. Note: There is a fee to use this tool.

MiniCog©
This is a three-minute instrument that can increase detection of cognitive impairment in older adults. After a brief training, the MiniCog can be used effectively in both healthcare and community settings. It has two components: a three-item recall test for memory and a simply scored clock drawing test.

Montreal Cognitive Assessment (MoCA)
The MoCA is a brief screening test to assess for dementia. It includes 30 questions, is available in multiple languages, and takes about 10-15 minutes to complete. The MoCA assesses several different types of cognitive abilities including orientation, short-term memory, executive function, language, abstraction, attending, and animal naming. It also includes a clock-drawing test. Health professionals complete a 60-minute certification training. The assessment is available for tablet or smart phones. Note: Cost = $125.

Clock Drawing Test
The clock-drawing test is a simple screening tool used to identify signs of cognitive problems. It is often combined with other screening tests but is useful even by itself. The test involves providing the patient with a blank piece of paper and asking them to draw a clock that shows the time of 10 minutes after 11. The benefits of this test are in its simplicity and ease of use in a clinical setting.

Online Course for Brief Cognitive Screens: Oklahoma Geriatric Education Center

This module provides an overview of a variety of brief cognitive screening measures that are in the public domain and can easily be integrated in care settings that serve older adults. The online module is  an interactive didactic experience that includes short videos, reflection questions, and role-play experiential exercises. 
Comorbidities

Advanced age is not only associated with an increased risk of cancer, it is also associated with other age-related health problems and chronic illness that can have adverse consequences on independent living, rates of disability, and quality of life. Previous research in community cancer samples have shown high prevalence rates of comorbid conditions among older patients with cancer, with 69% to 92% of patients reporting at least one comorbid condition. Studies have found that the most prevalent conditions include hypertension, cardiovascular disease, diabetes, and arthritis, and are distinct entities from geriatric syndromes and disability. Comorbidities have been shown to be an important prognostic factor for patients with cancer and can pose a major clinical challenge for the care of older adults with cancer.3  In the context of cancer, comorbidities have been found to increase the risk of several adverse outcomes including death, institutionalization, decreased health-related quality of life, and higher rates of adverse events from treatments or interventions (such as surgical complications or chemotherapy toxicities).

Older Americans Resources and Services (OARS):
The OARS subscale is a patient-reported measure that assesses the presence of 14 specific conditions as well as the degree to which each interferes with activities. Commonly used in comprehensive geriatric assessments of older patients with cancer, results of the OARS subscale measure have been found to be associated with overall survival? It is recommended that healthcare professionals planning to use the OARS multidimensional functional assessment review the training video and manual to assure consistent and reliable data collection. Note: Cost = $5 for electronic questionnaire.

Cumulative Illness Rating Scale (CIRS-G)
A comprehensive approach to recording all comorbidities, the CIRS-G categorizes comorbidities according to the organ system affected and rates them according to their severity from 0 to 4, with 0 being no severity and 4 being extremely severe. The scale typically includes 13-14 organ system subdivisions and results can be summarized as a total score, mean score, number of involved categories, or the number of severe categories (3 or more).  Studies in older adults with cancer have shown the CIRS comorbidity method to be an independent predictor of mortality and progression-free survival. In order to improve the ease of use of the CIRS comorbidity scale, online interactive online tools and apps are available that help shorten the time required to complete and automatically calculate scores to aid in real-time interpretation. Scoring Sheet

Eprognosis
A rough guide (i.e., calculators) to inform clinicians about possible mortality outcomes, eprognosis is not intended to be the only basis for making care decisions or to be a definitive means of prognostication. Clinicians should keep in mind that each patient is an individual and that many factors beyond those used in these indices may influence a patient's prognosis.

NCCN Senior Adult Oncology & Life Expectancy Tables for assessment (Walters, et al.) (Coming Soon)

Charlson Comorbidity Index (CCI)
This weighted index is used to predict risk of death within 1 year of hospitalization for patients with specific comorbid conditions.

Screening

Geriatric 8 (G8)
This series of 8 questions can be answered by a patient in approximately 1 minute.  G8 has been validated in older adults with cancer. See also G8 Online Scoring Calculator.

Vulnerable Elders Survey-13 (VES-13)
This is a simple function-based tool for screening community-dwelling populations to identify older persons at risk for health deterioration. The VES-13 considers age, self-rated health, limitations on physical function, and functional disabilities. See also Scoring Directions.

Senior Adult Oncology Program (SAOP3)
Used with new patients at the Moffitt Senior Adult Oncology Program, this questionnaire aims at identifying individuals who need an additional multidisciplinary evaluation. A list of tools associated with this aggregated screening tool is available on the Moffitt website. The questionnaire is available in 9 languages.

Groningen Frailty Indicator (GFI)
The GFI is a 15-item questionnaire to assess mobility, vision, hearing, nutrition, co-morbidity, cognition, psychosocial, and physical fitness.

Korean Cancer Study Group Geriatric score (KG)-7:
This validated 7-item tool is particularly suited for the high-burden clinic where there are limited resources. In a study of patients with advanced cancer in whom first-line palliative chemotherapy was planned, performance of the KG-7 was comparable to the G-8. 

Triage Risk Screening Tool (TRST)
A sample older adult risk-assessment screening tool from St. Joseph Healthcare, Hamilton, Ontario.

Edmonton Symptom Assessment System (ESAS)
This tool is designed to assist in the assessment of 9 symptoms commonly experienced in  patients with cancer: pain, tiredness, nausea, depression, anxiety, drowsiness, appetite, well-being, and shortness of breath, (there is also a line labelled “Other Problem”). The ESAS can be used for palliative/supportive care assessment.

Pharmacy/Medication Management

Polypharmacy is common in older adults with cancer. The basic and widely used definition of polypharmacy is the individual who takes 5 or more medications including prescription, over-the-counter, vitamins, and supplemental agents. Consequences of polypharmacy include increased risk of adverse drug reactions, drug-drug interactions, inappropriate prescribing, functional decline, nonadherence, increased risk of geriatric syndromes (falls, frailty, delirium, cognitive impairment), and increased risk of healthcare utilization.

2019 Beers Criteria (Criteria For Download)
American Geriatrics Society 2019 Beers Criteria Update Expert Panel.
Fick DM, Semla TP, Beizer J, Brandt N, Dombrowski R, et al.
American Geriatrics Society 2015 updated Beers Criteria for potentially inappropriate medication use in older adults. J. Am Geriatr Soc 2015;63(11):2227-46.

Using Wisely: a reminder on the proper use of the American Geriatrics Society Beers Criteria®.
Steinman MA, Fick M. J Am Geriatri Soc. 2019;64(4):644-646.

STOPP 2014 - Version 2
Criteria for potentially inappropriate prescribing in older people.
O'Mahony D, Gallagher P, Ryan C, Byrne S, Hamilton H, et al. STOPP & START criteria: a new approach to detecting potentially inappropriate prescribing in old age. Eur Geriatr Med. 2010;1(1):45-51.

Medication Appropriateness Index
Hanlon J, Schmader K, Samsa G, Weinberger M, Uttech KM, et al. A method for assessing drug therapy appropriateness. J Clin Epidemiol. 1992;45:1045-51.

Measure of Renal Function; Cockcroft-Gault Equation
Creatinine Clearance Calculator to estimate glomerular filtration rate (GFR).

Hepatic Dysfunction
Nightingale G, Schwartz R, Kachur E, Dixon BN, Cote C, et al. Clinical pharmacology of oncology agents in older adults: a comprehensive review of how chronologic and functional age can influence treatment-related effects. JGeriatric Oncol. 2019;10(1):4-30.

CARG Patient-Facing Medication Resources
Resources for patients on safe medication use, herbs, cannabis, disposing of medications, and more.

Psychological Health

Older adults with cancer are at high-risk for developing psychological challenges such as depression (30%), anxiety (17%), and psychological distress (41%) at any time throughout the disease course. Psychological challenges impact treatment delivery and adherence, quality-of-life, and survival. The risk of suicide is also increased for those with cancer and depression. However, factors such as social isolation, pre-existing psychiatric disorders, and substance use may also impact the psychological health of older adults with cancer. To better understand the subgroups of those individuals more likely to experience psychological challenges, each clinic visit should include a social history. The social history should highlight potential concerns related to substance use; social support; neglect; emotional, physical, and sexual abuse; and other factors known to influence the psychological health of older adults.

Depression

Patient Health Questionnaire  

  • PHQ-9: 9-item self-report, reliable and valid measure of depression among older adults.
  • PHQ-4:  4-item self-report, reliable and valid measure for screening for depression among older adults, includes suicidal ideation.
  • PHQ-2: 2-item self-report, reliable and valid measure for screening for depression among older adults.

Geriatric Depression Scale (GDS)
This self-administered assessment can be used to rate depression in elderly adults.

Hospital Anxiety and Depression Scale (HADS)
In the setting of a hospital medical outpatient clinic, this instrument can be used to detect states of depression and anxiety in patients.

Suicide Risk Screener – P4 Suicidality
A 4-item screen for risk of suicide.

NCCN Distress Thermometer
Available from the National Comprehensive Cancer Network, this instrument is widely used for distress screening. According to the most recent version of the NCCN Practice Guidelines for the Management of Distress, a Distress Thermometer score of 4 or higher indicates moderate-to-severe distress and should trigger follow-up care.

CARG Patient Facing Social Support and Emotional Health Resources
Resources for patients on depression, elder abuse, isolation, support groups, and more.

Anxiety

Generalized Anxiety Disorder-7

  • GAD-7: 7-item self-report, reliable and valid measure of anxiety in older adults.
  • GAD-2: 2-item self-report, reliable and valid measure for screening for anxiety in older adults.

Substance Use/Abuse

Used to assess risky use of alcohol, illicit drugs, and the misuse of prescription medications.

Alcohol Use Disorder Test (AUDIT)

  • AUDIT-C: The first 3-items of the AUDIT are a self-report measure used to screen for risky or harmful alcohol use. Older adults with a score of 3 or above should complete the full AUDIT.
  • AUDIT-10: 10-item self-report, reliable and valid measure to assess risky and harmful use of alcohol. 

Drug Abuse Screening Test (DAST)
10-item self-report, reliable and valid measure to identify illicit drug use and the misuse of prescription medications.

National Institute of Drug Abuse (NIDA)
Short screening question to be asked in the patient interview to assess illicit drug use or misuse of prescribed medication. How many times in the past year have you used illicit drugs or used a prescription medication for non-medical reasons (for instance because of the feeling it caused or experience you had)?

Elder Abuse

Elder Assessment Instrument and Training Video
41-item assessment to detect elder mistreatment.

Elder Abuse Suspicion Index (EASI)
5-item screen to detect elder abuse. Available in 15 languages.

Elder Abuse and Neglect Help Guide
Article to train people in spotting warning signs of elder abuse.

Nutrition

The elderly patient is at increased risk for malnutrition due to various factors that can affect their intake such as chronic diseases, food accessibility, food security, decreased mobility, and social changes. Older adults are more susceptible to malnutrition due to the aging process and its role in skeletal muscle loss, which leads to a decrease in strength and performance status, and smooth muscle loss, which reduces the functionality of multiple organs. Malnutrition is prevalent in more than 80% of older patients with cancer, and the majority of these patients have signs of malnutrition at their initial oncology visit. Malnutrition is associated with increased mortality, poor chemotherapy tolerance, and malnourished patients over the age of 70 have an increased risk of death.

Mini Nutritional Assessment, Short-Form
The MNA® is a validated tool for identifying malnutrition and risk of malnutrition in the elderly.  The 6- question tool is easy to complete and has been validated to be as effective as the original 18-MNA, now referred to as the “full MNA®”. The Self-MNA® is validated to be as effective as the MNA® and can be completed by the patient or their caregiver.  

Full Mini Nutritional Assessment
18-question assessment to identify risk for malnutrition.

Patient-Generated Subjective Global Assessment of Nutrition (PG-SGAN)
This tool is not specific to older adults but is oncology-specific. The scored PG-SGA© includes the four patient-generated historical components (Weight History, Food Intake, Symptoms, and Activities and Function – also known as the PG-SGA Short Form©) and four professionally generated components (Diagnosis, Age, Metabolic Stress, and Physical Exam), Nutritional triage recommendations are provided with the score.

Short Nutritional Assessment Questionnaire (SNAQ)
Available in 6 languages, this quick and easy-to-use screening tool is used to gain insight into patients’ nutritional status. It is a short, simple appetite assessment tool that predicts weight loss in both community-dwelling individual and those living in residential facilities. The tool mainly assesses appetite- and anorexia-related weight loss.

Geriatric Nutritional Risk Index (GNRI)
A simple calculation that includes height, weight, and albumin (requires lab work). Albumin is included as systemic indicator of disease, along with weight, for both acute and chronic nutritional implications. This tool is a nutritional risk indicator, not an assessment tool.

Malnutrition Screening Tool (MST)
Validated tool to screen patients for risk of malnutrition. The tool is suitable for use in a residential aged-care facility or for adults in the inpatient/outpatient hospital setting. Nutrition screen parameters include weight loss and appetite.

Eating Hints: Before, during and after Cancer Treatment
National Cancer Institute

Nutrition for the Person with Cancer During Treatment
American Cancer Society

Eat Right to Fight Cancer
Oncology Nutrition Dietetic Practice Group, Academy of Nutrition and Dietetics.

Detailed information regarding management of nutrition-related symptoms can be found here:

CARG Patient-Facing Nutrition-Related Resources
Resources related to constipation, nutritional supplements, healthy eating, and food banks.

Patient Goals and End of Life

What Matters Most to Older Adults Toolkit
Toolkit from the Institute for Healthcare Improvement to enable healthcare teams to discover “What Matters” (beyond the context of end-of-life care) to older adults across their lifespan so that care and decisions are aligned with the older adult’s health outcome goals.

Advance Care Planning

MOS Social Support Instrument Survey
This brief, multidimensional, self-administered, social support survey was developed for patients in the Medical Outcomes Study (MOS), a two-year study that was developed for patients with chronic conditions.

"Conversation Ready": A Framework for Improving End-of-Life Care
This white paper presents the Institute for Healthcare Improvement’s "Conversation Ready" approach to help healthcare organizations and clinicians provide respectful end-of-life care that is concordant with patients’ stated goals, values, and preferences.

How to Talk to Your Patients about End-of-Life Care: A Conversation Ready Toolkit for Clinicians
This toolkit created by the Institute for Healthcare Improvement is intended to help clinicians address some of the challenges of engaging with patients and families in end-of-life care conversations over time.

CARG Patient-Facing Resources on Advance Care Planning
Fact sheets, planning sheets, communicating end-of-life wishes, and more.

Communication

VitalTalk
Evidence-based training for clinicians on improving communication skills and having difficult  conversations.

Older Adult Written and Verbal Communication Guidelines: NCCN
Version 1.2020 OAO- B “Optimizing Communication with Older Adults.”

Making Your Printed Health Materials Senior Friendly: Tips from the National Institute on Aging

Tips to Communicate with People with Hearing Loss
Provided by City of Hope

CARG Patient-Facing Resources on Vision
Handouts, fact sheets, and community resources on vision loss for patients.

CARG Patient-Facing Resources on Hearing
Tips, resources, and age-related hearing loss fact sheets for patients.

Elderspeak

Workforce Training

ACCC Geriatric Oncology Webinar Series
Free 6-part webinar series on caring for older adults with cancer. Topics include an overview of geriatric assessment, multidisciplinary team tips, clinical trials, pharmacy/medication management, and more.

Sensitivity Training Options (Resources Vary by Location)

Gerontological Society of America Webinars
View archived webinars on topics such as Sun Protection and Sunburn Among Older U.S. Adults, Health Literacy Considerations for Cancer Prevention Initiatives with Older Adults, and more.

ACCC Financial Advocacy Network Bootcamp
Two levels of dynamic, online courses will empower you to help cancer patients navigate the complex and fragmented healthcare system to pay for treatment, while maximizing reimbursement at your program. Work at your own pace to acquire the key knowledge and skills necessary to succeed in the increasingly essential field of oncology financial navigation.

International Society of Geriatric Oncology (SIOG)
Society focused on education, clinical practice and research to strengthen the capacity of health professionals in the field of geriatric oncology, in order to optimize treatment of older adults with cancer. 

Institute for Healthcare Improvement: Age Friendly Health Systems
Resources related to the 4M project as well as improving care for older adults in healthcare systems.

ROI Calculators: Why Become an Age Friendly Health System?
Organizations may use these ROI Calculators with their own data to evaluate their Age-Friendly programs.

Comprehensive Geriatric Assessment

CARG Geriatric Assessment – available in multiple languages including English (below), Spanish, Mandarin, Japanese, Korean, Armenian, Farsi, Arabic, Tagalog

SIOG Comprehensive Geriatric Assessment Sample and References

Chemo-Toxicity Calculators

Cancer and Aging Research Group (CARG)
Interactive online calculator for chemo-toxicity risk prediction.

CRASH (Chemotherapy Risk Age Scale for High Risk Patients)
This score stratifies patients in 4 risk categories of severe toxicity.

NOTE: The above calculators are not yet validated in hematologic malignancies. Consider IADLs as a non-solid tumor cancer-treatment toxicity predictor.

Patient-Facing Resources

Cancer Legal Resource Center
Provides information through its national telephone assistance line, outreach programs and community activities to educate and to support cancer patients, their families, healthcare professionals and advocates on matters like maintaining employment through treatment, accessing healthcare and government benefits, taking medical leave and estate planning.

National Patient Travel Center
Referral request for charitable transportation (long distance.) For those in need of assistance in getting transportation to receive medical treatment. Assistance in the air with commercial airline tickets and volunteer pilots and on the ground with gas cards, bus and train ticket

GoGoGrandparent
Use Lyft or Uber without a smartphone. 24/7 operators watch rides and offer support. Text alerts keep families in the loop.

Eldercare.gov 
Elder care locator.

Transportation Options for Older Adults

Sample Transportation Patient Sheet
City of Hope’s Patient Transportation Flyer                 

American Cancer Society Road to Recovery Program
Volunteer Driver program for cancer related appointments.

CARG Sleep Resources
Resources on sleep and getting older, good sleep practices, a sample bookmark, and more.

CARG Sexuality/Urinary Resources
Resources on sexuality, incontinence, helpful strategies, and more.

Information for Caregivers

Caregiver.org

Caregiveraction.org

Lotsahelpinghands.com – coordinate food drop off, house cleaning, etc

Compassion & Choices
End of life counseling, empowering everyone to choose end-of-life care that reflects their values, priorities, and beliefs.

CARG List of Resources for Older Adults

How to Be the Best Caregiver You Can Be
Tips from the Health in Aging Foundation

Caregiver Training Videos 
Videos from UCLA Alzheimer’s & Dementia Care Program, available in several languages.

CaringInfo
A program of the National Hospice and Palliative Care Organization provides free resources to help people make decisions about end-of-life care and services before a crisis.

Articles and Research

Defining Undertreatment and Overtreatment in Older Adults With Cancer: A Scoping Literature Review. 
DuMontier C, Kah Poh Loh, Bain P, Silliman R, Hshieh T, Abel G, Djulbegovic B, Driver J, Dale W, J Clin Oncol, April 2020.

Clinical pharmacology of oncology agents in older adults: A comprehensive review of how chronologic and functional age can influence treatment-related effects.
Nightingale G, Schwartz R, Kachur E, et al. J Geriatr Oncol. 2018; in press.

Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy: ASCO Guideline for Geriatric Oncology.
Mohile SG, Dale W, Somerfield MR, et al. J Clin Oncol. May 21, 2018.

Improving the Evidence Base for Treating Older Adults with Cancer: American Society of Clinical Oncology Statement
Hurria A, Levit LA, Dale W, et al. J Clin Oncol. 2015;(33):32. 

What Every Oncologist Should Know About Geriatric Assessment for Older Patients with Cancer: Young International Society of Geriatric Oncology Position Paper

Aging and Disability: Beyond Stereotypes to Inclusion: Proceedings of a Workshop
National Academies of Sciences, Engineering, and Medicine.
Proceedings summarize the National Academies of Sciences, Engineering, and Medicine 2017 public workshop, which explored how stereotypes affect older adults and those with disabilities.

Future of Cancer Incidence in the United States: Burdens Upon an Aging, Changing Nation.
Smith BD, Smith GL, Hurria A, et al. J Clin Oncol. 2009;27(17):2758-65.

Geriatric Oncology Ambulatory Care Clinics
Overcash J, Abels S, Erdeljac HP, et al. Oncol Issues. 2018;33(3):54-59.

International Society of Geriatric Oncology consensus on geriatric assessment in older patients with cancer.
Wildiers H, Heeren P, Puts M, et al. J Clin Oncol. 2014;32:2595-2603

Evaluation of the Senior Cancer Patient: Comprehensive Geriatric Assessment and Screening Tools for the Elderly.
Extermann M.

Screening Tools for Multidimensional Health Problems Warranting a Geriatric Assessment in Older Cancer Patients: An Update on SIOG Recommendations.
Ann Oncol. 2015;Feb 26(2):288-300.

An Interprofessionally Developed Geriatric Oncology Curriculum for Hematology–Oncology Fellows.
Ahmed E, Hughes C, Karuturi M, et al. J Geriatric Oncol. 2015;6(2):165-173.

Evaluation of a Pharmacist-Led Medication Assessment Used to Identify Prevalence of and Associations with Polypharmacy and Potentially Inappropriate Medication Use Among Senior Adults with Cancer.
Nightingale G, Hajjar E, Swartz K, et al. J Clin Oncol. 2015;33:1453-59.

Geriatric Assessment in Daily Oncology Practice for Nurses and Allied Health Care Professionals: Opinion Paper of the Nursing and Allied Health Interest Group of the International Society of Geriatric Oncology (SIOG).
Burhenn PS, McCarthy AL, Begue A, Nightingale G, et al. J Geriatric Oncol. 2016.

National Comprehensive Cancer Network. NCCN Older Adult Guidelines.
Login required.

Sample Goals & Case Studies

Sample Quality Improvement Goals
Examples of QI goals from the CARG R25 Grant program.

CARE by UAB: Cancer and Aging Resilience Evaluation: 

Electronic Rapid Fitness Assessment (eRFA) by MSKCC
Questionnaire developed at Memorial Sloan Kettering and used by all the doctors on the Geriatrics Service to gauge and understand an older patient’s level of fitness. The assessment includes questions related to a patient’s functional status (Karnofsky Performance Status, Basic and Instrumental Activities of Daily Living, use of assistive device, history and number of falls in the past year, and Timed Up and Go test, quality of vision and hearing); level of social support (Medical Outcome Study — four-item) and social activity (Medical Outcome Study-Social Activity questionnaire); emotional well-being (Distress Thermometer and Geriatric Depression Scale — four item); nutritional status; polypharmacy; and cognitive assessment (Mini-Cog).

Implementing a multidisciplinary approach for older adults with Cancer: geriatric oncology in practice
Presley, C.J., Krok-Schoen, J.L., Wall, S.A. et al. Implementing a multidisciplinary approach for older adults with Cancer: geriatric oncology in practice. BMC Geriatr 20, 231 (2020).

 

Our Partners

logo-GSA-200x80
logo-ONS-220x80
logo-SIOG-200x80

Our Sponsor

Sponsored by Pfizer Oncology.