Skip to main content

Table 1 The geriatric assessment performed at the start of treatment

From: The effect of geriatric intervention in frail elderly patients receiving chemotherapy for colorectal cancer: a randomized trial (GERICO)

Domain

Assessment

Possible intervention

Multimorbidity

Medical record review

Clinical examination

Treatment or referrals

Medication

Assessment of medication list based on START/STOPP criteria

Discontinuation

Change in dosage

Change in prescription of medication

Psychological function

Geriatric depression scale (GDS)

Referral to therapy or medication

Cognitive function

Minimal Mental State Examination (MMSE)

Cognitive evaluation

Medication

Social support

Nutritional status

Local nutritional screening based on minimal nutrition assessment (MNA)

Referral to dietitian

Physical function

Gait speed 10 m: (cut off 1 m/s)

Handgrip assessed with the Jamar Dynamometer: (cut off 20 kg for women and 30 kg for men)

Referral to physiotherapist and scheduled program

Functional status

Activities of daily living (ADL) Instrumental activities of daily living (IADL)

Social support

Occupational therapy assessment for equipment needs

Transport support

Laboratory parameters

TSH, cbalamin, folat, albumin, vitamin D

Treat deficiencies