Assessment of Older Adults With Cancer: Feasibility of Computer Survey Methodology

2014-08-27 03:19:18 | BioPortfolio


The purpose of this study is to evaluate the possibility of using a computer-based survey to gather information from older patients and their caregivers about the patient's daily activities, need for assistance, other medical problems, mood, nutrition and symptoms. Researchers will evaluate how many subjects are able to complete the survey on their own and the length of time needed to do so. Also, researchers will analyze the types of responses to each item and whether subjects are satisfied with the questionnaire.


Patients older than age 65, in comparison to those younger than 65, have an 11-fold increased cancer incidence and a 16-fold increase in cancer mortality. The population at risk is growing rapidly: the number of adults age 65 and older is expected to double in the next 30 years. In order to adequately care for this growing population of older adults, oncologists need an assessment tool that provides information regarding an older individual's "functional age" in comparison to their "chronological age." The technology of geriatric assessment could potentially help identify those older adults who are more vulnerable to complications from cancer treatment. This inter-disciplinary assessment provides information regarding the patient's functional status, comorbid medical conditions, other medications, nutritional status, psychological state, social support, and cognition.

Hurria and colleagues developed a geriatric assessment for older adults with cancer, which includes well validated measures of functional status, comorbid medical conditions, nutritional status, psychological state, cognitive function, social activity, and social support. Pilot data demonstrates the feasibility of this assessment which can be completed in less than 30 minutes; however, this assessment is completed by "pencil and paper" and requires an interviewer to deliver and score the assessment.

Loscalzo, Clark, and colleagues have developed a computer methodology in order to assess the needs of patients with cancer of all ages. The assessment is completed by the patients and a scoring algorithm is developed to provide a summary of the patient's needs for the healthcare team. This assessment is highly successful at identifying the needs of patients of all ages.

In this protocol, we will merge the research interests of Hurria, Loscalzo, and Clark by developing a computer survey program to capture the physical and psychological needs of older adults with cancer. The goal of this study is to evaluate the feasibility of computer survey methodology among older adults with cancer. For the purposes of this protocol we will accrue patients with lymphoma and lung cancer.


1. Identify an older adult (age 65 and older) with lymphoma or lung cancer.

2. Describe the study to the patient: patient consents or refuses.

3. Consenting patients complete the geriatric assessment via a computer survey.

4. The following feasibility data will be captured: length of time to complete the assessment, patient's need for assistance to complete the assessment, satisfaction with the use of computer survey methodology to complete the assessment.

5. The primary caretaker (if available) will be invited to participate in the protocol and complete a caregiver's survey of the patient's needs and questions about caregiver burden.

Study Design

Observational Model: Cohort, Time Perspective: Cross-Sectional


Assessment, Geriatric


City of Hope Medical Center
United States




City of Hope Medical Center

Results (where available)

View Results


Published on BioPortfolio: 2014-08-27T03:19:18-0400

Clinical Trials [248 Associated Clinical Trials listed on BioPortfolio]

Geriatric and Oncologic Assessment Before Treatment

In a randomized controlled trial, investigators wish to investigate, if oncologic treatment decision based on G8 screening followed by geriatric assessment and subsequent MDT, if needed, i...

LCI-GER-NOS-TAB-001: Tablet for Geriatric Assessment

The Self Geriatric Assessment Measure [SGAM] is based on a standard diagnostic tool used to evaluate geriatric cancer patients in order to determine the appropriateness of cancer directed ...

Comprehensive Geriatric Assessment to Predict Toxic Events in Older Patients With Non-Hodgkin Lymphoma With Imbedded Pilot Study of Pre-Phase Therapy

This study will evaluate the ability of a largely self-administered geriatric assessment (GA) to predict toxicity in non-Hodgkin Lymphoma (NHL) patients ≥60 years old receiving chemother...

Geriatric Assessment and Outcome in Patients Undergoing Transcatheter Aortic Valve Replacement

A geriatric assessment is becoming increasingly important in the treatment of patients with a percutaneous aortic valve replacement due to their comorbidities. The aim of this multimodal t...

Computer-Based Comprehensive Geriatric Assessment in Oncology for Individuals 70 or Older With Gastrointestinal Malignancies

Older individuals account for one-third of new cancer cases and cancer-related deaths in the United States. Older individuals are more susceptible to having a decrease in physical and men...

PubMed Articles [5711 Associated PubMed Articles listed on BioPortfolio]

Geriatric Assessment in Elderly Patients with End-Stage Kidney Disease.

Decision-making in elderly patients considering dialysis is highly complex. With the increasing number of elderly with end-stage kidney disease (ESKD), it may be important to assess geriatric impairme...

Adherence to geriatric assessment-based recommendations in older patients with cancer: a multicenter prospective cohort study in Belgium.

In the general older population, geriatric assessment (GA)-guided treatment plans can improve overall survival, quality of life and functional status (FS). In GA-related research in geriatric oncology...

An operationalized version of the Mini-Nutritional Assessment Short Form using comprehensive geriatric assessment.

We sought to operationalize some of the items of the Mini-Nutritional Assessment Short Form (MNA-SF) according to Barthel Index (BI), Mini Mental State Examination (MMSE) and Geriatric Depression Scal...

Translation and validation of the Nepalese version of the Geriatric Oral Health Assessment Index.

To translate and validate the Geriatric Oral Health Assessment Index (GOHAI) (Nepali version) from original English version.

Comprehensive geriatric assessment and decision-making in older men with incurable but manageable (chronic) cancer.

In older cancer patients, treatment decision-making is often complex. A comprehensive geriatric assessment (CGA) is an established tool used in geriatric medicine to identify unmet need requiring inte...

Medical and Biotech [MESH] Definitions

Evaluation of the level of physical, physiological, or mental functioning in the older population group.

Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.

Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.

Evaluation and measurement of nutritional variables in order to assess the level of nutrition or the NUTRITIONAL STATUS of the individual. NUTRITION SURVEYS may be used in making the assessment.

An office established to help Congress participate and plan for the consequences of uses of technology. It provided information on both the beneficial and adverse effects of technological applications. The Office of Technology Assessment closed on September 29, 1995.

More From BioPortfolio on "Assessment of Older Adults With Cancer: Feasibility of Computer Survey Methodology"

Quick Search


Relevant Topics

Women's Health
Women's Health - key topics include breast cancer, pregnancy, menopause, stroke Follow and track Women's Health News on BioPortfolio: Women's Health News RSS Women'...

  Bladder Cancer Brain Cancer Breast Cancer Cancer Cervical Cancer Colorectal Head & Neck Cancers Hodgkin Lymphoma Leukemia Lung Cancer Melanoma Myeloma Ovarian Cancer Pancreatic Cancer ...

Searches Linking to this Trial