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Table 1 Geriatric assessment tools and examples of possible interventions based on the assessment results

From: Protocol for a multi-site, cluster‐randomized, phase III, comparative clinical trial of geriatric assessment of older patients with non‐small‐cell lung cancer: the ENSURE-GA study

Evaluated items

Recommended GA tools

Example of intervention (support) method based on the GA results

Physical function: Falls

• Lawton IADL

• “How many times have you fallen during the last 6 months?”

• Referral to an occupational therapist and/or physiotherapist

• Prevention of falls

• Evaluation of safety of home and garden

Complications, polypharmacy

• CCI

• Number of drugs in regular use

• Encouraging involvement of family members in management of complications

• Collaboration between the primary-care physician and a geriatrician

• Consulting a pharmacist regarding reducing the number of medications

Cognitive function

• Mini-Cog

• Evaluation of decision-making capability

• Selection of someone with power of attorney, if necessary

• Collaboration between a geriatrician and a cognitive function specialist

• Prevention of delusions, by adjusting medication

Depressive state

• GDS

• Referral to a psychiatrist

• Promoting participation in social activities

• Prescription of an antidepressant

Nutrition

• BMI below 21 kg/m2

• Referral to a dietician

• Provision of support for preparing meals

Social support

• Do you have key persons, family, or friends regarding cancer treatment?

• Referral to a social worker

  1. BMI body mass index; CCI Charlson Comorbidity Index; GA geriatric assessment; GDS geriatric depression scale; IADL Instrumental Activities of Daily Living Scale; Mini-Cog Mini-Cog screening for cognitive impairment in older adults