The abbreviated comprehensive geriatric assessment (aCGA): a retrospective analysis

Crit Rev Oncol Hematol. 2005 May;54(2):129-36. doi: 10.1016/j.critrevonc.2004.12.002.

Abstract

Background: A comprehensive geriatric assessment (CGA) is a multidimensional assessment that is designed to detect health problems. A barrier to conducting the CGA is the length of time required to complete the entire assessment.

Objective: To understand what items contained in the instruments that make up the CGA could be compiled to construct an abbreviated CGA (aCGA).

Design/setting: A retrospective chart review of patients at the H. Lee Moffitt Cancer Center.

Participants: Over 500 charts between 1995 and 2001 were reviewed on patients 70 and over.

Measurements: Item-to-total correlations and Cronbach's alpha coefficient were calculated. Construct validity was assessed using a Pearson's product moment correlation coefficient.

Results: Fifteen items were compiled to form the aCGA. Cronbach's alpha was 0.65-0.92 on each instrument of the entire CGA compared to 0.70-0.94 on the aCGA. Correlations ranged from 0.84 to 0.96 for the entire CGA and the aCGA.

Conclusion: An aCGA can be helpful in screening for those seniors who would benefit from the entire CGA.

MeSH terms

  • Activities of Daily Living
  • Aged
  • Aged, 80 and over
  • Female
  • Geriatric Assessment / methods*
  • Geriatric Assessment / statistics & numerical data
  • Humans
  • Male
  • Mass Screening
  • Quality of Life
  • Retrospective Studies
  • Surveys and Questionnaires