The value and effectiveness of geriatric assessments for older adults with cancer: an umbrella review
Abstract Purpose This umbrella review aimed to summarise and synthesize the evidence on the outcomes reported and used to assess the value and or efficacy of geriatric assessments (GAs) for older adults with cancer. Methods Six electronic databases, PsycINFO, MEDLINE, Embase, CINAHL, Cochrane Librar...
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2024-12-01
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| Series: | BMC Geriatrics |
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| Online Access: | https://doi.org/10.1186/s12877-024-05607-9 |
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| author | Sharon He Heather L. Shepherd Meera Agar Joanne Shaw |
| author_facet | Sharon He Heather L. Shepherd Meera Agar Joanne Shaw |
| author_sort | Sharon He |
| collection | DOAJ |
| description | Abstract Purpose This umbrella review aimed to summarise and synthesize the evidence on the outcomes reported and used to assess the value and or efficacy of geriatric assessments (GAs) for older adults with cancer. Methods Six electronic databases, PsycINFO, MEDLINE, Embase, CINAHL, Cochrane Library and Web of Science databases, were searched to identify systematic reviews with or without meta-analyses that described the value or outcomes of GAs for older adults with cancer. Results Twenty-six systematic reviews were included, of which six included a meta-analysis of the data. Thirteen associations and or outcomes were identified. Overall geriatric impairments predicted or were associated with majority of identified outcomes. However, the type of domains associated with outcomes differed within and across reviews. Only treatment toxicity was statistically significantly lower for patients allocated to the GA intervention group compared to standard care. Systematic reviews without meta-analyses demonstrated a positive impact of GA with management on treatment completion, communication and care planning and patient satisfaction with care. Conclusion There is evidence demonstrating the predictive value of GAs for older adults with cancer. GAs seems to be beneficial for older adults with cancer across some outcomes, with strong evidence demonstrating the impact of GA with management for treatment toxicity. However, there is mixed or limited evidence demonstrating the effect of GA in other treatment modalities, and on quality of life and economic outcomes. |
| format | Article |
| id | doaj-art-50706e4d6cd14d81a5cb3b9d221b3579 |
| institution | Kabale University |
| issn | 1471-2318 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
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| series | BMC Geriatrics |
| spelling | doaj-art-50706e4d6cd14d81a5cb3b9d221b35792024-12-22T12:46:43ZengBMCBMC Geriatrics1471-23182024-12-0124113610.1186/s12877-024-05607-9The value and effectiveness of geriatric assessments for older adults with cancer: an umbrella reviewSharon He0Heather L. Shepherd1Meera Agar2Joanne Shaw3Psycho-Oncology Co-operative Research Group (PoCoG), School of Psychology, The University of SydneySusan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of SydneyImproving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT), Faculty of Health, University of Technology SydneyPsycho-Oncology Co-operative Research Group (PoCoG), School of Psychology, The University of SydneyAbstract Purpose This umbrella review aimed to summarise and synthesize the evidence on the outcomes reported and used to assess the value and or efficacy of geriatric assessments (GAs) for older adults with cancer. Methods Six electronic databases, PsycINFO, MEDLINE, Embase, CINAHL, Cochrane Library and Web of Science databases, were searched to identify systematic reviews with or without meta-analyses that described the value or outcomes of GAs for older adults with cancer. Results Twenty-six systematic reviews were included, of which six included a meta-analysis of the data. Thirteen associations and or outcomes were identified. Overall geriatric impairments predicted or were associated with majority of identified outcomes. However, the type of domains associated with outcomes differed within and across reviews. Only treatment toxicity was statistically significantly lower for patients allocated to the GA intervention group compared to standard care. Systematic reviews without meta-analyses demonstrated a positive impact of GA with management on treatment completion, communication and care planning and patient satisfaction with care. Conclusion There is evidence demonstrating the predictive value of GAs for older adults with cancer. GAs seems to be beneficial for older adults with cancer across some outcomes, with strong evidence demonstrating the impact of GA with management for treatment toxicity. However, there is mixed or limited evidence demonstrating the effect of GA in other treatment modalities, and on quality of life and economic outcomes.https://doi.org/10.1186/s12877-024-05607-9Geriatric assessmentsOlder adultsCancerOutcomesUmbrella review |
| spellingShingle | Sharon He Heather L. Shepherd Meera Agar Joanne Shaw The value and effectiveness of geriatric assessments for older adults with cancer: an umbrella review BMC Geriatrics Geriatric assessments Older adults Cancer Outcomes Umbrella review |
| title | The value and effectiveness of geriatric assessments for older adults with cancer: an umbrella review |
| title_full | The value and effectiveness of geriatric assessments for older adults with cancer: an umbrella review |
| title_fullStr | The value and effectiveness of geriatric assessments for older adults with cancer: an umbrella review |
| title_full_unstemmed | The value and effectiveness of geriatric assessments for older adults with cancer: an umbrella review |
| title_short | The value and effectiveness of geriatric assessments for older adults with cancer: an umbrella review |
| title_sort | value and effectiveness of geriatric assessments for older adults with cancer an umbrella review |
| topic | Geriatric assessments Older adults Cancer Outcomes Umbrella review |
| url | https://doi.org/10.1186/s12877-024-05607-9 |
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