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Updated: Aug 6, 2026
Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
The abbreviated comprehensive geriatric assessment (aCGA) for use in the older cancer patient as a prescreen: scoring
Janine A Overcash1, Jason Beckstead, Linda Moody
1College of Nursing, University of South Florida, Tampa, FL 33612-4766, USA. jovercas@hsc.usf.edu
Unlabelled:
The abbreviated CGA (aCGA) can be used as a prescreening assessment to identify patients who would most benefit from the complete CGA.
Objective:
To develop cutpoints for scoring the aCGA that are consistent with existing limitations as revealed by the full CGA.
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 cancer patients 70 and over.
Measurements:
Each of the four domains: functional status (activities of daily living (ADL), instrumental activities of daily living (IADL), depression, using the geriatric depression scale (GDS), and cognition using the mini-mental state examination (MMSE)) are scored separately.
Results:
For the depression domain, a score of 2 or more toward depression indicates that the entire GDS be administered. For the MMSE, a score of 6 or lower indicates necessity of the entire MMSE. For the ADL/IADL, any deficit on either scale (needs assistance or complete assistance) requires further clinical evaluation using the entire instruments.
Conclusions:
These guidelines provide the clinician with parameters to target patients most likely to benefit from more intensive geriatric evaluation.
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