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Updated: Feb 8, 2026
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Generation of Comprehensive Thoracic Oncology Database - Tool for Translational Research
Published on: January 22, 2011
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Using a geriatric oncology assessment to link with services (GOAL)
Leah L Zullig1, Gretchen Kimmick2, Valerie Smith1
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Health Care System, Durham, NC, United States; Department of Population Health Sciences, Duke University, Durham, NC, United States.
Journal of Geriatric Oncology
|July 1, 2018
Summary
A geriatric screener in rural cancer clinics identified health issues in nearly all older patients. This electronic health record tool effectively prompted necessary referrals for geriatric care and support services.
Area of Science:
- Geriatric Oncology
- Health Services Research
- Clinical Assessment Tools
Background:
- Geriatric screening tools are crucial for assessing functional limitations in older adults with cancer.
- These tools aid in clinical decision-making for managing complex health needs in this population.
- Evaluating such screeners in community oncology settings is essential for improving care delivery.
Purpose of the Study:
- To assess the feasibility and effectiveness of a geriatric screening tool within community-based oncology clinics.
- To determine the prevalence of geriatric syndromes in older cancer patients in rural settings.
- To evaluate the impact of the screener on service referrals and treatment completion.
Main Methods:
- A validated geriatric screening tool was embedded in the electronic health record (EHR) at two rural cancer clinics.
- Patients aged ≥60 years within 12 months of diagnosis (excluding exclusive palliative care) were enrolled.
- Data on patient-reported symptoms, referrals, and treatment completion were extracted from the EHR.
Main Results:
- The study included 44 patients (mean age 71.5 years), with most being non-white (61%) and female (66%).
- Commonly identified geriatric syndromes included polypharmacy (89%), reduced quality of life (39%), and poor nutrition (39%).
- The screener triggered referrals in 98% of patients, with significant needs identified for depressive symptoms, nutrition, and polypharmacy services.
Conclusions:
- An EHR-embedded geriatric assessment is feasible and effective in rural oncology settings.
- The tool successfully identified geriatric syndromes requiring services in almost all enrolled patients.
- This approach can improve the identification and management of geriatric complexities in cancer care.
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