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Updated: Oct 1, 2025

Oral Health Assessment by Lay Personnel for Older Adults

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

The Use and Knowledge of Validated Geriatric Assessment Instruments Among US Community Oncologists.

Ajeet Gajra¹, Yolaine Jeune-Smith¹, Stephanie Fortier²

¹Cardinal Health Specialty Solutions, Dublin, OH.

JCO Oncology Practice

|March 9, 2022

Summary

Many oncologists do not use geriatric assessments (GAs) due to perceived burdens. Increased education on GA benefits for older cancer patients could improve utilization and patient outcomes.

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Area of Science:

Geriatric oncology
Cancer care delivery
Clinical practice guidelines

Background:

Standardized geriatric assessments (GAs) improve quality of life and reduce toxicity in older adults with cancer.
GAs are recommended by guidelines for treatment decisions in geriatric oncology.
Understanding community oncologists' adoption of GAs is crucial for improving care.

Purpose of the Study:

To evaluate community oncologists' awareness and use of geriatric assessments (GAs) in cancer treatment decision-making.
To identify barriers to GA implementation in routine oncology practice.
To assess the current landscape of GA tool utilization among oncologists.

Main Methods:

A survey of 349 US-based oncologists was conducted between September 2019 and February 2020.
The survey collected data on treatment decision-making processes and practice challenges.
Respondents' knowledge and utilization of geriatric assessment tools were assessed.

Main Results:

74% of surveyed oncologists practice in a community setting.
60% of oncologists do not use formal GAs, citing implementation difficulty (44%) and perceived lack of added value (36%).
Validated GA instruments like the Mini-Mental State Exam (54%) and Comprehensive Geriatric Assessment (23%) were variably used; 19% were unaware of any validated tools.

Conclusions:

Perceived challenges in implementation and value hinder GA adoption by many oncologists.
Enhanced education on the benefits of GA-directed therapy is needed to increase utilization.
Improving GA uptake can optimize cancer treatment for older adults.