Which Comprehensive Geriatric Assessment (CGA) instruments are currently used in Germany: a survey

Area of Science:

• Gerontology
• Clinical Geriatrics
• Healthcare Quality

Background:

• Comprehensive Geriatric Assessment (CGA) standardizes geriatric syndrome evaluation for tailored treatment.
• CGA improves functional outcomes and survival in geriatric patients.
• A German S1 guideline recommends assessment instruments for CGA, but their routine use is unstudied.

Purpose of the Study:

• To investigate the current use of assessment instruments in routine geriatric clinical practice in Germany.
• To assess the consistency of instrument use with the S1 guideline for level 2 CGA.
• To identify areas needing standardized assessment tools in geriatric care.

Main Methods:

• An online survey was distributed to 569 licensed geriatricians in Germany.
• The survey covered assessment instruments for 11 geriatric syndromes.
• 122 clinicians responded, with 76 datasets analyzed.

Main Results:

• All participants used assessment instruments for motor function, self-help, cognition, depression, and pain.
• Frequently used instruments included TUG, BI, MMSE, GDS, and VAS.
• Assessment for delirium, frailty, and social status was limited or heterogeneous.

Conclusions:

• Assessment of several key geriatric syndromes aligns with S1 guideline recommendations.
• Instruments like SPPB, MoCA, and WHO-5 are recommended for broader use.
• Standardized assessment of delirium, frailty, and social status is crucial for effective geriatric care and prevention.