Additional Value of Mini-Cog© in Urogeriatric Patients Concurrently Screened by G8 Scores
Abstract
:1. Background
2. Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
CGA | comprehensive geriatric assessment |
SIOG | International Society of Geriatric Oncology |
EAU | European Society of Urology |
ESTRO | European Society for Radiotherapy and Oncology |
References
- Jang, I.Y.; Lee, C.K.; Jung, H.W.; Yu, S.S.; Lee, Y.S.; Lee, E.; Kim, D.H. Urologic symptoms and burden of frailty and geriatric conditions in older men: The Aging Study of PyeongChang Rural Area. Clin. Interv. Aging 2018, 13, 297–304. [Google Scholar] [CrossRef] [PubMed]
- Michalik, C.; Juszczak, K.; Maciukiewicz, P.; Drewa, T.; Kenig, J. Geriatric assessment among elderly patients undergoing urological surgery: A systematic literature review. Adv. Clin. Exp. Med. 2020, 29, 399–407. [Google Scholar] [CrossRef] [PubMed]
- Caillet, P.; Canoui-Poitrine, F.; Vouriot, J.; Berle, M.; Reinald, N.; Krypciak, S.; Bastuji-Garin, S.; Culine, S.; Paillaud, E. Comprehensive geriatric assessment in the decision-making process in elderly patients with cancer: ELCAPA study. J. Clin. Oncol. 2011, 29, 3636–3642. [Google Scholar] [CrossRef] [PubMed]
- Decoster, L.; Van Puyvelde, K.; Mohile, S.; Wedding, U.; Basso, U.; Colloca, G.; Rostoft, S.; Overcash, J.; Wildiers, H.; Steer, C.; et al. Screening tools for multidimensional health problems warranting a geriatric assessment in older cancer patients: An update on SIOG recommendationsdagger. Ann. Oncol. 2015, 26, 288–300. [Google Scholar] [PubMed]
- Bellera, C.A.; Rainfray, M.; Mathoulin-Pelissier, S.; Mertens, C.; Delva, F.; Fonck, M.; Soubeyran, P.L. Screening older cancer patients: First evaluation of the G-8 geriatric screening tool. Ann. Oncol. 2012, 23, 2166–2172. [Google Scholar] [CrossRef] [PubMed]
- Rassam, Y.; Schindler, A.; Willschrei, P.; Horstmann, M. The G8 questionnaire as a geriatric screening tool in urooncology. Aktuelle Urol. 2020, 51, 36–41. [Google Scholar] [PubMed]
- Martinez-Tapia, C.; Paillaud, E.; Liuu, E.; Tournigand, C.; Ibrahim, R.; Fossey-Diaz, V.; Culine, S.; Canoui-Poitrine, F.; Audureau, E.; Group, E.S. Prognostic value of the G8 and modified-G8 screening tools for multidimensional health problems in older patients with cancer. Eur. J. Cancer 2017, 83, 211–219. [Google Scholar] [PubMed]
- Bouzan, J.; Stoilkov, B.; Nellas, S.; Horstmann, M. Comparison of G8 and ISAR Screening Results in Geriatric Urology. Medicines 2021, 8, 40. [Google Scholar] [CrossRef] [PubMed]
- Souwer, E.T.D.; Verweij, N.M.; van den Bos, F.; Bastiaannet, E.; Slangen, R.M.E.; Steup, W.H.; Hamaker, M.E.; Portielje, J.E.A. Risk stratification for surgical outcomes in older colorectal cancer patients using ISAR-HP and G8 screening tools. J. Geriatr. Oncol. 2018, 9, 110–114. [Google Scholar] [CrossRef] [PubMed]
- Cavusoglu, C.; Deniz, O.; Tuna Dogrul, R.; Ileri, I.; Yildirim, F.; Caliskan, H.; Ozsurekci, C.; Coteli, S.; Kizilarslanoglu, M.C.; Goker, B. Validity and reliability of the G8 screening test in older non-cancer patients. Eur. Geriatr. Med. 2021, 12, 397–404. [Google Scholar] [CrossRef] [PubMed]
- Borson, S.; Scanlan, J.M.; Chen, P.; Ganguli, M. The Mini-Cog as a screen for dementia: Validation in a population-based sample. J. Am. Geriatr. Soc. 2003, 51, 1451–1454. [Google Scholar] [CrossRef] [PubMed]
- Tuch, G.; Soo, W.K.; Luo, K.-Y.; Frearson, K.; Oh, E.L.; Phillips, J.L.; Agar, M.; Lane, H. Cognitive Assessment Tools Recommended in Geriatric Oncology Guidelines: A Rapid Review. Curr. Oncol. 2021, 28, 3987–4003. [Google Scholar] [CrossRef] [PubMed]
- Mottet, N.; Bellmunt, J.; Bolla, M.; Briers, E.; Cumberbatch, M.G.; De Santis, M.; Fossati, N.; Gross, T.; Henry, A.M.; Joniau, S.; et al. EAU-ESTRO-SIOG Guidelines on Prostate Cancer. Part 1: Screening, Diagnosis, and Local Treatment with Curative Intent. Eur. Urol. 2017, 71, 618–629. [Google Scholar] [PubMed]
- Droz, J.P.; Albrand, G.; Gillessen, S.; Hughes, S.; Mottet, N.; Oudard, S.; Payne, H.; Puts, M.; Zulian, G.; Balducci, L.; et al. Management of Prostate Cancer in Elderly Patients: Recommendations of a Task Force of the International Society of Geriatric Oncology. Eur. Urol. 2017, 72, 521–531. [Google Scholar] [CrossRef] [PubMed]
- Mottet, N.; Ribal, M.J.; Boyle, H.; De Santis, M.; Caillet, P.; Choudhury, A.; Garg, T.; Nielsen, M.; Wuthrich, P.; Gust, K.M.; et al. Management of bladder cancer in older patients: Position paper of a SIOG Task Force. J. Geriatr. Oncol. 2020, 11, 1043–1053. [Google Scholar] [PubMed]
- Lund, C.M.; Mikkelsen, M.K.; Theile, S.; Michelsen, H.M.; Schultz, M.; Sengeløv, L.; Nielsen, D.L. Age-related Differences in Recall of Information and Handling of Chemotherapy-related Side Effects in Cancer Patients: The ReCap Study. Oncologist 2022, 27, e185–e193. [Google Scholar] [CrossRef] [PubMed]
- Zorge, N.E.; Scheerders, E.R.Y.; Dudink, K.; Oudshoorn, C.; Polinder-Bos, H.A.; Waalboer-Spuij, R.; Schlejen, P.M.; van Montfrans, C. A prospective, multicentre study to assess frailty in elderly patients with leg ulcers (GERAS study). J. Eur. Acad. Dermatol. Venereol. 2023, 37, 428–435. [Google Scholar] [CrossRef] [PubMed]
- AlSendi, M.; Flynn, C.R.; Khan, M.R.; Selvadurai, P.; Crown, J.; McDermott, R.S.; Walshe, J.M.; Fennelly, D.W.; Hanrahan, E.O.; Doherty, M.; et al. Pilot study of the implementation of G8 screening tool, Cognitive screening assessment and Chemotherapy Toxicity assessment in older adults with cancer in a Tertiary University Hospital in Ireland. Ir. J. Med. Sci. 2023; ahead of print. [Google Scholar] [CrossRef]
- Schulkes, K.J.G.; Souwer, E.T.D.; van Elden, L.J.R.; Codrington, H.; van der Sar-van der Brugge, S.; Lammers, J.J.; Portielje, J.E.A.; van den Bos, F.; Hamaker, M.E. Prognostic Value of Geriatric 8 and Identification of Seniors at Risk for Hospitalized Patients Screening Tools for Patients With Lung Cancer. Clin. Lung Cancer 2017, 18, 660–666.e661. [Google Scholar] [CrossRef] [PubMed]
- Hamaker, M.E.; Mitrovic, M.; Stauder, R. The G8 screening tool detects relevant geriatric impairments and predicts survival in elderly patients with a haematological malignancy. Ann. Hematol. 2014, 93, 1031–1040. [Google Scholar] [CrossRef] [PubMed]
All | |
---|---|
patients (m/f), (n = pat.) | 74 (61/13) |
age (mean y, min–max) | 83 (75–94) |
prostate cancer | 24 |
localized | 14 |
metastatic | 10 |
urothelial cancer | 16 |
NMIBC | 10 |
MIBC, metastatic, upper tract | 6 |
renal cancer | 4 |
localized | 4 |
urolithiasis | 4 |
urinary tract infection * | 8 |
benign prostate enlargement | 15 |
ureteral stenosis | 3 |
G8 score (mean (min-max)) | 12.6 (4–17) |
Mini-Cog© (mean (min-max)) | 3.3 (0–5) |
Charlson comorbidity score (mean (min-max)) | 3.3 (0–7) |
Mini-Cog© (Test Results ≥ 4 pts.) “Fit” | Mini-Cog© (Test Results < 4 pts.) “Unfit” | |
---|---|---|
Patients (n = 74), % | 43 (58%) | 31 (42%) |
Mean G8 score (pts.) | 13.9 | 10.7 |
G8 “fit and healthy” patients (n = patients) | 24 | 5 |
G8 “frail” patients (n = patients) | 19 | 26 |
Subscore Item “E” (Score 0 Points) | Subscore Item “E” (Score 1 Point) | Subscore Item “E” (Score 2 Points) | |
---|---|---|---|
Patients (n = patients, %) | 11 (15%) | 20 (27%) | 43 (58%) |
Mean Mini-Cog© (pts.) | 1.63 | 1.75 | 4.6 |
Pat. with a Mini-Cog© ≥4 pts. “fit” (n = patients) | 3 | 3 | 37 |
Pat. with a Mini-Cog© <4 pts. “unfit” (n = patients) | 8 | 17 | 6 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Bouzan, J.; Willschrei, P.; Horstmann, M. Additional Value of Mini-Cog© in Urogeriatric Patients Concurrently Screened by G8 Scores. Medicines 2023, 10, 56. https://doi.org/10.3390/medicines10100056
Bouzan J, Willschrei P, Horstmann M. Additional Value of Mini-Cog© in Urogeriatric Patients Concurrently Screened by G8 Scores. Medicines. 2023; 10(10):56. https://doi.org/10.3390/medicines10100056
Chicago/Turabian StyleBouzan, Jobar, Peter Willschrei, and Marcus Horstmann. 2023. "Additional Value of Mini-Cog© in Urogeriatric Patients Concurrently Screened by G8 Scores" Medicines 10, no. 10: 56. https://doi.org/10.3390/medicines10100056