The association between perioperative frailty and ability to complete a web-based geriatric assessment among older adults with cancer Journal Article
| Authors: | Cuadra, A.; Tin, A. L.; Moffat, G. T.; Alexander, K.; Downey, R. J.; Korc-Grodzicki, B.; Vickers, A. J.; Shahrokni, A. |
| Article Title: | The association between perioperative frailty and ability to complete a web-based geriatric assessment among older adults with cancer |
| Abstract: | Introduction: The aim of this study was to assess the degree to which patient frailty is associated with both need for assistance and time required to complete the eRFA, a web-based GA tool. Materials and Methods: We retrospectively identified patients who underwent surgery for cancer from 2015 to 2020, had a hospital length of stay ≥1 day, and completed the eRFA before surgery. Frailty was assessed using two methods: the MSK-FI (score 0–11) and the AGD (score 0–13). Time to complete the eRFA was automatically recorded by a web-based tool; assistance with eRFA completion was self-reported by the patient. Results: In total, 3456 patients were included (median age, 78 years). Overall, 58% of surveys were completed without assistance, 30% were completed with assistance, and 12% were completed by someone other than the patient. Younger age (median age: without assistance, 77 years; with assistance, 80 years; completed by someone else, 80 years) and lower frailty score (median AGD: 4, 6, and 8, respectively; median MSK-FI: 2, 3, and 3, respectively) were associated with independency (all p < 0.001). Higher frailty score was associated with longer time to complete the eRFA (all nonlinear association p < 0.001). Conclusion: Frail patients are more likely to benefit from completion of GA to determine appropriate treatment. Given that not all cancer patients have a caregiver who can assist completing a digital questionnaire, innovative solutions are needed to help frail patients complete the eRFA without assistance. © 2022 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology |
| Keywords: | aged; retrospective studies; major clinical study; clinical feature; cancer patient; neoplasm; neoplasms; disease association; internet; retrospective study; hospital; length of stay; preoperative period; perioperative period; frail elderly; geriatric assessment; clinical assessment tool; complication; demographics; independence; frailty; very elderly; humans; human; male; female; article; web-based intervention; digital health; electronic rapid fitness assessment; accumulative geriatric deficit; memorial sloan kettering frailty index; patient history of tumorectomy; web-based platforms |
| Journal Title: | European Journal of Surgical Oncology |
| Volume: | 49 |
| Issue: | 3 |
| ISSN: | 0748-7983 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2023-03-01 |
| Start Page: | 662 |
| End Page: | 666 |
| Language: | English |
| DOI: | 10.1016/j.ejso.2022.11.011 |
| PUBMED: | 36404252 |
| PROVIDER: | scopus |
| PMCID: | PMC9974608 |
| DOI/URL: | |
| Notes: | Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PubMed and PDF -- Source: Scopus |
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