Cognitive function and ability to complete a web-based geriatric assessment among older adults with cancer Journal Article
| Authors: | Hoffmann, A. J.; Tin, A. L.; Vickers, A. J.; Shahrokni, A. |
| Article Title: | Cognitive function and ability to complete a web-based geriatric assessment among older adults with cancer |
| Abstract: | Background: The purpose of this study was determined whether cognitive impairment is associated with time taken to complete the electronic rapid fitness assessment (eRFA). We hypothesized that taking more time to complete the eRFA will indicate worsened cognitive function. Methods: We retrospectively identified patients who presented to the Memorial Sloan Kettering Cancer Center Geriatrics Service for preoperative evaluation and completed the eRFA as a part of their preoperative assessment from February 2015 to December 2020. Cognitive function was assessed using the Mini-Cog©, which is a screening test for cognitive function status. Patients in this study underwent elective surgery and had a hospital length of stay ≥1 day. Time to complete the eRFA was automatically recorded by a web-based tool; assistance with eRFA completion was self-reported by the patient. In total, 2599 patients were included, of which 2387 had available Mini-Cog© scores. Results: Overall, 50% of surveys were completed without assistance, 37% were completed with assistance, and 13% were completed by somebody else; Mini-Cog© scores were lower, corresponding to worsened cognitive function status, in patients requiring assistance (median score respectively, 5 vs. 4 vs. 3; p-value <0.0001; rates of cognitive impairment 7.5%, 22%, and 38%). Among patients who completed the questionnaire independently, greater cognitive impairment was associated with longer time to complete the eRFA (change in score per 5 min = −0.09; 95% CI −0.14, −0.03; p = 0.002). Conclusions: We found evidence that requirement for assistance in completing web-based questionnaires, and time taken to complete a questionnaire, predict which patients benefit from more comprehensive cognitive function assessments. Future studies should further validate this finding in a more diverse population and establish optimal clinical pathways. © 2023 The American Geriatrics Society. |
| Keywords: | aged; retrospective studies; major clinical study; cancer patient; preoperative evaluation; sensitivity analysis; neoplasm; neoplasms; cohort analysis; internet; health survey; retrospective study; time; self report; cancer center; length of stay; cognition; cognitive defect; geriatric assessment; elective surgery; post hoc analysis; complication; exploratory research; patient-reported outcome; independence; cognitive dysfunction; cognitive impairment; geriatric oncology; cancer; humans; human; male; female; article; malignant neoplasm; english (language); electronic rapid fitness assessment; data completeness; cognitive impairment assessment; web-based questionnaire; aptitude; clock drawing test; mini cog score |
| Journal Title: | Journal of the American Geriatrics Society |
| Volume: | 72 |
| Issue: | 2 |
| ISSN: | 0002-8614 |
| Publisher: | Wiley Blackwell |
| Date Published: | 2024-02-01 |
| Start Page: | 503 |
| End Page: | 511 |
| Language: | English |
| DOI: | 10.1111/jgs.18682 |
| PUBMED: | 37971219 |
| PROVIDER: | scopus |
| PMCID: | PMC11229305 |
| DOI/URL: | |
| Notes: | Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PubMed and PDF -- Source: Scopus |
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