Domains for cancer-specific comprehensive geriatric assessment
| Domain with measure . | No. of items . | Description . |
|---|---|---|
| Functional status | ||
| MOS physical health | 10 | Measures limitations in a wide range of physical functions from bathing and dressing to vigorous activities such as running |
| Instrumental Activities of Daily Living (subscale of the OARS) | 7 | Measures ability to complete activities required to maintain independence in the community (ie, preparing meals, shopping, making telephone calls, managing money) |
| Karnofsky performance status (rated by the health care professional) | 1 | Global indicator of patient function determined by the health care professional on a scale of 0 to 100 |
| No. of falls in the last 6 months | 1 | No. of times patient has fallen in the last 6 months |
| Timed up and go | 1 | Performance-based measure of functional status: amount of time it takes for seated patient to rise from a chair, walk 10 feet, walk back, and sit down |
| MOS social activities | 4 | Measures ability to participate in social activities and degree to which health status limits normal social activities |
| Comorbid medical conditions | ||
| Physical health section (subscale of the OARS) | 15 | List of comorbid illnesses and the degree to which they impair daily activities; patient can add additional comorbid illnesses not listed; rating of eyesight and hearing |
| Psychological state | ||
| Hospital Anxiety and Depression Scale | 14 | Measures of anxiety and depression |
| Social support | ||
| MOS social support survey: emotional information and tangible subscales | 12 | Perceived availability of social support |
| Nutritional status | ||
| Body mass index | 1 | Weight and height |
| Percent unintentional weight loss in the past 6 months | 1 | Unintentional weight loss in last 6 months/baseline body weight × 100 |
| Cognition | ||
| Blessed Orientation-Memory-Concentration test | 6 | Gross measure of cognitive function |
| Medications | ||
| Comprehensive list of medications | 1 | List of medications including prescribed, herbal, and over-the-counter |
| Domain with measure . | No. of items . | Description . |
|---|---|---|
| Functional status | ||
| MOS physical health | 10 | Measures limitations in a wide range of physical functions from bathing and dressing to vigorous activities such as running |
| Instrumental Activities of Daily Living (subscale of the OARS) | 7 | Measures ability to complete activities required to maintain independence in the community (ie, preparing meals, shopping, making telephone calls, managing money) |
| Karnofsky performance status (rated by the health care professional) | 1 | Global indicator of patient function determined by the health care professional on a scale of 0 to 100 |
| No. of falls in the last 6 months | 1 | No. of times patient has fallen in the last 6 months |
| Timed up and go | 1 | Performance-based measure of functional status: amount of time it takes for seated patient to rise from a chair, walk 10 feet, walk back, and sit down |
| MOS social activities | 4 | Measures ability to participate in social activities and degree to which health status limits normal social activities |
| Comorbid medical conditions | ||
| Physical health section (subscale of the OARS) | 15 | List of comorbid illnesses and the degree to which they impair daily activities; patient can add additional comorbid illnesses not listed; rating of eyesight and hearing |
| Psychological state | ||
| Hospital Anxiety and Depression Scale | 14 | Measures of anxiety and depression |
| Social support | ||
| MOS social support survey: emotional information and tangible subscales | 12 | Perceived availability of social support |
| Nutritional status | ||
| Body mass index | 1 | Weight and height |
| Percent unintentional weight loss in the past 6 months | 1 | Unintentional weight loss in last 6 months/baseline body weight × 100 |
| Cognition | ||
| Blessed Orientation-Memory-Concentration test | 6 | Gross measure of cognitive function |
| Medications | ||
| Comprehensive list of medications | 1 | List of medications including prescribed, herbal, and over-the-counter |
MOS, Medical Outcomes Study; OARS, Older Americans Resources and Services [Program].