Skip to main content
SpringerLink
Log in

Comprehensive Geriatric Assessment: An Updated Perspective

  • Chapter
  • First Online:
Comprehensive Geriatric Assessment

Part of the book series: Practical Issues in Geriatrics ((PIG))

  • 2142 Accesses

Abstract

The declining health and progressive physical and cognitive impairment that accompany aging has inspired artists, philosophers, and scientists for unmemorable times.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References

  1. Margolick JB, Ferrucci L (2015) Accelerating aging research: how can we measure the rate of biologic aging? Exp Gerontol 64:78–80. doi:10.1016/j.exger.2015.02.009

    Article  PubMed  PubMed Central  Google Scholar 

  2. Kennedy BK, Berger SL, Brunet A et al (2014) Geroscience: linking aging to chronic disease. Cell 159(4):709–713. doi:10.1016/j.cell.2014.10.039

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Fabbri E, Zoli M, Gonzalez-Freire M, Salive ME, Studenski SA, Ferrucci L (2015) Aging and multimorbidity: new tasks, priorities, and frontiers for integrated gerontological and clinical research. J Am Med Dir Assoc 16(8):640–647. doi:10.1016/j.jamda.2015.03.013

    Article  PubMed  PubMed Central  Google Scholar 

  4. Jiang S, Li P (2016) Current development in elderly comprehensive assessment and research methods. Biomed Res Int 2016:1–10. doi:10.1155/2016/3528248

    CAS  Google Scholar 

  5. Wieland D, Ferrucci L (2008) Multidimensional geriatric assessment: back to the future. J Gerontol A Biol Sci Med Sci 63(3):272–274. doi:10.1093/gerona/63.3.272

    Article  PubMed  PubMed Central  Google Scholar 

  6. Rubenstein LZ, Josephson KR, Wieland GD, English PA, Sayre JA, Kane RL (1984) Effectiveness of a geriatric evaluation unit. N Engl J Med 311(26):1664–1670. doi:10.1056/NEJM198412273112604

    Article  CAS  PubMed  Google Scholar 

  7. Rubenstein LZ, Stuck AE, Siu AL, Wieland D (1991) Impacts of geriatric evaluation and management programs on defined outcomes: overview of the evidence. J Am Geriatr Soc 39(9 Pt 2):8S–16S. discussion 17S-18S. http://www.ncbi.nlm.nih.gov/pubmed/1832179

    Article  CAS  PubMed  Google Scholar 

  8. Wellens NIH, Deschodt M, Flamaing J et al (2011) First-generation versus third-generation comprehensive geriatric assessment instruments in the acute hospital setting: a comparison of the minimum geriatric screening tools (MGST) and the interRAI acute care (interRAI AC). J Nutr Health Aging 15(8):638–644. http://www.ncbi.nlm.nih.gov/pubmed/21968858

    Article  CAS  PubMed  Google Scholar 

  9. Ismail K, Nussbaum L, Sebastiani P et al (2016) Compression of morbidity is observed across cohorts with exceptional longevity. J Am Geriatr Soc 64(8):1583–1591. doi:10.1111/jgs.14222

    Article  PubMed  PubMed Central  Google Scholar 

  10. Soler-Vila H, García-Esquinas E, León-Muñoz LM, López-García E, Banegas JR, Rodríguez-Artalejo F (2016) Contribution of health behaviours and clinical factors to socioeconomic differences in frailty among older adults. J Epidemiol Community Health 70(4):354–360. doi:10.1136/jech-2015-206406

    Article  PubMed  Google Scholar 

  11. Pilotto A, Cella A, Pilotto A et al (2017) Three decades of comprehensive geriatric assessment: evidence coming from different healthcare settings and specific clinical conditions. J Am Med Dir Assoc 18(2):192.e1–192.e11. doi:10.1016/j.jamda.2016.11.004

    Article  Google Scholar 

  12. Partridge JSL, Harari D, Martin FC, Dhesi JK (2014) The impact of pre-operative comprehensive geriatric assessment on postoperative outcomes in older patients undergoing scheduled surgery: a systematic review. Anaesthesia 69(s1):8–16. doi:10.1111/anae.12494

    Article  PubMed  Google Scholar 

  13. Jay S, Whittaker P, Mcintosh J, Hadden N (2017) Can consultant geriatrician led comprehensive geriatric assessment in the emergency department reduce hospital admission rates? A systematic review. Age Ageing 46(3):366–372. doi:10.1093/ageing/afw231

    PubMed  Google Scholar 

  14. Sergi G, De Rui M, Sarti S, Manzato E (2011) Polypharmacy in the elderly: can comprehensive geriatric assessment reduce inappropriate medication use? Drugs Aging 28(7):509–519. doi:10.2165/11592010-000000000-00000

    Article  PubMed  Google Scholar 

  15. Klepin HD, Geiger AM, Tooze JA et al (2011) The feasibility of inpatient geriatric assessment for older adults receiving induction chemotherapy for acute myelogenous leukemia. J Am Geriatr Soc 59(10):1837–1846. http://www.ncbi.nlm.nih.gov/pubmed/22091497

    Article  PubMed  PubMed Central  Google Scholar 

  16. Wildiers H, Heeren P, Puts M et al (2014) International Society of Geriatric Oncology consensus on geriatric assessment in older patients with cancer. J Clin Oncol 32(24):2595–2603. doi:10.1200/JCO.2013.54.8347

    Article  PubMed  PubMed Central  Google Scholar 

  17. Farcet A, de Decker L, Pauly V et al (2016) Frailty markers and treatment decisions in patients seen in oncogeriatric clinics: results from the ASRO pilot study. PLoS One 11(2):e0149732. doi:10.1371/journal.pone.0149732

    Article  PubMed  PubMed Central  Google Scholar 

  18. Hodes RJ, Sierra F, Austad SN et al (2016) Disease drivers of aging. Ann N Y Acad Sci 1386(1):45–68. doi:10.1111/nyas.13299

    Article  PubMed  PubMed Central  Google Scholar 

  19. Mitnitski A, Rockwood K (2015) Aging as a process of deficit accumulation: its utility and origin. Interdiscip Top Gerontol 40:85–98. doi:10.1159/000364933

    Article  PubMed  Google Scholar 

  20. Fried LP, Tangen CM, Walston J et al (2001) Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 56(3):M146–M156. http://www.ncbi.nlm.nih.gov/pubmed/11253156

    Article  CAS  PubMed  Google Scholar 

  21. Fried LP, Xue Q-L, Cappola AR et al (2009) Nonlinear multisystem physiological Dysregulation associated with frailty in older women: implications for etiology and treatment. J Gerontol A Biol Sci Med Sci 64A(10):1049–1057. doi:10.1093/gerona/glp076

    Article  PubMed Central  Google Scholar 

  22. López-Otín C, Blasco MA, Partridge L, Serrano M, Kroemer G (2013) The hallmarks of aging. Cell 153(6):1194–1217. doi:10.1016/j.cell.2013.05.039

    Article  PubMed  PubMed Central  Google Scholar 

  23. Kennedy BK, Berger SL, Brunet A et al (2014) Aging: a common driver of chronic diseases and a target for novel interventions HHS public access. Cell 6(1594):709–713. doi:10.1016/j.cell.2014.10.039

    Article  Google Scholar 

  24. Cesari M, Marzetti E, Calvani R et al (2017) The need of operational paradigms for frailty in older persons: the SPRINTT project. Aging Clin Exp Res 29(1):3–10. doi:10.1007/s40520-016-0712-5

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. National Institute on Aging, 251 Bayview Boulevard, Baltimore, MD, 21224, USA

    Luigi Ferrucci

  2. IRCCS S. Giovanni di Dio, Fatebenefratelli, 4 Via Pilastroni, Brescia, 25125, Italy

    Stefania Orini

Authors
  1. Luigi Ferrucci
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Stefania Orini
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Luigi Ferrucci .

Editor information

Editors and Affiliations

  1. Geriatric Care, Orthogeriatrics and Rehab, Ospedali Galliera, Genoa, Italy

    Alberto Pilotto

  2. Dept. of Aging and Health, St. Thomas Hospital, London, United Kingdom

    Finbarr C. Martin

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ferrucci, L., Orini, S. (2018). Comprehensive Geriatric Assessment: An Updated Perspective. In: Pilotto, A., Martin, F. (eds) Comprehensive Geriatric Assessment. Practical Issues in Geriatrics. Springer, Cham. https://doi.org/10.1007/978-3-319-62503-4_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-62503-4_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-62502-7

  • Online ISBN: 978-3-319-62503-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation