The concept of the “ABCD of CGA” would result in varying assessments depending on the environment and needs of the patient
The comprehensive geriatric assessment (CGA) is considered the gold standard assessment tool for evaluating and providing care to at‐risk and frail older patients. The key elements of the CGA include a multidimensional approach with a coordinated multidisciplinary assessment to identify medical, psychosocial, environmental and functional concerns. The information gathered is used to inform and formulate a detailed and individualised care plan with identified goals focusing on restoring or maintaining function with clear follow‐up.1,2,3
The full article is accessible to AMA members and paid subscribers. Login to read more or purchase a subscription now.
Please note: institutional and Research4Life access to the MJA is now provided through Wiley Online Library.
- 1. Rubenstein LZ, Rubenstein LV. Chapter 35: multidimensional geriatric assessment. In: Fillit HM, Rockwood K, Woodhouse K, editors. Brocklehurst’s textbook of geriatric medicine and gerontology; 7th ed. Philadelphia: Saunders Elsevier, 2010; pp 211–217.
- 2. Pilotto A, Panza F. Section 2 — key concepts in care of older adults: comprehensive geriatric assessment: evidence. In: Michel JP, Beattie BL, Martin FC, Walston JD, editors. Oxford textbook of geriatric medicine. Oxford University Press, 2018; pp 117–127.
- 3. Parker SG, McCue P, Phelps K, et al. What is comprehensive geriatric assessment (CGA)? An umbrella review. Age Ageing 2018; 47: 149–155.
- 4. St John PD, Hogan DB. The relevance of Marjory Warren’s writings today. Gerontologist 2014; 54: 21–29.
- 5. Pilotto A, Cella A, Pilotto A, et al. Three decades of comprehensive geriatric assessment: evidence coming from different healthcare settings and specific clinical conditions. J Am Med Dir Assoc 2017; 18: 192.
- 6. Ellis G, Whitehead MA, Robinson D, et al. Comprehensive geriatric assessment for older adults admitted to hospital: a meta-analysis of randomised controlled trials. BMJ 2011; 343: d6553.
- 7. Stuck AE, Siu AL, Wieland GD, et al. Comprehensive geriatric assessment: a meta-analysis of controlled trials. Lancet 1993; 342: 1032–1036.
- 8. Baztán JJ, Suárez-García FM, López-Arrieta J, et al. Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital for acute medical disorders: meta-analysis. BMJ 2009; 338: b50.
- 9. Conroy SP, Ansari K, Williams M, et al. A controlled evaluation of comprehensive geriatric assessment in the emergency department: the “emergency frailty unit”. Age Ageing 2014; 43: 109–114.
No relevant disclosures.