- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Chapter 14 A life course approach for understanding later life sustainability
- Chapter 15 Ageing, multimorbidity, and daily functioning
- Chapter 16 Comprehensive geriatric assessment: evidence
- Chapter 17 Comprehensive geriatric assessment
- Chapter 18 Engaging older patients in their treatment and care
- Chapter 19 Models of healthcare for older people
- Chapter 20 History taking and physical examination
- Chapter 21 Communication
- Chapter 22 Interprofessional team building and case management
- Chapter 23 Age-friendly environments and their role in supporting Healthy Ageing
- Chapter 24 Principles of medication management
- Chapter 25 Optimizing pharmacotherapy for older patients
- Chapter 26 Limitations in the evidence for safe and effective medications for older people
- Chapter 27 General principles of recovery and rehabilitation
- Chapter 28 The approach of dying and death, and the mourning process of the survivors
- Chapter 29 Legal and ethical issues in care of older adults
- Section 3 Principles and organization of care
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing
(p. 117) Comprehensive geriatric assessment: evidence
- Chapter:
- (p. 117) Comprehensive geriatric assessment: evidence
- Author(s):
Alberto Pilotto
and Francesco Panza
- DOI:
- 10.1093/med/9780198701590.003.0016
Comprehensive geriatric assessment (CGA) is a multidisciplinary diagnostic and treatment process that identifies the medical, psychosocial, and functional capabilities of older adults in order to develop a coordinated management plan. No standard criteria are available to readily identify subjects who are likely to benefit from CGA. Recent evidences suggested that the healthcare setting may modify the effectiveness of CGA programmes. Home CGA programmes and CGA performed in the hospital, especially in dedicated units, have been shown to be consistently beneficial for several health outcomes. In contrast, the data are conflicting for post-hospital discharge CGA programmes, outpatient CGA consultation, and CGA-based inpatient geriatric consultation services. The effectiveness of CGA programmes may be influenced also by particular settings or specific clinical conditions, with tailored CGA programmes for older frail patients evaluated for preoperative CGA, admitted or discharged from emergency departments and orthogeriatric units, or with cancer, organ failure, and cognitive impairment.
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- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Chapter 14 A life course approach for understanding later life sustainability
- Chapter 15 Ageing, multimorbidity, and daily functioning
- Chapter 16 Comprehensive geriatric assessment: evidence
- Chapter 17 Comprehensive geriatric assessment
- Chapter 18 Engaging older patients in their treatment and care
- Chapter 19 Models of healthcare for older people
- Chapter 20 History taking and physical examination
- Chapter 21 Communication
- Chapter 22 Interprofessional team building and case management
- Chapter 23 Age-friendly environments and their role in supporting Healthy Ageing
- Chapter 24 Principles of medication management
- Chapter 25 Optimizing pharmacotherapy for older patients
- Chapter 26 Limitations in the evidence for safe and effective medications for older people
- Chapter 27 General principles of recovery and rehabilitation
- Chapter 28 The approach of dying and death, and the mourning process of the survivors
- Chapter 29 Legal and ethical issues in care of older adults
- Section 3 Principles and organization of care
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing