ArticleBMC geriatrics2024
Which Comprehensive Geriatric Assessment (CGA) instruments are currently used in Germany: a survey.
Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 15 citations in OpenAlex.
- Psychological and functional factors associated with quality of life in comprehensive geriatric care: evidence from a multicenter observational cohort study.BMC geriatrics · 2026Observational
- Assessment of sleep in older people within comprehensive geriatric assessments: a scoping review.Age and ageing · 2026Article
- Increasing Age at Radical Prostatectomy: A Total Population Analysis in Germany from 2006 to 2022.Annals of surgical oncology · 2026Article
- Depressive symptoms in hospitalized geriatric patients with and without cognitive impairment: a cross-sectional network analysis approach.Frontiers in medicine · 2026Article
- Geriatric syndromes in elderly hospitalized patients in China: a cross-sectional study.Frontiers in medicine · 2026Article
- [Frailty at the interface of resilience and intrinsic capacity].Innere Medizin (Heidelberg, Germany) · 2025Review
- Teaching Comprehensive Geriatric Assessment (CGA) in medical education: a scoping review.European geriatric medicine · 2025Article
- Comprehensive Gerontological Assessment: An Update on the Concept and Its Evaluation Tools in Latin America and the Caribbean-A Literature Review.International journal of environmental research and public health · 2024Review
- Effect of a comprehensive geriatric assessment nursing intervention model on older patients with diabetes and hypertension.World journal of clinical cases · 2024Article
- Predictors of Functional Improvement During Comprehensive Geriatric Care in Germany: A 10-Year Monocentric Retrospective Analysis.Sage open agingArticle
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15 authors at 11 institutions in 3 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Comprehensive Geriatric Assessment (CGA) records geriatric syndromes in a standardized manner, allowing individualized treatment tailored to the patient's needs and resources. Its use has shown a beneficial effect on the functional outcome and survival of geriatric patients. A recently published German S1 guideline for level 2 CGA provides recommendations for the use of a broad variety of different assessment instruments for each geriatric syndrome. However, the actual use of assessment instruments in routine geriatric clinical practice and its consistency with the guideline and the current state of literature has not been investigated to date.
methodsAn online survey was developed by an expert group of geriatricians and sent to all licenced geriatricians (n = 569) within Germany. The survey included the following geriatric syndromes: motor function and self-help capability, cognition, depression, pain, dysphagia and nutrition, social status and comorbidity, pressure ulcers, language and speech, delirium, and frailty. Respondents were asked to report which geriatric assessment instruments are used to assess the respective syndromes.
resultsA total of 122 clinicians participated in the survey (response rate: 21%); after data cleaning, 76 data sets remained for analysis. All participants regularly used assessment instruments in the following categories: motor function, self-help capability, cognition, depression, and pain. The most frequently used instruments in these categories were the Timed Up and Go (TUG), the Barthel Index (BI), the Mini Mental State Examination (MMSE), the Geriatric Depression Scale (GDS), and the Visual Analogue Scale (VAS). Limited or heterogenous assessments are used in the following categories: delirium, frailty and social status.
conclusionsOur results show that the assessment of motor function, self-help capability, cognition, depression, pain, and dysphagia and nutrition is consistent with the recommendations of the S1 guideline for level 2 CGA. Instruments recommended for more frequent use include the Short Physical Performance Battery (SPPB), the Montreal Cognitive Assessment (MoCA), and the WHO-5 (depression). There is a particular need for standardized assessment of delirium, frailty and social status. The harmonization of assessment instruments throughout geriatric departments shall enable more effective treatment and prevention of age-related diseases and syndromes.
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