Der G8-Fragebogen als geriatrisches Screening-Tool in der Uroonkologie (2025)

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Zusammenfassung Abstract Schlüsselwörter Schlüsselwörter Keywords Keywords Literatur

Aktuelle Urologie, Inhaltsverzeichnis

Erratum zu diesem Artikel:

Der G8-Fragebogen als geriatrisches Screening-Tool in der UroonkologieAktuelle Urol 2020; 51(01): e1-e1
DOI: 10.1055/a-1108-4971

Zusammenfassung

Der G8-Fragebogen ist ein von der SIOG und EAU empfohlenes geriatrisches Screening-Tool, das zum Zeit- und Ressourcenschonen einem kompletten geriatrischen Assessment („comprehensive geriatric assessment“, CGA) vorgeschaltet werden kann. Die Anwendung des Fragebogens hat sich in unserem klinischen Alltag bewährt, da die 8 Items schnell und problemlos in 4 – 5 Minuten im Stil einer Checkliste auch von nicht geriatrisch geschultem Personal bearbeitet werden können. Mittlerweile ist der G8-Fragebogen in der geriatrischen Onkologie ein etabliertes Screening-Tool. Mehrfach wurde in Studien bewiesen, dass er einen unabhängigen Vorhersagewert in Bezug auf das Gesamtüberleben von Patienten hat. Kritische Aspekte bei der Anwendung bleiben seine relativ geringe Testspezifität (60 %), sein Fokus auf Ernährungsaspekte und mögliche Interobserverdifferenzen. Diese Aspekte sollten vom Anwender gekannt und beachtet werden.

Abstract

The G8 questionnaire is a geriatric screening tool recommended by the SIOG and the EAU. To save time and resources, it can precede a comprehensive geriatric assessment (CGA) in a two-step evaluation. Based on our experience, this 8-item questionnaire is easy and fast to perform (4 – 5 minutes), even by medical staff untrained in geriatrics. The G8 questionnaire has become an established screening tool also in geriatric oncology. It has been shown in several studies that it provides an independent prognostic indicator for the overall survival of cancer patients. However, some critical aspects remain: its low specificity (60 %), its focus on nutritional aspects, and possible interobserver differences. These aspects should be known and taken into account by clinicians.

Schlüsselwörter

Uroonkologie - Geriatrisches Assessment - Geriatrisches Screening

Keywords

urooncology - geriatric assessment - geriatric screening

Volltext

Referenzen

Literatur
1 Extermann M, Aapro M, Bernabei R. et al. Use of comprehensive geriatric assessment in older cancer patients: recommendations from the task force on CGA of the International Society of Geriatric Oncology (SIOG). Crit Rev Oncol Hematol 2005; 55: 241-252
2 Kenis C, Bron D, Libert Y. et al. Relevance of a systematic geriatric screening and assessment in older patients with cancer: results of a prospective multicentric study. Ann Oncol 2013; 24: 1306-1312
3 Caillet P, Canoui-Poitrine F, Vouriot J. et al. Comprehensive geriatric assessment in the decision-making process in elderly patients with cancer: ELCAPA study. J Clin Oncol 2011; 29: 3636-3642
4 Decoster L, Van Puyvelde K, Mohile S. et al. Screening tools for multidimensional health problems warranting a geriatric assessment in older cancer patients: an update on SIOG recommendationsdagger. Ann Oncol 2015; 26: 288-300
5 Bellera CA, Rainfray M, Mathoulin-Pelissier S. et al. Screening older cancer patients: first evaluation of the G-8 geriatric screening tool. Ann Oncol 2012; 23: 2166-2172
6 Mottet N, Bellmunt J, Bolla M. et al. EAU-ESTRO-SIOG Guidelines on Prostate Cancer. Part 1: Screening, Diagnosis, and Local Treatment with Curative Intent. Eur Urol 2017; 71: 618-629
7 Saliba D, Elliott M, Rubenstein LZ. et al. The Vulnerable Elders Survey: a tool for identifying vulnerable older people in the community. J Am Geriatr Soc 2001; 49: 1691-1699
8 Slaets JP. Vulnerability in the elderly: frailty. Med Clin North Am 2006; 90: 593-601
9 Droz JP, Albrand G, Gillessen S. et al. Management of Prostate Cancer in Elderly Patients: Recommendations of a Task Force of the International Society of Geriatric Oncology. Eur Urol 2017; 72: 521-531
10 Vellas B, Guigoz Y, Garry PJ. et al. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition 1999; 15: 116-122
11 Martinez-Tapia C, Paillaud E, Liuu E. et al. Prognostic value of the G8 and modified-G8 screening tools for multidimensional health problems in older patients with cancer. Eur J Cancer 2017; 83: 211-219
12 Schulkes KJG, Souwer ETD, van Elden LJR. et al. Prognostic Value of Geriatric 8 and Identification of Seniors at Risk for Hospitalized Patients Screening Tools for Patients With Lung Cancer. Clin Lung Cancer 2017; 18: 660-666 e661
13 Hamaker ME, Mitrovic M, Stauder R. The G8 screening tool detects relevant geriatric impairments and predicts survival in elderly patients with a haematological malignancy. Ann Hematol 2014; 93: 1031-1040
14 Osborne GEC, Appleyard SA, Gilbert DC. et al. Comprehensive Geriatric Assessment in Men Aged 70 Years or Older with Localised Prostate Cancer Undergoing Radical Radiotherapy. Clin Oncol (R Coll Radiol) 2017; 29: 609-616

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