2013 Fiscal Year Final Research Report

Comprehensive Geriatric Assessment of Pre-surgical Patients

Research Project

Project/Area Number	24791252
Research Category	Grant-in-Aid for Young Scientists (B)
Allocation Type	Multi-year Fund
Research Field	Psychiatric science
Research Institution	National Center of Neurology and Psychiatry
Principal Investigator	FUJISAWA Daisuke 独立行政法人国立がん研究センター, 東病院, 医長 (30327639)
Project Period (FY)	2012-04-01 – 2014-03-31
Keywords	老年精神医学
Research Abstract	Comprehensive Geriatric Assessment (CGA) was conducted among 144 elderly cancer patients who were scheduled to undergo thoracic surgery. Up to 57% of the participants had household size of two or smaller, which means below optimal level of caregiving functioning. On nutritional screening, 20-27% were categorized as at risk of malnutrition. Substantial proportion of the participants had impairment in Activity of Daily Living (ADL) and Instrumental ADL (IDL) across various domains, with the rates ranging from 4% (using telephone), 5.5%(managing medication), 7% (using stairs), to 30% (preparing food). These results call for systematic monitoring of impairment, involvement of case manager, promotion of self-care through educational materials, supervision by specialized team, and stepped-care approach according to severity.