G8 Geriatric Screening Tool

This tool should not be used as the sole determinant for management decisions; it must be integrated with clinical judgment and a formal assessment.

Score ≤14: Proceed with a CGA to evaluate specific vulnerabilities and guide interventions. 

• While there is no universal CGA tool, this assessment may include (referenced tools/scores are merely suggestions):
  • Assessment of chemotherapy toxicity (e.g., CRASH Score, CARG-TT).
  • Estimation of (noncancer) life expectancy.
  • Functional assessment (e.g., instrumental activities of daily living).
  • Comorbidity review (e.g., CIRS-G).
  • Fall risk screening (e.g., Get Up and Go test, BBS).
  • Depression screening (e.g., GDS-15).
  • Cognitive impairment screening (e.g., Mini-Cog, MoCA).
  • Nutritional status assessment (e.g., weight loss, BMI).
• Please see the ASCO guidelines for additional recommendations and potential guided interventions.

Score >14: Consider proceeding with planned oncologic treatments, but remain vigilant for signs of emerging frailty or functional decline.