Abstract
Prevention, detection and management of geriatric syndromes and frailty, or risk factors for these, are the cornerstones of Geriatrics and Geriatric Oncology. In older patients, functional level varies widely — from robust and able to tolerate cancer treatment, to frail and unable to tolerate even minor interventions without life-threatening consequences. At either end of the spectrum, treatment decisions are clear, but the identification of persons at risk for functional decline and frailty, where interventions or treatment modifications are needed, is where geriatrics is going to make the biggest impact on oncology. The concept of a Comprehensive Geriatric Assessment (CGA) includes a multidisciplinary assessment to detect geriatric syndromes and frailty and, most importantly, to determine when interventions are needed. This methodology has been successfully applied to patients with cancer, but is not necessary in all and, because it is time-intensive, is not feasible in most clinical settings. Brief tools to screen for frailty in patients with
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