Page 67 - Risk quantification and modification in older patients with colorectal cancer

Risk stratification using ISAR-HP and G8 screening tools Appendix A Geriatric-8 (G8) screening tool
Items
1. Has food intake declined over the past 3 months due to loss of appetite, digestive problems, chewing, or swallowing difficulties?
2. Weight loss during the last 3 months?
3. Mobility?
4. Neuropsychological problems?
5. Body mass index (BMI)? (weight in kilograms) / (height in square metres)
6. Takes more than three prescription drugs per day?
7. In comparison with other people of the same age, how does the patient consider their health status?
8. Age
Possible responses (score)
0 = Severe decrease in food intake
1 = Moderate decrease in food intake
2 = No decrease in food intake
0 = Weight loss >3 kg
1 = Does not know
2 = Weight loss between 1 and 3 kg
3 = No weight loss
0 = Bed or chair bound
1 = Able to get out of bed/chair but does not go out 2 = Goes out
0 = Severe dementia or depression
1 = Mild dementia
2 = No psychological problems
0 = BMI <19
1 = BMI 19 to <21
2=BMI 21 to <23
3 = BMI ≥23
0 = Yes
1 = No
0.0 = Not as good
0.5 = Does not know
1.0 = As good
2.0 = Better
0 = >85
1 = 80–85
2 = <80
Cut-off ≤ 14: potentially frail
Total score 0–17
The G8 Screening questionnaire. BMI, Body mass index. Adapted from Bellera et al.19
Appendix B Identification of seniors at risk for hospitalized patients (ISAR-HP) screening tool
Items
1. Before hospital admission, did you need assistance for IADL (e.g. assistance in housekeeping, preparing meals, shopping, etc.) on a regular basis?
2. Do you use a walking device (e.g. a cane, walking frame, crutches, etc.)?
3. Do you need assistance for travelling?
4. Did you continue education after age 14?
Total score 0-5
Possible responses (score)
0 = No 1 = Yes
0 = No
2 = Yes
0 = No
1 = Yes
0 = No
1 = Yes
Cut-off ≥ 2: potentially frail
The ISAR-HP Screening questionnaire. IADL, instrumental activities of Daily Life. Adapted from Hoogerduijn et al.16
65
3