Validity & Reliability of a Comprehensive Geriatric Assessment Screening Questionnaire (CGA-gold) in Older People With Cancer 

T. Kalsi, G. Babic-Illman, S. Hughes, P. Ross, P. Fields, N. Maisey, H. Brodie, Y. Wang, D. Harari

Research output: Other contribution


Background: With a growing number of older people undergoing cancer treatment, identifying their wider needs is becoming increasingly important. CGA screening in non-UK studies have identified broader issues, but tools are too lengthy to implement in the busy NHS oncology clinic setting. We evaluated a briefer self-reporting CGA screening questionnaire (CGA-GOLD) which included evidence-based measures and a validated quality of life tool (EORTC-QLQ-C30).

Method: Participants completed the CGA-GOLD questionnaire in the POPS-GOLD (Geriatric Oncology Liaison Development) pilot project (LREC 11/LO/0695). Two clinicians (geriatrics specialist registrar (SPR) and clinical nurse specialist (CNS)) reviewed CGA-GOLD responses. Patients deemed with ‘no significant CGA needs’ received no input, ‘possible need’ received a telephone call to clarify, and ‘definite need’ were invited for an in-depth CGA assessment and management plan. We assessed questionnaire validity and reliability in identifying need.

Results: 239 patients completed the questionnaire (mean age 76.6). Both clinicians independently reviewed the same questionnaires for 71 patients. The same decision regarding CGA need was made for 87.3% (62/71) with excellent inter-rater reliability (kappa = 0.80).

The SPR and CNS reviewed the questionnaire against the clinical notes for 82 and 83 different patients respectively. Notes review changed decision-making for the SPR and CNS in 11.0% (9/82) and 9.6% (8/83) respectively. 55 telephone calls were made to clarify need, decision-making was altered for 38% (n = 21/55), mainly towards no needs (n = 16) with none towards increasing need.

Conclusions: The CGA-GOLD questionnaire is reliable for identifying need when reviewed by geriatrics specialists of different disciplines. Notes review only changed identification of need in 10%, indicating validity. Telephone calls reduced false positives, but confirmed that high needs were not being missed.
Original languageEnglish
Number of pages1
Publication statusPublished - 1 Jun 2014


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