Table 1.
Classification of elderly cancer patients according to multidimensional geriatric assessment (MGA) (modified from [3])
| Category | Parameter | Therapy |
|---|---|---|
| Go-go/fit | No functional dependence in ADL (100) | Standard therapy similar to younger patients |
| No functional dependence in IADL (8) | ||
| No relevant comorbidities | ||
| No geriatric syndromesa | ||
| Slow-go/vulnerable | No functional dependence in ADL (100) | Attenuated, individualised therapy |
| Dependence in one or more IADL (<8) | ||
| Comorbidity present but not life threatening | ||
| Mild memory disorder and depression | ||
| No geriatric syndromesa | ||
| No-go/frail | Age ≥85 yearsb | BSC, palliative care, mild, symptom-oriented therapy |
| ≥3 grade 3 comorbidities (CIRS-G) or ≥3 comorbidities in Charlson score or one severe comorbidity with constant limitation in daily life | ||
| One or more geriatric syndromesa |
ADL activities of daily living, IADL instrumental activities of daily living, CIRS-G cumulative illness rating scale for geriatrics, BSC best supportive care
aGeriatric syndromes: dementia, delirium, depression, failure to thrive, neglect or abuse, osteoporosis, falls and incontinence [9]
bA higher upper age limit might be considered