Table 1.
Most widely used preoperative frailty assessment indexes for the evaluation of patients before major urologic oncology operations. BMI: Body Mass Index, G8: Geriatric 8, sFI: simplified five-item, CGA: Comprehensive Geriatric Assessment, ASA: American Society of Anesthesiologists, mini-COG: Mini-Cognitive, ECOG: Eastern Cooperative Oncology Group, CISR-G: Cumulative Illness Score Rating-Geriatrics, CCI: Charlson Comorbidity Index.
PREOPERATIVE ASSESSMENT INDEXES | CATEGORY EVALUATED |
---|---|
G8 score | Health status. Evaluates 1. decline of food intake, 2. weight loss, 3. mobility, 4. Neuropsychological problems, 5. BMI, 6. more or less than 3 prescription drugs, 7. Age, 8. comparison with other people of the same age[14-15]. |
sFI frailty index | Frailty. 1. diabetes mellitus, 2. functional status, 3. history of chronic obstructive pulmonary disease, 4. history of congestive cardiac failure, and 5. hypertension requiring treatment[9]. |
Johns Hopkins frailty assessment calculator | Frailty. Five phenotypic criteria: unintentional weight loss, exhaustion, low energy expenditure, low grip strength, and/or slowed walking speed[21]. |
CGA | Frailty functional status, fatigue, comorbidity, cognition, mental health, social support, nutrition and geriatric syndromes (e.g. dementia, delirium, falls, incontinence, osteoporosis or spontaneous fractures, neglect or abuse, failure to thrive, constipation, polypharmacy, pressure ulcers, and sarcopenia)[23]. |
ASA physical status classification | Health status. Assessing the fitness of patients before surgery five classes (I to V)[11,14]. |
mini-COG assessment | Cognitive status. Consists of two components, a 3-item recall test for memory and a simply scored clock drawing test[14,18]. |
Karnofsky score and ECOG performance status | Physical function. Performance status. ECOG 0-5, Karnofsky score 0-100[14,19-20]. |
CISR-G and CCI | Comorbidities. CISR-G 14 categories. CCI 17 categories, Predicts 10-year survival in patients[14,16-17]. |