University of California San Francisco
Helen Diller Family Comprehensive Cancer Center

Tools and Education

Older Adult Cancer Care Program: Tools and Education

UCSF Frailty Navigator in Apex

  • The UCSF Frailty Navigator offers multiple geriatric assessment tools including:
    • Frailty screening tools: Vulnerable Elders Survey (VES-13), Edmonton Frail Scale, Geriatric 8 (G8)
    • Functional status: activities of daily living (ADL), instrumental activities of daily living (IADL)
    • Physical function performance tests: Timed Up and Go (TUGT), Short Physical Performance Battery (SPPB), grip strength
    • Cognition: Mini-Cog, Montreal Cognitive Assessment (MoCA)
    • Mood: Geriatric Depression Scale (GDS), PHQ-9, GAD-7
  • Instructions on using the frailty navigator is available here.
  • If you would like to add a screening tool or need assistance accessing the navigator, please email gerionc@ucsf.edu.

Cancer and Aging Research Group (CARG)

  • The mission of CARG is to join geriatric oncology researchers across the nation in a collaborative effort of designing and implementing clinical trials to improve the care of older adults with cancer. CARG conducts studies of cancer and aging and offers educational resources, resources for older adults, geriatric assessment tools, and grant opportunities.
  • Geriatric assessment tools and chemotherapy toxicity tools are available in multiple languages here: http://www.mycarg.org/SelectQuestionnaire
  • CARG meets every other Tuesday via conference calls. To join CARG, please email CARinG@coh.edu

American Geriatrics Society (AGS) Cancer and Aging Special Interest Group

  • The AGS Cancer and Aging Special Interest Group is an interdisciplinary assemblage of geriatric, gerontologic, and oncologic professionals that seeks to (1) promote multidisciplinary-centered cancer prevention, assessment, and management of older adults; (2) promote education and training in geriatric oncology concepts; (3) promote research in geriatric oncology; (4) facilitate linkages among those organizations and institutions that serve or focus upon geriatric and/or oncologic causes; and (5) champion and advocate for older adults and their families who are impacted by cancer.
  • Chair: Melisa Wong, MD, MAS (UCSF); Co-Vice Chairs: Kah Poh (Melissa) Loh, MBBCh, BAO (University of Rochester); Carolyn Presley, MD, MHS (Ohio State University)

American Society of Clinical Oncology (ASCO) Geriatric Oncology Initiative

  • The ASCO Geriatric Oncology Initiative compiles the most practice-changing, cutting-edge research and clinical guidelines in geriatric oncology, along with effective tools, assessments, and other resources for clinicians, patients, and caregivers.
  • First ASCO Guideline for Geriatric Oncology: Mohile et al. Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy: ASCO Guideline for Geriatric Oncology. J Clin Oncol 2018;36(22):2326-2347.

International Society of Geriatric Oncology (SIOG)

  • The goal of SIOG is to foster the development of health professionals in the field of geriatric oncology in order to optimize treatment of older adults with cancer. SIOG regularly publishes clinical guidelines for the management of various conditions in older adults with cancer.

Association of Community Cancer Centers (ACCC)

  • As part of its Multidisciplinary Approaches to Caring for Geriatric Patients with Cancer project, the ACCC hosted a six-part webinar series on caring for older adults with cancer.

ePrognosis

  • ePrognosis is a repository of published geriatric prognostic indices where clinicians can go to obtain evidence-based information on patients' prognosis. Tools available include calculators for general prognosis and cancer screening as well as tools for communicating prognosis.

National Comprehensive Cancer Network (NCCN) Older Adult Oncology Guidelines (requires free account)

  • Chair: Efrat Dotan, MD (Fox Chase Cancer Center); Vice Chair: Louise Walter, MD (UCSF)

Portal of Geriatric Online Education (POGOe)

  • The Portal of Geriatric Online Education (POGOe) is a free public repository of geriatric educational materials in various e-learning formats, including lectures, virtual patient cases, case-based learning, as well as links to other resources.