title: Performance of the Multidimensional Geriatric Assessment and Multidimensional Prognostic Index in predicting negative outcomes in older adults with cancer.
abstract: The Multidimensional Geriatric Assessment (MGA) is currently used for assessing geriatric oncological patients, but a new prognostic index - the Multidimensional Prognostic Index (MPI) - has a demonstrated prognostic value in cancer patients too. The present work was designed to compare the MPI and MGA as predictors of 12-month mortality. 160 patients ≥70 years old with locally-advanced or metastatic solid cancers consecutively joining our Geriatric Oncology Program were administered a Comprehensive Geriatric Assessment to calculate their MGA and MPI scores.
  
  
  METHODS
  Geriatric Clinic, Geriatric Surgery Clinic, Medical Oncology Unit, Padova Hospital, Italy. Using Cohen's Kappa coefficient, there was a poor concordance between the MPI and MGA. Severe MPI being associated with a higher mortality risk than Frail in the MGA. The ROC curves indicated that the MPI had a greater discriminatory power for 12-month mortality than the MGA. In our population of elderly cancer patients, the MPI performed better than the MGA in predicting mortality. Further evidence from larger prospective trials is needed to establish whether other geriatric scales, such as the GDS and CIRS-SI, could enhance the value of prognostic indexes applied to elderly cancer patients.
authors.affiliation: Department of Medical Sciences, Geriatric Clinic, University of Padova, Padova, Italy.
authors.forename: V
authors.initials: V
authors.lastname: Giantin
authors.affiliation: Medical Oncology Unit II, Istituto Oncologico Veneto-IRCCS, Padova, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Falci
authors.affiliation: Department of Medical Sciences, Geriatric Clinic, University of Padova, Padova, Italy.
authors.forename: E
authors.initials: E
authors.lastname: De Luca
authors.affiliation: Department of Medical Sciences, Geriatric Clinic, University of Padova, Padova, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Valentini
authors.affiliation: Department of Medical Sciences, Geriatric Clinic, University of Padova, Padova, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Iasevoli
authors.affiliation: CNR, Aging Section, Institute of Neuroscience, Padova, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Siviero
authors.affiliation: CNR, Aging Section, Institute of Neuroscience, Padova, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Maggi
authors.affiliation: Department of Surgical and Gastroenterological Sciences, Geriatric Surgery Clinic, University of Padova, Padova, Italy.
authors.forename: B
authors.initials: B
authors.lastname: Martella
authors.affiliation: CNR, Aging Section, Institute of Neuroscience, Padova, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Crepaldi
authors.affiliation: Programma Oncologia Geriatrica, Istituto Palazzolo, Fondazione Don Gnocchi, Milano, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Monfardini
authors.affiliation: Department of Medical Sciences, Geriatric Clinic, University of Padova, Padova, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Manzato
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D009369:Neoplasms / Q000401:mortality*; D011379:Prognosis; D011446:Prospective Studies; D012372:ROC Curve; D012720:Severity of Illness Index
keywords: Multidimensional Geriatric Assessment; Multidimensional Prognostic Index