Spina et al reported a simplified Comprehensive Geriatric Assessment (sCGA) for evaluating the functional status of an older adult with diffuse large B-cell lymphoma (DLBCL). The authors are from multiple institutions in Italy and participants of the Fondazione Italiana Linfomi.
Patient selection: age >= 65 years of age with untreated de novo DLBCL
Parameters:
(1) activities of daily living (ADL): presumably 6 activities
(2) instrumental activities of daily living (IADL): 8 instrumental activities
(3) comorbidity index rating scale for geriatrics (CIRS-G): 14 body systems scored from 0 (no problem) to 4 (extreme problem)
(4) age in years
Parameter
Fit
Unfit
Frail
ADL
able to do 6
able to do 5
able to do <= 4
IADL
able to do 8
able to do 6 or 7
able to do <= 5
CIRS-G
less than 5 score 2
5 to 8 score 2
>= 8 score 2
CIRS-G
0 score 3 or 4
0 score 3 or 4
>= 1 scores 3 or 4
Fit/Unfit/Frail Category
Age
sCGA Group
fit
NA
Group 1
unfit
< 80 years
Group 1
unfit
>= 80
Group 2
frail
< 80
Group 2
frail
>= 80
Group 3
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