TY - JOUR
T1 - Geriatric assessment in older adults with cancer
T2 - A global scoping review of barriers and strategies to implementation
AU - Han, Chad Yixian
AU - Agbejule, Oluwaseyifunmi Andi
AU - Kasherman, Lawrence
AU - Paterson, Catherine
AU - Mislang, Anna Rachelle Austria
AU - Puts, Martine
AU - Haase, Kristen R.
AU - Johal, Jolyn
AU - Dale, William
AU - Chan, Raymond Javan
PY - 2025/11
Y1 - 2025/11
N2 - Introduction: There is a notable gap in practical application of evidence synthesis from systematic exploration and summarization of barriers and strategies for implementing geriatric assessment (GA) in older adults with cancer globally. This review systematically mapped out and synthesized the evidence on barriers and strategies for GA implementation in older adults with cancer. Materials and Methods: A comprehensive, systematic search across seven electronic databases (MEDLINE, PsycINFO, CINAHL, Web of Science, Proquest, Scopus, and Ageline) was performed to identify peer-reviewed articles from January 1, 2013 to October 30, 2024. The scoping review followed the JBI methodology for scoping reviews guidelines and adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension. The protocol was registered on Open Science Framework. Two researchers independently screened 2871 records and extracted relevant data from 34 full-text study reports and performed content analyses to consolidate the findings.Results: The 34 articles were classified into the following categories: cross-sectional surveys (n = 16), observational cohort studies (n = 7), randomized controlled trials (n = 3), single-arm intervention trials (n = 4), qualitative studies (n = 2), and mixed methods (online surveys and interviews) (n = 2). The articles included were from 12 countries, with one global collaboration, and the majority (29/34) were published in the past five years. Five themes describing 27 barriers influencing the implementation of GA in older adults with cancer were summarized. Seventeen implementation strategies were identified and summarized from content analyses of the included articles. An initial draft of the barriers and strategies guide template for geriatric assessment (BeST-GA) was developed as a synthesized summary of the findings from this scoping review. Discussion: The literature confirms that barriers affecting GA implementation in older adults with cancer and the strategies to overcome them are unique to individual settings and require a tailored approach. The draft BeST-GA guide template should be further tested and may be used as a first step to assess the setting during the planning phase of GA implementation.
AB - Introduction: There is a notable gap in practical application of evidence synthesis from systematic exploration and summarization of barriers and strategies for implementing geriatric assessment (GA) in older adults with cancer globally. This review systematically mapped out and synthesized the evidence on barriers and strategies for GA implementation in older adults with cancer. Materials and Methods: A comprehensive, systematic search across seven electronic databases (MEDLINE, PsycINFO, CINAHL, Web of Science, Proquest, Scopus, and Ageline) was performed to identify peer-reviewed articles from January 1, 2013 to October 30, 2024. The scoping review followed the JBI methodology for scoping reviews guidelines and adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension. The protocol was registered on Open Science Framework. Two researchers independently screened 2871 records and extracted relevant data from 34 full-text study reports and performed content analyses to consolidate the findings.Results: The 34 articles were classified into the following categories: cross-sectional surveys (n = 16), observational cohort studies (n = 7), randomized controlled trials (n = 3), single-arm intervention trials (n = 4), qualitative studies (n = 2), and mixed methods (online surveys and interviews) (n = 2). The articles included were from 12 countries, with one global collaboration, and the majority (29/34) were published in the past five years. Five themes describing 27 barriers influencing the implementation of GA in older adults with cancer were summarized. Seventeen implementation strategies were identified and summarized from content analyses of the included articles. An initial draft of the barriers and strategies guide template for geriatric assessment (BeST-GA) was developed as a synthesized summary of the findings from this scoping review. Discussion: The literature confirms that barriers affecting GA implementation in older adults with cancer and the strategies to overcome them are unique to individual settings and require a tailored approach. The draft BeST-GA guide template should be further tested and may be used as a first step to assess the setting during the planning phase of GA implementation.
KW - Barriers
KW - Geriatric assessment
KW - Geriatric oncology
KW - Implementation strategies
KW - Older adults
KW - Scoping review
UR - http://www.scopus.com/inward/record.url?scp=105013638908&partnerID=8YFLogxK
U2 - 10.1016/j.jgo.2025.102347
DO - 10.1016/j.jgo.2025.102347
M3 - Review article
AN - SCOPUS:105013638908
SN - 1879-4068
VL - 16
JO - Journal of Geriatric Oncology
JF - Journal of Geriatric Oncology
IS - 8
M1 - 102347
ER -
