Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Pre-therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric Assessment

Version 1 : Received: 14 November 2023 / Approved: 15 November 2023 / Online: 16 November 2023 (02:33:32 CET)

A peer-reviewed article of this Preprint also exists.

Ntsama Essomba, M.-J.; Esson Mapoko, B.S.; Metogo Mbengono, J.A.; Simo-Tabue, N.; Kengne, A.P.; Choukem, S.P.; Sobngwi, E.; Ze Minkande, J.; Tabue Teguo, M. Pre-Therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric Assessment. Journal of Clinical Medicine 2024, 13, 1801, doi:10.3390/jcm13061801. Ntsama Essomba, M.-J.; Esson Mapoko, B.S.; Metogo Mbengono, J.A.; Simo-Tabue, N.; Kengne, A.P.; Choukem, S.P.; Sobngwi, E.; Ze Minkande, J.; Tabue Teguo, M. Pre-Therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric Assessment. Journal of Clinical Medicine 2024, 13, 1801, doi:10.3390/jcm13061801.

Abstract

Objectives As the epidemiological transition continues in sub-Saharan Africa, we will see in future more conditions that require invasive treatment (surgery, cancer and anaesthesia, ie..). Olders patients are vulnerable to complications such as functional decline, increased length of stay and mortality as a result of this type of treatment. Comprehensive geriatric assessment (CGA) is a multidisciplinary diagnostic process aimed at identifying older people at risk of negative outcome. It is delivered by a multidisciplinary team and its benefits in reducing functional disability, incidence of mortality and other adverse health outcomes are well established. It is important to know whether this approach integrates care management strategies for older people in a context where health services for older people are scarce and staff have little training in geriatrics. The objective of this work was to review the literature on the use of CGA on invasive care (cancer, surgery, etc.) among older people in SSA. Methods A MEDLINE/PubMed database search was conducted to identify articles reporting CGA and conditions requiring invasive treatment in older patients in SSA. Results/Conclusion Taken together, the studies examined in this review show that little work has been done on the impact of CGA in older people invasive care in SSA. This review can help to assess the role of CGA in the care trajectories of older people in terms of prognosis, and thus encourage more in-depth research on this topic.

Keywords

CGA model, multidisciplinary team, geriatric surgery, Cancer

Subject

Public Health and Healthcare, Public Health and Health Services

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