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Primarily self-administered comprehensive geriatric assessment tool*

Primarily self-administered comprehensive geriatric assessment tool*
Domain Measures
Functional status 1) Activities of Daily Living [Subscale of Medical Outcomes Study Physical Health Scale]
2) Instrumental Activities of Daily Living [Subscale of the OARS]
3) Karnofsky performance status (Physician-Rated)
4) Karnofsky performance status (Patient-Rated)
5) Timed Up and Go
6) Number of falls in last six months
Comorbidity Physical Health Section [Subscale of the OARS]
Cognition Blessed Orientation-Memory-Concentration Test
Psychological Hospital Anxiety and Depression Scale
Social functioning Medical Outcomes Study Social Activity Limitations Measure
Social support Medical Outcomes Study Social Support Survey: Emotional/Information & Tangible Subscales
Nutrition 1) Body mass index
2) Percent unintentional weight loss in the last 6 months
OARS: Older Americans Resources and Services.
* Also captures information on demographics and cancer characteristics.
Graphic 70657 Version 5.0

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