Reliability of the cumulative illness rating scale for geriatrics for assessing multimorbidity in older patients with cancer: results from the ELCAPA cohort.
Comorbidities are common in older patients with cancer. The Cumulative Illness Rating Scale for Geriatrics (CIRS-G, developed in 1992) provides a comprehensive assessment of comorbidities and is independently associated with the mortality rate, the hospital admission rate and functional limitations....
| Publicado en: | Age & Ageing Vol. 55; no. 1; pp. 1 - 5 |
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| Autores principales: | , , , , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jan2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=192513110&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192513110 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jan2026 vid: 55 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 192513110 10.1093/ageing/afaf369 ppf: 1 ppct: 4 formats: tig: atl: Reliability of the cumulative illness rating scale for geriatrics for assessing multimorbidity in older patients with cancer: results from the ELCAPA cohort. aug: au: Benderra, Marc A Caillet, Philippe Aregui, Amélie Frelaut, Maxime Boudou-Rouquette, Pascaline Chouaid, Christos Bringuier, Michael Cudennec, Tristan Paillaud, Elena Canoui-Poitrine, Florence affil: AP-HP, Hôpital Tenon, Service d'Oncologie Médicale, 75020 Paris, FranceInserm, IMRB U955, Université Paris-Est Créteil, 94010 Créteil, France Inserm, IMRB U955, Université Paris-Est Créteil, 94010 Créteil, FranceAP-HP, Hôpital Européen Georges Pompidou, Service de Gériatrie, 75015 Paris, France Unité de Coordination en Oncogériatrie Paris Nord, Hôpitaux Bretonneau et Saint-Louis, AP-HP, 75018 Paris, France Gustave Roussy, Département de Médecine Oncologique, F-94805 Villejuif, France AP-HP, Hôpital Cochin, Service d'Oncologie Médicale, Ariane program, 75014 Paris, France Centre de Recherche Clinique, CHI Créteil, Inserm U955, IMRB, Université Paris-Est Créteil, F-94010 Créteil, France PSL Research University, Service d'Oncologie Médicale et de Soins de Support, UCOG Paris Ouest, Institut Curie, F-92210 Saint-Cloud, France AP-HP, Hôpital Ambroise-Paré, Service de Gériatrie, 92100 Boulogne-Billancourt, France Inserm, IMRB U955, Université Paris-Est Créteil, 94010 Créteil, FranceAP-HP, Hôpital Henri-Mondor, Service Santé Publique & Unité de Recherche Clinique, 94010 Créteil, France su: France Hypertension Activities of daily living Old age Diseases in men Hematologic malignancies Cardiovascular diseases Research methodology evaluation Research evaluation Genitourinary diseases Musculoskeletal system diseases Respiratory diseases Longitudinal method Geriatric assessment Research Research methodology Blood diseases Kidney diseases Comorbidity Gastrointestinal diseases sug: subj: Hypertension Activities of daily living Old age France Diseases in men Hematologic malignancies Cardiovascular diseases Research methodology evaluation Research evaluation Genitourinary diseases Musculoskeletal system diseases Respiratory diseases Longitudinal method Geriatric assessment Research Research methodology Blood diseases Kidney diseases Comorbidity Gastrointestinal diseases keyword: cancer CIRS-G comorbidities comorbidity copyrightHolder:British Geriatrics Society copyrightYear:2026 geriatrics https://dx.doi.org/10.1093/ageing/afaf369 inLanguage:en interrater reliability multimorbidity older adult older patients older people publisher:Oxford University Press reliability sameAs:https://pubmed.ncbi.nlm.nih.gov/41482954/ cancer CIRS-G comorbidities comorbidity copyrightHolder:British Geriatrics Society copyrightYear:2026 geriatrics https://dx.doi.org/10.1093/ageing/afaf369 inLanguage:en interrater reliability multimorbidity older adult older patients older people publisher:Oxford University Press reliability sameAs:https://pubmed.ncbi.nlm.nih.gov/41482954/ ab: Comorbidities are common in older patients with cancer. The Cumulative Illness Rating Scale for Geriatrics (CIRS-G, developed in 1992) provides a comprehensive assessment of comorbidities and is independently associated with the mortality rate, the hospital admission rate and functional limitations. Although the literature data indicate that the CIRS-G's reliability is good to very good, most of the studies were small and did not include cancer patients. Here, we evaluated the CIRS-G's reliability in a large, prospective cohort of cancer patients aged 70 or over. A stratified, random sample of 150 patients was used to assess inter-rater reliability, and a random sample of 30 patients was evaluated by two investigators to assess intra-rater reliability. For inter-rater reliability, the observed intraclass correlation coefficient (ICC) [95% confidence interval] of 0.53 [0.12–0.74] was substantially lower than the literature values. For intra-rater reliability, the ICC was 0.66 [0.40–0.82] for investigator 1 and 0.77 [0.54–0.89) for investigator 2. These findings suggest that applying the CIRS-G consistently across raters and centres may be challenging in real-world oncology settings for older patients with cancer. Revising the scoring guidelines could help improve its reliability. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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