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

<b>Objectives</b>: With the ongoing epidemiological transition in sub-Saharan Africa (SSA), conditions that require invasive treatment (surgery, cancer, and anaesthesia, etc.) will become increasingly common. Comprehensive geriatric assessment (CGA) is a multidisciplinary diagnostic proc...

Full description

Bibliographic Details
Main Authors: Marie-Josiane Ntsama Essomba, Berthe Sabine Esson Mapoko, Junette Arlette Metogo Mbengono, Nadine Simo-Tabue, Andre Pascal Kengne, Simeon Pierre Choukem, Eugène Sobngwi, Jacqueline Ze Minkande, Maturin Tabue Teguo
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/13/6/1801
_version_ 1797240510869405696
author Marie-Josiane Ntsama Essomba
Berthe Sabine Esson Mapoko
Junette Arlette Metogo Mbengono
Nadine Simo-Tabue
Andre Pascal Kengne
Simeon Pierre Choukem
Eugène Sobngwi
Jacqueline Ze Minkande
Maturin Tabue Teguo
author_facet Marie-Josiane Ntsama Essomba
Berthe Sabine Esson Mapoko
Junette Arlette Metogo Mbengono
Nadine Simo-Tabue
Andre Pascal Kengne
Simeon Pierre Choukem
Eugène Sobngwi
Jacqueline Ze Minkande
Maturin Tabue Teguo
author_sort Marie-Josiane Ntsama Essomba
collection DOAJ
description <b>Objectives</b>: With the ongoing epidemiological transition in sub-Saharan Africa (SSA), conditions that require invasive treatment (surgery, cancer, and anaesthesia, etc.) will become increasingly common. Comprehensive geriatric assessment (CGA) is a multidisciplinary diagnostic process aimed at identifying older people at risk of negative outcomes. 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 members have little training in geriatrics. The current work is a situational analysis on the use of CGA on invasive care (cancer, surgery, etc.) among older people in SSA. <b>Methods:</b> We searched PubMed-MEDLINE and other sources for studies reporting on CGA and conditions requiring invasive treatment in older patients in SSA. <b>Results/Conclusions:</b> We found no study that had comprehensively examined CGA and invasive care in SSA. There is, however, evidence that the offer of invasive care to older people has improved in SSA. Further research is needed to explore the applicability of CGA in SSA. Similarly, more investigations are needed on the role of CGA in the care trajectories of older people in SSA, in terms of outcomes and affordability.
first_indexed 2024-04-24T18:08:35Z
format Article
id doaj.art-e2933ba53827448b86cddebe5dc2bb76
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-04-24T18:08:35Z
publishDate 2024-03-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-e2933ba53827448b86cddebe5dc2bb762024-03-27T13:48:21ZengMDPI AGJournal of Clinical Medicine2077-03832024-03-01136180110.3390/jcm13061801Pre-Therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric AssessmentMarie-Josiane Ntsama Essomba0Berthe Sabine Esson Mapoko1Junette Arlette Metogo Mbengono2Nadine Simo-Tabue3Andre Pascal Kengne4Simeon Pierre Choukem5Eugène Sobngwi6Jacqueline Ze Minkande7Maturin Tabue Teguo8Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde P.O. Box 812, CameroonDepartment of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde P.O. Box 812, CameroonDepartment of Surgery and Specialties, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala P.O. Box 2701, CameroonPôle de Geriatrie/Gérontologie CHU de Martinique, Equipe EpiCliV, Université des Antilles, 97233 Fort-de-France-Martinique, FranceNon-Communicable Diseases Research Unit, South African Medical Research Council, University of Cape Town, Cape Town 7700, South AfricaDepartment of Internal Medicine and Specialties, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang P.O. Box 96, CameroonDepartment of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde P.O. Box 812, CameroonDepartment of Surgery and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde P.O Box 812, CameroonPôle de Geriatrie/Gérontologie CHU de Martinique, Equipe EpiCliV, Université des Antilles, 97233 Fort-de-France-Martinique, France<b>Objectives</b>: With the ongoing epidemiological transition in sub-Saharan Africa (SSA), conditions that require invasive treatment (surgery, cancer, and anaesthesia, etc.) will become increasingly common. Comprehensive geriatric assessment (CGA) is a multidisciplinary diagnostic process aimed at identifying older people at risk of negative outcomes. 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 members have little training in geriatrics. The current work is a situational analysis on the use of CGA on invasive care (cancer, surgery, etc.) among older people in SSA. <b>Methods:</b> We searched PubMed-MEDLINE and other sources for studies reporting on CGA and conditions requiring invasive treatment in older patients in SSA. <b>Results/Conclusions:</b> We found no study that had comprehensively examined CGA and invasive care in SSA. There is, however, evidence that the offer of invasive care to older people has improved in SSA. Further research is needed to explore the applicability of CGA in SSA. Similarly, more investigations are needed on the role of CGA in the care trajectories of older people in SSA, in terms of outcomes and affordability.https://www.mdpi.com/2077-0383/13/6/1801CGA modelmultidisciplinary teamgeriatric surgerycancer
spellingShingle Marie-Josiane Ntsama Essomba
Berthe Sabine Esson Mapoko
Junette Arlette Metogo Mbengono
Nadine Simo-Tabue
Andre Pascal Kengne
Simeon Pierre Choukem
Eugène Sobngwi
Jacqueline Ze Minkande
Maturin Tabue Teguo
Pre-Therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric Assessment
Journal of Clinical Medicine
CGA model
multidisciplinary team
geriatric surgery
cancer
title Pre-Therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric Assessment
title_full Pre-Therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric Assessment
title_fullStr Pre-Therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric Assessment
title_full_unstemmed Pre-Therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric Assessment
title_short Pre-Therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric Assessment
title_sort pre therapeutic assessment of older people in sub saharan africa introduction to the comprehensive geriatric assessment
topic CGA model
multidisciplinary team
geriatric surgery
cancer
url https://www.mdpi.com/2077-0383/13/6/1801
work_keys_str_mv AT mariejosianentsamaessomba pretherapeuticassessmentofolderpeopleinsubsaharanafricaintroductiontothecomprehensivegeriatricassessment
AT berthesabineessonmapoko pretherapeuticassessmentofolderpeopleinsubsaharanafricaintroductiontothecomprehensivegeriatricassessment
AT junettearlettemetogombengono pretherapeuticassessmentofolderpeopleinsubsaharanafricaintroductiontothecomprehensivegeriatricassessment
AT nadinesimotabue pretherapeuticassessmentofolderpeopleinsubsaharanafricaintroductiontothecomprehensivegeriatricassessment
AT andrepascalkengne pretherapeuticassessmentofolderpeopleinsubsaharanafricaintroductiontothecomprehensivegeriatricassessment
AT simeonpierrechoukem pretherapeuticassessmentofolderpeopleinsubsaharanafricaintroductiontothecomprehensivegeriatricassessment
AT eugenesobngwi pretherapeuticassessmentofolderpeopleinsubsaharanafricaintroductiontothecomprehensivegeriatricassessment
AT jacquelinezeminkande pretherapeuticassessmentofolderpeopleinsubsaharanafricaintroductiontothecomprehensivegeriatricassessment
AT maturintabueteguo pretherapeuticassessmentofolderpeopleinsubsaharanafricaintroductiontothecomprehensivegeriatricassessment