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...
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MDPI AG
2024-03-01
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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. |
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format | Article |
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institution | Directory Open Access Journal |
issn | 2077-0383 |
language | English |
last_indexed | 2024-04-24T18:08:35Z |
publishDate | 2024-03-01 |
publisher | MDPI AG |
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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 |
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