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PURPOSE:   The association between geriatric assessment (GA)–identified impairments and long-term health care use in older cancer survivors remains unknown. Our objective was to evaluate whether a GA performed at cancer diagnosis was predictive of hospitalizations and long-term care (LTC) use in older adult cancer survivors.METHODS:   Older adults with GA performed between 3 months before through 6 months after diagnosis were included (N = 125). Patients with Medicare Parts A and B coverage and no managed care were identified. Hospitalizations and LTC use (skilled nursing or assisted living) were assessed up to 5 years postdiagnosis. GA risk measures were evaluated in separate Poisson models estimating the relative risk (RR) for hospital and LTC visits, adjusting for age and Charlson comorbidity score.RESULTS:   The mean age of patients was 74 years, and the majority were female (80%) and white (90%). Breast cancer (64%) and early-stage disease (stages 0 to III, 77%) were common. Prefrail/frail status (RR, 2.5; P &lt; .001), instrumental activities of daily living impairment (RR, 5.47; P &lt; .001), and limitations in climbing stairs (RR, 2.94; P &lt; .001) were associated with increased hospitalizations. Prefrail/frail status (RR, 1.86; P &lt; .007), instrumental activities of daily living impairment (RR, 4.58; P &lt; .001), presence of falls (RR, 6.73; P &lt; .001), prolonged Timed Up and Go (RR, 5.45; P &lt; .001), and limitations in climbing stairs (RR, 1.89; P &lt; .005) were associated with LTC use.CONCLUSION:   GA-identified impairments were associated with increased hospitalizations and LTC use among older adults with cancer. GA-focused interventions should be targeted toward high-risk patients to reduce long-term adverse health care use in this vulnerable population.

Geriatric Assessment Predicts Hospitalization Frequency and Long-Term Care Use in Older Adult Cancer Survivors