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

Author:

Ntsama Essomba Marie-Josiane1,Esson Mapoko Berthe Sabine1ORCID,Metogo Mbengono Junette Arlette2,Simo-Tabue Nadine3,Kengne Andre Pascal45ORCID,Choukem Simeon Pierre6,Sobngwi Eugène1,Ze Minkande Jacqueline7,Tabue Teguo Maturin3

Affiliation:

1. Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde P.O. Box 812, Cameroon

2. Department of Surgery and Specialties, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala P.O. Box 2701, Cameroon

3. Pôle de Geriatrie/Gérontologie CHU de Martinique, Equipe EpiCliV, Université des Antilles, 97233 Fort-de-France-Martinique, France

4. Non-Communicable Diseases Research Unit, South African Medical Research Council, University of Cape Town, Cape Town 7700, South Africa

5. Department of Biological and Environmental Sciences, Faculty of Natural Sciences, Walter Sisulu University, Mthatha 5700, South Africa

6. Department of Internal Medicine and Specialties, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang P.O. Box 96, Cameroon

7. Department of Surgery and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde P.O Box 812, Cameroon

Abstract

Objectives: 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. Methods: We searched PubMed-MEDLINE and other sources for studies reporting on CGA and conditions requiring invasive treatment in older patients in SSA. Results/Conclusions: 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.

Publisher

MDPI AG

Reference85 articles.

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2. (2023, April 18). World Report on Ageing and Health. Available online: https://apps.who.int/iris/handle/10665/186463.

3. The Rising Burden of Non-Communicable Diseases in Sub-Saharan Africa;Bigna;Lancet Glob. Health,2019

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