Table 3.

Selected trials highlighting predictive utility of geriatric assessment measures for older adults with hematologic malignancy

Disease type/settingNo. patientsOutcomes predictedMeasures
Chronic lymphocytic leukemia 75 Overall survival Low objective physical performance (Timed Up and Go) and cognition 
Multiple myeloma10  869 Overall survival, nonhematologic adverse events, treatment discontinuation Composite fitness score (ADLs, IADLs, comorbidity, age) 
Acute myeloid leukemia 74 Overall survival Low objective physical function (Short Physical Performance Battery) and cognition 
Acute myeloid leukemia/myelodysplastic syndrome 195 Overall survival ADLs and fatigue in nonintensively treated patients 
Myelodysplastic syndrome14  98 Overall survival and treatment duration. IADLs and comorbidity associated with overall survival. IADLs, cognition, and low objective physical function (Timed Up and Go) associated with treatment duration. 
Myelodysplastic syndrome19  455 Overall survival Clinical frailty score and comorbidity 
Non-Hodgkin lymphoma22  143 Overall survival IADLs and comorbidity 
Non-Hodgkin lymphoma32  173 Overall survival Composite fitness score (ADLs, IADLs, comorbidity, age) 
Non-Hodgkin lymphoma33  99 Overall survival, response rates, progression-free survival IADLs, composite score (albumin, comorbidity, age) 
Non-Hodgkin lymphoma23  70 Overall survival, early discontinuation of chemotherapy Nutritional status associated with both outcomes 
Hodgkin lymphoma33  48 Progression-free survival Loss of IADLs 
Bone marrow transplantation (mixed population)12  203 Overall survival IADLs, gait speed, comorbidity, mental health 
Bone marrow transplantation (mixed population)24  184 Overall survival IADLs, physical subscale of Functional Assessment of Cancer Therapy Bone Marrow Transplant 
Bone marrow transplantation (mixed population, allogeneic transplantation)21  106 Overall survival Low objective physical performance (Timed Up and Go), fatigue 
Bone marrow transplantation (multiple myeloma)29  100 Hospital readmission, hospital length of stay Decreased grip strength, anxiety/depression, falls, and weight loss associated with readmission. Objective (Short Physical Performance Battery) and self-reported physical function associated with length of stay. 
Mixed population (myelodysplastic syndrome, leukemia, multiple myeloma, lymphoma)34  314 Overall survival, unplanned hospitalization Slower gait speed associated with increase mortality and unplanned hospitalizations 
Lower grip strength associated with shorter survival 
Disease type/settingNo. patientsOutcomes predictedMeasures
Chronic lymphocytic leukemia 75 Overall survival Low objective physical performance (Timed Up and Go) and cognition 
Multiple myeloma10  869 Overall survival, nonhematologic adverse events, treatment discontinuation Composite fitness score (ADLs, IADLs, comorbidity, age) 
Acute myeloid leukemia 74 Overall survival Low objective physical function (Short Physical Performance Battery) and cognition 
Acute myeloid leukemia/myelodysplastic syndrome 195 Overall survival ADLs and fatigue in nonintensively treated patients 
Myelodysplastic syndrome14  98 Overall survival and treatment duration. IADLs and comorbidity associated with overall survival. IADLs, cognition, and low objective physical function (Timed Up and Go) associated with treatment duration. 
Myelodysplastic syndrome19  455 Overall survival Clinical frailty score and comorbidity 
Non-Hodgkin lymphoma22  143 Overall survival IADLs and comorbidity 
Non-Hodgkin lymphoma32  173 Overall survival Composite fitness score (ADLs, IADLs, comorbidity, age) 
Non-Hodgkin lymphoma33  99 Overall survival, response rates, progression-free survival IADLs, composite score (albumin, comorbidity, age) 
Non-Hodgkin lymphoma23  70 Overall survival, early discontinuation of chemotherapy Nutritional status associated with both outcomes 
Hodgkin lymphoma33  48 Progression-free survival Loss of IADLs 
Bone marrow transplantation (mixed population)12  203 Overall survival IADLs, gait speed, comorbidity, mental health 
Bone marrow transplantation (mixed population)24  184 Overall survival IADLs, physical subscale of Functional Assessment of Cancer Therapy Bone Marrow Transplant 
Bone marrow transplantation (mixed population, allogeneic transplantation)21  106 Overall survival Low objective physical performance (Timed Up and Go), fatigue 
Bone marrow transplantation (multiple myeloma)29  100 Hospital readmission, hospital length of stay Decreased grip strength, anxiety/depression, falls, and weight loss associated with readmission. Objective (Short Physical Performance Battery) and self-reported physical function associated with length of stay. 
Mixed population (myelodysplastic syndrome, leukemia, multiple myeloma, lymphoma)34  314 Overall survival, unplanned hospitalization Slower gait speed associated with increase mortality and unplanned hospitalizations 
Lower grip strength associated with shorter survival 

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