Objective  To construct an admission screening scale for elderly cancer patients, and test it's reliability and validity.

Methods  Based on comprehensive geriatric assessment (CGA), the framework and item pool of the screening scale were initially drafted through literature analysis and expert meetings. The Delphi method was used for expert consultation, and a test version of the scale was formed after a pilot study. From April 2023 to October 2024, 318 elderly cancer patients from the department of geriatric medicine, department of oncology, and general ward of Beijing Luhe Hospital, Capital Medical University, were selected for investigation to verify the reliability and validity of the scale. A formal version of the screening scale for elderly cancer patients upon admission was developed.

Results  The screening scale includes four dimensions: general medical assessment, physical assessment, mental and psychological assessment, and social-family assessment. The physical assessment includes 15 items: pain, physical function, comorbidity, polypharmacy, hearing, vision, oral, nutrition, sleep, constipation, pressure ulcers, falls, frailty, geriatric chemotherapy risk assessment, and survival prediction. The mental and psychological assessment includes 3 items: cognition, depression, and anxiety. The social-family assessment includes 1 item on social-family. The total Cronbach's α coefficient of the scale was 0.901,the content validity index of the overall scale level was 0.92,and the Kendall's W synergy coefficient test was 0.921.

Conclusion  The admission screening scale for elderly cancer patients constructed in this study has high scientificity and feasibility, it has a good application value for the admission screening of elderly cancer patients in clinical  practice.

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