Using Comprehensive Geriatric Assessment in Identifying Care Goals and Referral Services in a Frailty Intervention Clinic


  • Reenika Aggarwal Unity Health Toronto; University of Toronto
  • Suraj Brar Unity Health Toronto
  • Michael Goodstadt Unity Health Toronto; University of Toronto
  • Rachel Devitt Unity Health Toronto
  • Sara Penny Unity Health Toronto
  • Meena Ramachandran Unity Health Toronto
  • Danielle Underwood Unity Health Toronto
  • Chloe Farand Taylor Unity Health Toronto



The proportion of older adults and frail adults in Canada is expected to rise significantly in upcoming years. Currently, a considerable number of older adults do not actively participate in developing their own care plans; prior research has indicated several benefits of patient engagement in this process. Thus, we conducted a mixed methods study that examined the prevalence of rehabilitation goals and identified these for 305 community dwelling older adults referred to a frailty intervention clinic utilizing Comprehensive Geriatric Assessment (CGA) between 2014 and 2018. Top patient concerns included mobility (84%), services, systems, and policies (51%), sensory functions and pain (50%), and self-care or domestic life (47%). The most common referrals or recommendations for patients included further follow-up with a physician or specialist (36%), referral to an onsite falls prevention clinic (31%), and medication modifications (31%). Based upon these findings, we recommend greater utilization of CGA within a team-based approach to improve patient care by allowing for greater collaboration and shared decision-making by health-care providers. Moreover, CGA can be an effective tool to meet the complex and unique health-care needs of frail patients while incorporating patient goals. This is vitally important considering the predicted growth in the population of frail and/or older patients, as well as the current challenges and shortfalls in meeting the health-care needs of this population.


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How to Cite

Aggarwal R, Brar S, Goodstadt M, Devitt R, Sara Penny, Meena Ramachandran, Danielle Underwood, Chloe Farand Taylor. Using Comprehensive Geriatric Assessment in Identifying Care Goals and Referral Services in a Frailty Intervention Clinic. Can Geriatr J [Internet]. 2023 Dec. 1 [cited 2024 Feb. 25];26(4):530-7. Available from:



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