UK Consensus on Comprehensive Geriatric Assessment Screening for Older People with Cancer—CRANE

UK cancer waiting-time standards inadequately address the complex needs of older patients, and no standardised, implementable comprehensive geriatric assessment (CGA) case-finding framework exists for this population. Using a nominal group technique involving clinicians and advocates, a consensus was reached to develop the Cancer Risk Assessment and Needs Evaluation (CRANE) CGA case-finding framework. CRANE was designed to be completed in 10–15 min for patients aged 70 and over, incorporating ten key domains, including comorbidity, cognitive function, and social situation, considered essential for routine NHS use. CRANE represents a consensus-derived, pragmatic case-finding framework for identifying unmet geriatric needs in older adults with cancer in NHS pathways. It should be regarded as a consensus framework rather than a validated screening instrument. Prospective implementation and validation studies are required before routine clinical adoption.