Yöntem Karşılaştırma

	Mini Nutritional Assessment Short-Form	Comprehensive Geriatric Assessment
Alan	Social Gerontology	Social Gerontology
Aile	Latent structure	Process / pipeline
Köken yılı	2001	1993
Köken	Laurence Z. Rubenstein, John O. Harker, Antoni Salva, Yves Guigoz & Bruno Vellas	Andreas E. Stuck, Laurence Z. Rubenstein and colleagues (meta-analytic synthesis)
Tür	Rapid nutritional screening instrument for older adults	Multidimensional interdisciplinary diagnostic and care-planning process
Seminal kaynak	Rubenstein, L. Z., Harker, J. O., Salva, A., Guigoz, Y., & Vellas, B. (2001). Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNA-SF). The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(6), M366-M372.	Stuck, A. E., Siu, A. L., Wieland, G. D., Adams, J., & Rubenstein, L. Z. (1993). Comprehensive geriatric assessment: a meta-analysis of controlled trials. The Lancet, 342(8878), 1032-1036.
Diğer adlar	MNA-SF, Mini Nutritional Assessment SF, Short-Form Mini Nutritional Assessment, MNA Screening Form	CGA, Geriatric Assessment, Multidimensional Geriatric Assessment, Interdisciplinary Geriatric Evaluation
İlişkili	3	3
Özet	The Mini Nutritional Assessment Short-Form (MNA-SF) is a rapid, six-item screening tool for identifying undernutrition and its risk in older adults. It was developed by Laurence Rubenstein, John Harker, Antoni Salva, Yves Guigoz, and Bruno Vellas, and reported in 2001, as a streamlined version of the longer 18-item Mini Nutritional Assessment that retained the diagnostic accuracy of the full instrument while taking only a few minutes to administer. The six items cover decline in food intake, recent weight loss, mobility, psychological stress or acute disease, neuropsychological problems, and body mass index or calf circumference, summing to a score from 0 to 14. The total classifies a patient as having normal nutritional status, being at risk of malnutrition, or being malnourished, and a low score signals the need for fuller nutritional assessment or intervention. Because it is fast, requires no laboratory tests, and uses calf circumference when height and weight are unavailable, it is well suited to busy geriatric, community, and long-term-care settings. The MNA-SF has become one of the most widely used nutritional screens in older-adult care worldwide.	Comprehensive Geriatric Assessment (CGA) is a multidimensional, interdisciplinary diagnostic process that evaluates an older person's medical, functional, cognitive, psychological, social, and environmental status and translates the findings into a coordinated, monitored plan of care. Rather than treating a single presenting complaint, CGA assumes that vulnerability in late life is multifactorial and that problems in one domain spill over into others. Stuck and colleagues' landmark 1993 meta-analysis of controlled trials showed that CGA is not merely descriptive: when it includes control over the implementation of recommendations and structured follow-up, it reduces mortality, increases the chance of living at home, and improves physical and cognitive function. The same synthesis clarified that assessment alone, without the power to act on findings and to follow patients over time, yields little benefit. CGA thus reframed geriatric care around systematic, team-based evaluation linked to action. It became the organizing model for geriatric medicine units, outpatient geriatric clinics, and home-assessment programs worldwide. The method is best understood as a process, not a single scale, even though it is built from many validated instruments.