Development of the Brief Geriatric Assessment for the General Practitioner
Objectives The study aimed to develop a brief geriatric assessment (BGA) tool for the general practitioner to evaluate geriatric syndromes in community-dwelling older adults. Design A cross-sectional study. Setting 58 communities from four aging cities in Taiwan. Participants 1,258 community-dwellin...
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| Veröffentlicht in: | The Journal of nutrition, health & aging health & aging, 2021, Vol.25 (1), p.134-140 |
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| creator | Tai, C.-J. Yang, Y.-H. Huang, C.-Y. Pan, S.-C. Hsiao, Y.-H. Tseng, Tzyy-Guey Lee, Meng-Chih |
| description | Objectives
The study aimed to develop a brief geriatric assessment (BGA) tool for the general practitioner to evaluate geriatric syndromes in community-dwelling older adults.
Design
A cross-sectional study.
Setting
58 communities from four aging cities in Taiwan.
Participants
1,258 community-dwelling older adults aged 65 years and above.
Measurements
The BGA targeted physical function impairment, cognitive impairment, and mood impairment. The cutoff values of physical function tests (handgrip strength and 6-meter walk test [6MWT]) were estimated by receiver operating characteristic analysis. Second, the diagnostic validity of the BGA was calculated in terms of sensitivity, specificity, and predictive values, which were compared to corresponding comprehensive geriatric assessment (CGA) items. Third, the associated risk factors of geriatric syndromes were selected using stepwise logistic regression. Finally, we combined items selected from literature and CGA and then proposed a practical BGA framework.
Results
The proposed BGA comprised dominant handgrip strength, 6MWT, self-report personal birthday, address, and telephone number, question ‘Do you have depressive mood for the past two weeks?’, Rinne tuning-fork tests, Snellen scale, and body mass index. It evaluated multidimensional aspects of geriatrics syndromes including physical, cognitive, mood, and sensory impairment, sarcopenia, and nutrition status. Sensitivities in the Taiwan BGA items ranged from 48% for dominant handgrip strength to 97.6% for 6MWT corresponding to physical impairment; 58.3% for cognitive impairment corresponding to Short Portable Mental Status Questionnaire; 62.7% for mood impairment corresponding to Geriatric Depression Scale. The Taiwan BGA for the general practitioner takes less than 10 minutes and is suitable in the community setting.
Conclusion
Early management of geriatric syndromes in the community is important. The current study demonstrated a practical BGA tool for the general practitioner to comprehensively assess geriatric syndromes in community-dwelling older adults. |
| doi_str_mv | 10.1007/s12603-020-1456-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2473402484</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2477823720</sourcerecordid><originalsourceid>FETCH-LOGICAL-c367t-db5b57f91471007fb1950929e8423b8efaf94407be74ed77712dd187b504b2563</originalsourceid><addsrcrecordid>eNp1kMlOw0AMhkcIRMvyAFxQJC5cArMlnhxLgQKqBAc4j7J4IFWWMpMg8fZMmgISEifb8uff9k_ICaMXjFK4dIzHVISU05DJKA5hh0wZxDSUoNSuzzkkIQCFCTlwbkWpjBIV75OJECIGCXJKHq7xA6t2XWPTBa0JujcMrmyJJligLdPOlnkwcw6d2xCmtRtkgQ3atAqebJp3ZVe2vjwieyatHB5v4yF5ub15nt-Fy8fF_Xy2DHO_tAuLLMoiMAmTMDxhMpZENOEJKslFptCkJpGSQoYgsQAAxouCKcgiKjMexeKQnI-6a9u-9-g6XZcux6pKG2x7p7kEISmXSnr07A-6anvb-OsGChQXwKmn2EjltnXOotFrW9ap_dSM6uFGPRqtvdF6MFqDnzndKvdZjcXPxLezHuAj4HyreUX7u_p_1S8CFIaP</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2477823720</pqid></control><display><type>article</type><title>Development of the Brief Geriatric Assessment for the General Practitioner</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><source>SpringerLink Journals - AutoHoldings</source><creator>Tai, C.-J. ; Yang, Y.-H. ; Huang, C.-Y. ; Pan, S.-C. ; Hsiao, Y.-H. ; Tseng, Tzyy-Guey ; Lee, Meng-Chih</creator><creatorcontrib>Tai, C.-J. ; Yang, Y.-H. ; Huang, C.-Y. ; Pan, S.-C. ; Hsiao, Y.-H. ; Tseng, Tzyy-Guey ; Lee, Meng-Chih</creatorcontrib><description>Objectives
The study aimed to develop a brief geriatric assessment (BGA) tool for the general practitioner to evaluate geriatric syndromes in community-dwelling older adults.
Design
A cross-sectional study.
Setting
58 communities from four aging cities in Taiwan.
Participants
1,258 community-dwelling older adults aged 65 years and above.
Measurements
The BGA targeted physical function impairment, cognitive impairment, and mood impairment. The cutoff values of physical function tests (handgrip strength and 6-meter walk test [6MWT]) were estimated by receiver operating characteristic analysis. Second, the diagnostic validity of the BGA was calculated in terms of sensitivity, specificity, and predictive values, which were compared to corresponding comprehensive geriatric assessment (CGA) items. Third, the associated risk factors of geriatric syndromes were selected using stepwise logistic regression. Finally, we combined items selected from literature and CGA and then proposed a practical BGA framework.
Results
The proposed BGA comprised dominant handgrip strength, 6MWT, self-report personal birthday, address, and telephone number, question ‘Do you have depressive mood for the past two weeks?’, Rinne tuning-fork tests, Snellen scale, and body mass index. It evaluated multidimensional aspects of geriatrics syndromes including physical, cognitive, mood, and sensory impairment, sarcopenia, and nutrition status. Sensitivities in the Taiwan BGA items ranged from 48% for dominant handgrip strength to 97.6% for 6MWT corresponding to physical impairment; 58.3% for cognitive impairment corresponding to Short Portable Mental Status Questionnaire; 62.7% for mood impairment corresponding to Geriatric Depression Scale. The Taiwan BGA for the general practitioner takes less than 10 minutes and is suitable in the community setting.
Conclusion
Early management of geriatric syndromes in the community is important. The current study demonstrated a practical BGA tool for the general practitioner to comprehensively assess geriatric syndromes in community-dwelling older adults.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-020-1456-7</identifier><identifier>PMID: 33367474</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Aged ; Aged, 80 and over ; Aging ; Cognitive ability ; Cross-Sectional Studies ; Family physicians ; Female ; General Practitioners - standards ; Geriatric Assessment - methods ; Geriatric psychology ; Geriatrics ; Geriatrics/Gerontology ; Humans ; Independent Living - standards ; Male ; Medical diagnosis ; Medical screening ; Medicine ; Medicine & Public Health ; Muscle function ; Neurosciences ; Nutrition ; Older people ; Physical fitness ; Primary care ; Primary Care Medicine ; Quality of Life Research</subject><ispartof>The Journal of nutrition, health & aging, 2021, Vol.25 (1), p.134-140</ispartof><rights>Serdi and Springer-Verlag International SAS, part of Springer Nature 2020</rights><rights>Serdi and Springer-Verlag International SAS, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c367t-db5b57f91471007fb1950929e8423b8efaf94407be74ed77712dd187b504b2563</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12603-020-1456-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12603-020-1456-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,4024,27923,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33367474$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tai, C.-J.</creatorcontrib><creatorcontrib>Yang, Y.-H.</creatorcontrib><creatorcontrib>Huang, C.-Y.</creatorcontrib><creatorcontrib>Pan, S.-C.</creatorcontrib><creatorcontrib>Hsiao, Y.-H.</creatorcontrib><creatorcontrib>Tseng, Tzyy-Guey</creatorcontrib><creatorcontrib>Lee, Meng-Chih</creatorcontrib><title>Development of the Brief Geriatric Assessment for the General Practitioner</title><title>The Journal of nutrition, health & aging</title><addtitle>J Nutr Health Aging</addtitle><addtitle>J Nutr Health Aging</addtitle><description>Objectives
The study aimed to develop a brief geriatric assessment (BGA) tool for the general practitioner to evaluate geriatric syndromes in community-dwelling older adults.
Design
A cross-sectional study.
Setting
58 communities from four aging cities in Taiwan.
Participants
1,258 community-dwelling older adults aged 65 years and above.
Measurements
The BGA targeted physical function impairment, cognitive impairment, and mood impairment. The cutoff values of physical function tests (handgrip strength and 6-meter walk test [6MWT]) were estimated by receiver operating characteristic analysis. Second, the diagnostic validity of the BGA was calculated in terms of sensitivity, specificity, and predictive values, which were compared to corresponding comprehensive geriatric assessment (CGA) items. Third, the associated risk factors of geriatric syndromes were selected using stepwise logistic regression. Finally, we combined items selected from literature and CGA and then proposed a practical BGA framework.
Results
The proposed BGA comprised dominant handgrip strength, 6MWT, self-report personal birthday, address, and telephone number, question ‘Do you have depressive mood for the past two weeks?’, Rinne tuning-fork tests, Snellen scale, and body mass index. It evaluated multidimensional aspects of geriatrics syndromes including physical, cognitive, mood, and sensory impairment, sarcopenia, and nutrition status. Sensitivities in the Taiwan BGA items ranged from 48% for dominant handgrip strength to 97.6% for 6MWT corresponding to physical impairment; 58.3% for cognitive impairment corresponding to Short Portable Mental Status Questionnaire; 62.7% for mood impairment corresponding to Geriatric Depression Scale. The Taiwan BGA for the general practitioner takes less than 10 minutes and is suitable in the community setting.
Conclusion
Early management of geriatric syndromes in the community is important. The current study demonstrated a practical BGA tool for the general practitioner to comprehensively assess geriatric syndromes in community-dwelling older adults.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Cognitive ability</subject><subject>Cross-Sectional Studies</subject><subject>Family physicians</subject><subject>Female</subject><subject>General Practitioners - standards</subject><subject>Geriatric Assessment - methods</subject><subject>Geriatric psychology</subject><subject>Geriatrics</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>Independent Living - standards</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical screening</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Muscle function</subject><subject>Neurosciences</subject><subject>Nutrition</subject><subject>Older people</subject><subject>Physical fitness</subject><subject>Primary care</subject><subject>Primary Care Medicine</subject><subject>Quality of Life Research</subject><issn>1279-7707</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kMlOw0AMhkcIRMvyAFxQJC5cArMlnhxLgQKqBAc4j7J4IFWWMpMg8fZMmgISEifb8uff9k_ICaMXjFK4dIzHVISU05DJKA5hh0wZxDSUoNSuzzkkIQCFCTlwbkWpjBIV75OJECIGCXJKHq7xA6t2XWPTBa0JujcMrmyJJligLdPOlnkwcw6d2xCmtRtkgQ3atAqebJp3ZVe2vjwieyatHB5v4yF5ub15nt-Fy8fF_Xy2DHO_tAuLLMoiMAmTMDxhMpZENOEJKslFptCkJpGSQoYgsQAAxouCKcgiKjMexeKQnI-6a9u-9-g6XZcux6pKG2x7p7kEISmXSnr07A-6anvb-OsGChQXwKmn2EjltnXOotFrW9ap_dSM6uFGPRqtvdF6MFqDnzndKvdZjcXPxLezHuAj4HyreUX7u_p_1S8CFIaP</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>Tai, C.-J.</creator><creator>Yang, Y.-H.</creator><creator>Huang, C.-Y.</creator><creator>Pan, S.-C.</creator><creator>Hsiao, Y.-H.</creator><creator>Tseng, Tzyy-Guey</creator><creator>Lee, Meng-Chih</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>2021</creationdate><title>Development of the Brief Geriatric Assessment for the General Practitioner</title><author>Tai, C.-J. ; Yang, Y.-H. ; Huang, C.-Y. ; Pan, S.-C. ; Hsiao, Y.-H. ; Tseng, Tzyy-Guey ; Lee, Meng-Chih</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c367t-db5b57f91471007fb1950929e8423b8efaf94407be74ed77712dd187b504b2563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Cognitive ability</topic><topic>Cross-Sectional Studies</topic><topic>Family physicians</topic><topic>Female</topic><topic>General Practitioners - standards</topic><topic>Geriatric Assessment - methods</topic><topic>Geriatric psychology</topic><topic>Geriatrics</topic><topic>Geriatrics/Gerontology</topic><topic>Humans</topic><topic>Independent Living - standards</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical screening</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Muscle function</topic><topic>Neurosciences</topic><topic>Nutrition</topic><topic>Older people</topic><topic>Physical fitness</topic><topic>Primary care</topic><topic>Primary Care Medicine</topic><topic>Quality of Life Research</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tai, C.-J.</creatorcontrib><creatorcontrib>Yang, Y.-H.</creatorcontrib><creatorcontrib>Huang, C.-Y.</creatorcontrib><creatorcontrib>Pan, S.-C.</creatorcontrib><creatorcontrib>Hsiao, Y.-H.</creatorcontrib><creatorcontrib>Tseng, Tzyy-Guey</creatorcontrib><creatorcontrib>Lee, Meng-Chih</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nutrition, health & aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tai, C.-J.</au><au>Yang, Y.-H.</au><au>Huang, C.-Y.</au><au>Pan, S.-C.</au><au>Hsiao, Y.-H.</au><au>Tseng, Tzyy-Guey</au><au>Lee, Meng-Chih</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development of the Brief Geriatric Assessment for the General Practitioner</atitle><jtitle>The Journal of nutrition, health & aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2021</date><risdate>2021</risdate><volume>25</volume><issue>1</issue><spage>134</spage><epage>140</epage><pages>134-140</pages><issn>1279-7707</issn><eissn>1760-4788</eissn><abstract>Objectives
The study aimed to develop a brief geriatric assessment (BGA) tool for the general practitioner to evaluate geriatric syndromes in community-dwelling older adults.
Design
A cross-sectional study.
Setting
58 communities from four aging cities in Taiwan.
Participants
1,258 community-dwelling older adults aged 65 years and above.
Measurements
The BGA targeted physical function impairment, cognitive impairment, and mood impairment. The cutoff values of physical function tests (handgrip strength and 6-meter walk test [6MWT]) were estimated by receiver operating characteristic analysis. Second, the diagnostic validity of the BGA was calculated in terms of sensitivity, specificity, and predictive values, which were compared to corresponding comprehensive geriatric assessment (CGA) items. Third, the associated risk factors of geriatric syndromes were selected using stepwise logistic regression. Finally, we combined items selected from literature and CGA and then proposed a practical BGA framework.
Results
The proposed BGA comprised dominant handgrip strength, 6MWT, self-report personal birthday, address, and telephone number, question ‘Do you have depressive mood for the past two weeks?’, Rinne tuning-fork tests, Snellen scale, and body mass index. It evaluated multidimensional aspects of geriatrics syndromes including physical, cognitive, mood, and sensory impairment, sarcopenia, and nutrition status. Sensitivities in the Taiwan BGA items ranged from 48% for dominant handgrip strength to 97.6% for 6MWT corresponding to physical impairment; 58.3% for cognitive impairment corresponding to Short Portable Mental Status Questionnaire; 62.7% for mood impairment corresponding to Geriatric Depression Scale. The Taiwan BGA for the general practitioner takes less than 10 minutes and is suitable in the community setting.
Conclusion
Early management of geriatric syndromes in the community is important. The current study demonstrated a practical BGA tool for the general practitioner to comprehensively assess geriatric syndromes in community-dwelling older adults.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>33367474</pmid><doi>10.1007/s12603-020-1456-7</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Journal of nutrition, health & aging, 2021, Vol.25 (1), p.134-140 |
| issn | 1279-7707 1760-4788 |
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| subjects | Aged Aged, 80 and over Aging Cognitive ability Cross-Sectional Studies Family physicians Female General Practitioners - standards Geriatric Assessment - methods Geriatric psychology Geriatrics Geriatrics/Gerontology Humans Independent Living - standards Male Medical diagnosis Medical screening Medicine Medicine & Public Health Muscle function Neurosciences Nutrition Older people Physical fitness Primary care Primary Care Medicine Quality of Life Research |
| title | Development of the Brief Geriatric Assessment for the General Practitioner |
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