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Scales and Scores for Comprehensive Geriatric Assessment in Primary Care

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The Role of Family Physicians in Older People Care

Part of the book series: Practical Issues in Geriatrics ((PIG))

Abstract

Older patients’ health problems in general practice (GP) are often complex and cannot be assigned to a specific disease. This requires a paradigm shift to goal-oriented, personalized care for clinical decision-making. Geriatric diagnostics is the key to prevent the loss of function with older adults at risk for adverse outcomes by a preventive approach in GP—therefore the role of a general practitioner is highly important in the geriatric care of older adults. Geriatric diagnostics includes geriatric screening, which should be performed in all older adults to identify those in need for further diagnostics. If a patient is screened positive, a comprehensive geriatric assessment (CGA) should be performed to assess the domain or function where the patient displays the risk of adverse outcomes in order to intervene. Approaching single geriatric syndromes might be needed to develop a specific, goal-oriented care plan. Ideally, the CGA should be performed together with a multidisciplinary geriatric team. Problems in the implementation of CGA in primary care include lack of awareness due to poor access to current scientific evidence, lack of time, sceptical physicians’ attitudes and the missing opportunity of a geriatric team in an outpatient setting. However, there is growing evidence that the goal-oriented, systematic implementation of CGA in GP settings is realistic and feasible when mediated by authentic comanagement and intersectoral cooperation of geriatricians and GP physicians.

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References

  1. Bundesvereinigung K. Versichertenbefragung der Kassenärztlichen Bundesvereinigung 2011.

    Google Scholar 

  2. Tille F, Gibis B, Balke K, Kuhlmey A, Schnitzer S. Sociodemographic and health-related determinants of health care utilisation and access to primary and specialist care: results of a nationwide population survey in Germany (2006-2016). Z Evid Fortbild Qual Gesundhwes. 2017;126:52–65.

    Article  PubMed  Google Scholar 

  3. Aprile PBE, Brignoli O, Cricelli C, Cricelli I, Lapi F, Medea G, Pasqua A; Pecchioli S, Simonetti M; Lombardo, FP. XII Report Health Search. 2019.

    Google Scholar 

  4. Marengoni A, Vetrano DL, Onder G. Target population for clinical trials on multimorbidity: is disease count enough? J Am Med Dir Assoc. 2019;20(2):113–4.

    Article  PubMed  Google Scholar 

  5. Roller-Wirnsberger R, Singler K, Polidori MC. Learning geriatric medicine: a study guide for medical students. Springer International Publishing; 2018.

    Book  Google Scholar 

  6. Bergert FWBMFJ, Hüttner U, Kluthe B, Popert U, Seffrin J, Vetter G, Beyer M, Junius-Walker U, Muth C, Schubert I. Hausärztliche Leitline Geriatrisches Assessment in der Hausarztpraxis sowie Praxistipps zu geriatrischen Patienten.

    Google Scholar 

  7. Böhm K T-RC, Ziese T. Beiträge zur Gesundheitsberichterstattung des Bundes—Gesundheit und Krankheit im Alter 2009.

    Google Scholar 

  8. Ferrucci L, Levine ME, Kuo P-L, Simonsick EM. Time and the metrics of aging. Circ Res. 2018;123(7):740–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Meyer ASG, Becker I, Betz T, Bödecker AW, Robertz JW, Krause O, Benzing PT, Pilotto A, Polidori MC. The multidimensional prognostic index in general practice: one-year follow-up study. Int J Clin Pract. (accepted pending minor revisions). 2019;

    Google Scholar 

  10. Wallace E, Salisbury C, Guthrie B, Lewis C, Fahey T, Smith SM. Managing patients with multimorbidity in primary care. BMJ. 2015;350(jan20 2):h176.

    Article  PubMed  Google Scholar 

  11. Gupta A, Rehman A. Measurement scales used in elderly care. CRC Press; 2017.

    Book  Google Scholar 

  12. Heppner HJ. Soft skills : somewhat different doping. Zeitschrift fur Gerontologie und Geriatrie. 2018;51(2):160–4.

    Article  CAS  PubMed  Google Scholar 

  13. Osterweil D, Brummel-Smith K, Beck JC. Comprehensive geriatric assessment. McGraw-Hill, Medical Publishing Division; 2000.

    Google Scholar 

  14. Stuck AE, Siu AL, Wieland GD, Adams J, Rubenstein LZ. Comprehensive geriatric assessment: a meta-analysis of controlled trials. Lancet. 1993;342(8878):1032–6.

    Article  CAS  PubMed  Google Scholar 

  15. Pilotto A, Cella A, Pilotto A, Daragjati J, Veronese N, Musacchio C, et al. Three decades of comprehensive geriatric assessment: evidence coming from different healthcare settings and specific clinical conditions. J Am Med Dir Assoc. 2017;18(2):192. e1- e11

    Article  PubMed  Google Scholar 

  16. Ellis G, Langhorne P. Comprehensive geriatric assessment for older hospital patients. Br Med Bull. 2004;71(1):45–59.

    Article  PubMed  Google Scholar 

  17. Polidori MC. Target and patient-oriented care using the comprehensive geriatric assessment : prognosis estimation for clinical decisions with elderly patients. Zeitschrift fur Gerontologie und Geriatrie. 2017;50(8):706–9.

    Article  PubMed  Google Scholar 

  18. Weinrebe W, Schiefer Y, Weckmuller K, Schulz RJ, Rupp S, Bischoff S, et al. Does the identification of seniors at risk (ISAR) score effectively select geriatric patients on emergency admission? Aging Clin Exp Res. 2019;31:1839.

    Article  CAS  PubMed  Google Scholar 

  19. Senin UP, Cherubini A, Mecocci P. Paziente anziano paziente geriatrico Medicina della complessitá. Fondamenti di Gerontologia e Geriatria. Napoli: Edises; 2020.

    Google Scholar 

  20. Ferrucci LFE, Walston JD. Frailty. In: JOJG H, Studenski S, High KP, Asthana S, Supiano MA, Ritchie C, editors. Hazzard's geriatric medicine and gerontology, 7e. McGraw-Hill; 2017.

    Google Scholar 

  21. Pilotto A, Custodero C, Maggi S, Polidori MC, Veronese N, Ferrucci L. A multidimensional approach to frailty in older people. Ageing Res Rev. 2020;60:101047.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Dent E, Martin FC, Bergman H, Woo J, Romero-Ortuno R, Walston JD. Management of frailty: opportunities, challenges, and future directions. Lancet. 2019;394(10206):1376–86.

    Article  PubMed  Google Scholar 

  23. Polidori MC, Ferrucci L, Benzing T. COVID-19 mortality as a fingerprint of biological age. Ageing Res Rev. 2021;67:101308.

    Google Scholar 

  24. Ellis G, Whitehead MA, Robinson D, O'Neill D, Langhorne P. Comprehensive geriatric assessment for older adults admitted to hospital: meta-analysis of randomised controlled trials. BMJ. 2011;343(oct27 1):d6553.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Clegg A, Young J, Iliffe S, Rikkert MO, Rockwood K. Frailty in elderly people. Lancet. 2013;381(9868):752–62.

    Article  PubMed  Google Scholar 

  26. Dent E, Kowal P, Hoogendijk EO. Frailty measurement in research and clinical practice: a review. Eur J Intern Med. 2016;31:3–10.

    Article  PubMed  Google Scholar 

  27. Fairhall N, Langron C, Sherrington C, Lord SR, Kurrle SE, Lockwood K, et al. Treating frailty—a practical guide. BMC Med. 2011;9(1):83.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Pilotto A, Rengo F, Marchionni N, Sancarlo D, Fontana A, Panza F, et al. Comparing the prognostic accuracy for all-cause mortality of frailty instruments: a multicentre 1-year follow-up in hospitalized older patients. PLoS One. 2012;7(1):e29090.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Turner G, Clegg A. Best practice guidelines for the management of frailty: a British Geriatrics Society, Age UK and Royal College of General Practitioners report. Age Ageing. 2014;43(6):744–7.

    Article  PubMed  Google Scholar 

  30. Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146–56.

    Article  CAS  PubMed  Google Scholar 

  31. Rolfson DB, Majumdar SR, Tsuyuki RT, Tahir A, Rockwood K. Validity and reliability of the Edmonton Frail Scale. Age Ageing. 2006;35(5):526–9.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Morley JE, Malmstrom TK, Miller DK. A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. J Nutr Health Aging. 2012;16(7):601–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, et al. A global clinical measure of fitness and frailty in elderly people. CMAJ. 2005;173(5):489–95.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Mende A, Riegel AK, Plumer L, Olotu C, Goetz AE, Kiefmann R. Determinants of perioperative outcome in frail older patients. Dtsch Arztebl Int. 2019;116(5):73.

    PubMed  PubMed Central  Google Scholar 

  35. Hoogendijk EO, Afilalo J, Ensrud KE, Kowal P, Onder G, Fried LP. Frailty: implications for clinical practice and public health. Lancet. 2019;394(10206):1365–75.

    Article  PubMed  Google Scholar 

  36. Ellis G, Gardner M, Tsiachristas A, Langhorne P, Burke O, Harwood RH, et al. Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database Syst Rev. 2017;9:CD006211.

    PubMed  Google Scholar 

  37. Rakel RE. Textbook of family medicine E-book. Elsevier Health Sciences; 2007.

    Google Scholar 

  38. Chen P, Steinman MA. Perception of primary care physicians on the impact of comprehensive geriatric assessment: what is the next step? Isr J Health Policy Res. 2016;5(1):46.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Herzog A, Gaertner B, Scheidt-Nave C, Holzhausen M. We can do only what we have the means for' general practitioners' views of primary care for older people with complex health problems. BMC Fam Pract. 2015;16(1):35.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Press Y, Punchik B, Kagan E, Barzak A, Freud T. Which factors affect the implementation of geriatric recommendations by primary care physicians? Isr J Health Policy Res. 2017;6(1):7.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Stott DJ, Langhorne P, Knight PV. Multidisciplinary care for elderly people in the community. Lancet. 2008;371(9614):699–700.

    Article  PubMed  Google Scholar 

  42. Fischer GC. Geriatrie für die hausärztliche Praxis. Berlin Heidelberg: Springer; 2013.

    Google Scholar 

  43. WONCA. 2020.

    Google Scholar 

  44. Dagneaux I, Gilard I, De Lepeleire J. Care of elderly people by the general practitioner and the geriatrician in Belgium: a qualitative study of their relationship. J Multidiscip Healthc. 2012;5:17–25.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Huss A, Stuck AE, Rubenstein LZ, Egger M, Clough-Gorr KM. Multidimensional preventive home visit programs for community-dwelling older adults: a systematic review and meta-analysis of randomized controlled trials. J Gerontol A Biol Sci Med Sci. 2008;63(3):298–307.

    Article  PubMed  Google Scholar 

  46. Osterweil DB-SK, Beck JC. Comprehensive geriatric assessment. New York: McGraw-Hill; 2000.

    Google Scholar 

  47. Mazya AL, Garvin P, Ekdahl AW. Outpatient comprehensive geriatric assessment: effects on frailty and mortality in old people with multimorbidity and high health care utilization. Aging Clin Exp Res. 2019;31(4):519–25.

    Article  PubMed  Google Scholar 

  48. Whitaker PGP. authorGPs are much more than gatekeepers. BMJ. 2016;353:i2751.

    Article  PubMed  Google Scholar 

  49. Hohne A, Jedlitschka K, Hobler D, Landenberger M. General practitioner-centred health-care in Germany. The general practitioner as gatekeeper. Gesundheitswesen. 2009;71(7):414–22.

    CAS  PubMed  Google Scholar 

  50. Forssen AS. Humour, beauty, and culture as personal health resources: experiences of elderly Swedish women. Scand J Public Health. 2007;35(3):228–34.

    Article  PubMed  Google Scholar 

  51. Besdine RW, Wetle TF. Opportunities to improve healthcare outcomes for elderly people and reduce re-hospitalization. Aging Clin Exp Res. 2011;23(5–6):427–30.

    Article  PubMed  Google Scholar 

  52. Matthiessen PF. Der Patient als aktiver Partner (2015). Publikationen des Dialogforums. 2015.

    Google Scholar 

  53. Clausen G, Borchelt M, Janssen C, Loos S, Mull L, Pfaff H. Patient satisfaction and geriatric care—an empirical study. Zeitschrift fur Gerontologie und Geriatrie. 2006;39(1):48–56.

    Article  CAS  PubMed  Google Scholar 

  54. Lauth G. Der Patient als aktiver Partner 1997.

    Google Scholar 

  55. Pantel J, Schröder J, Bollheimer C, Sieber C, Kruse A. Praxishandbuch Altersmedizin: Geriatrie—Gerontopsychiatrie—Gerontologie. Kohlhammer Verlag; 2014.

    Google Scholar 

  56. Meyer AM, Becker I, Siri G, Brinkkotter PT, Benzing T, Pilotto A, et al. The prognostic significance of geriatric syndromes and resources. Aging Clin Exp Res. 2019;32:115.

    Article  PubMed  Google Scholar 

  57. Meyer AP. Including prognosis evaluation in the management of older patients across different healthcare settings: the Cologne experience. Geriatr Care. 2019;5:3.

    Google Scholar 

  58. Mann E, Koller M, Mann C, van der Cammen T, Steurer J. Comprehensive Geriatric Assessment (CGA) in general practice: results from a pilot study in Vorarlberg. Austria BMC Geriatr. 2004;4:4.

    Article  PubMed  Google Scholar 

  59. Meyer AM, Siri G, Becker I, Betz T, Bödecker AW, Robertz JW, et al. The multidimensional prognostic index in general practice: one-year follow-up study. Int J Clin Pract. 2019;

    Google Scholar 

  60. Polidori MC. Physiology of aging as basis of complexity in aging medicine and geriatrics. In: Gu DDME, editor. Encyclopedia of gerontology and population aging. Springer International Publishing; 2021.

    Google Scholar 

  61. De Lepeleire J, Iliffe S, Mann E, Degryse JM. Frailty: an emerging concept for general practice. Br J Gen Pract. 2009;59(562):e177–e82.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Van Kan GA, Rolland Y, Bergman H, Morley JE, Kritchevsky SB, Vellas B. The I.a.N.a. task force on frailty assessment of older people in clinical practice. J Nutr Health Aging. 2008;12(1):29–37.

    Article  Google Scholar 

  63. Katz S, Downs TD, Cash HR, Grotz RC. Progress in development of the index of ADL. The Gerontologist. 1970;10(1):20–30.

    Article  CAS  PubMed  Google Scholar 

  64. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. The Gerontologist. 1969;9(3):179–86.

    Article  CAS  PubMed  Google Scholar 

  65. Clegg A, Bates C, Young J, Ryan R, Nichols L, Teale EA, et al. Development and validation of an electronic frailty index using routine primary care electronic health record data. Age Ageing. 2017;45:353.

    Article  Google Scholar 

  66. Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol. 1989;42(8):703–9.

    Article  CAS  PubMed  Google Scholar 

  67. Bush K. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Arch Intern Med. 1998;158(16):1789.

    Article  CAS  PubMed  Google Scholar 

  68. Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom K-O. The Fagerstrom test for nicotine dependence: a revision of the Fagerstrom tolerance questionnaire. Addiction. 1991;86(9):1119–27.

    Article  CAS  Google Scholar 

  69. Lapi F, Bianchini E, Michieli R, Pasqua A, Cricelli I, Mazzaglia G, Frediani B, Prieto-Alhambra D, Brandi ML, Cricelli C. Calcif Tissue Int. 2017;100(6):550.

    Google Scholar 

  70. Kanis JA, Johnell O, Oden A, Johansson H, McCloskey E. FRAX™ and the assessment of fracture probability in men and women from the UK. Osteoporos Int. 2008;19(4):385–97.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  71. Mathias S, Nayak US, Isaacs B. Balance in elderly patients: the "get-up and go" test. Arch Phys Med Rehabil. 1986;67(6):387–9.

    CAS  PubMed  Google Scholar 

  72. Nih Consensus Development Panel On Osteoporosis Prevention D, Therapy. Osteoporosis prevention, diagnosis, and therapy. JAMA. 2001;285(6):785–95.

    Article  Google Scholar 

  73. Berg KO, Wood-Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992;83(Suppl 2):S7–11.

    PubMed  Google Scholar 

  74. Kobayashi M, Usuda S. Development of a clinical assessment test of 180-degree standing turn strategy (CAT-STS) and investigation of its reliability and validity. J Phys Ther Sci. 2016;28(2):646–53.

    Article  PubMed  PubMed Central  Google Scholar 

  75. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther. 2000;80(9):896–903.

    Article  CAS  PubMed  Google Scholar 

  76. Macphee GJA, Crowther JA, McAlpine CH. A simple screening test for hearing impairment in elderly patients. Age Ageing. 1988;17(5):347–51.

    Article  CAS  PubMed  Google Scholar 

  77. Yesavage JA, Sheikh JI. 9/Geriatric Depression Scale (GDS). Clin Gerontol. 2008;5(1–2):165–73.

    Google Scholar 

  78. Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol. 1959;32(1):50–5.

    Article  CAS  PubMed  Google Scholar 

  79. Montgomery SA, Asberg M. A new depression scale designed to be sensitive to change. Br J Psychiatry. 1979;134:382–9.

    Article  CAS  PubMed  Google Scholar 

  80. Kroenke K, Spitzer RL, Williams JBW. The patient health questionnaire-2. Med Care. 2003;41(11):1284–92.

    Article  PubMed  Google Scholar 

  81. Saller T, Maclullich AMJ, Perneczky R. The 4 AT—an instrument for delirium detection for older patients in the post-anaesthesia care unit. Anaesthesia. 2020;75(3):409–10.

    Article  Google Scholar 

  82. Sands M, Dantoc B, Hartshorn A, Ryan C, Lujic S. Single question in delirium (SQiD): testing its efficacy against psychiatrist interview, the confusion assessment method and the memorial delirium assessment scale. Palliat Med. 2010;24(6):561–5.

    Article  CAS  PubMed  Google Scholar 

  83. Ek AC, Unosson M, Bjurulf P. The modified Norton scale and the nutritional state. Scand J Caring Sci. 1989;3(4):183–7.

    Article  CAS  PubMed  Google Scholar 

  84. Bliss MR, McLaren R, Exton-Smith AN. Mattresses for preventing pressure sores in geriatric patients. Mon Bull Minist Health Public Health Lab Serv. 1966;25:238–68.

    CAS  PubMed  Google Scholar 

  85. Daniels R, van Rossum E, Beurskens A, van den Heuvel W, de Witte L. The predictive validity of three self-report screening instruments for identifying frail older people in the community. BMC Public Health. 2012;12(1):69.

    Article  PubMed  PubMed Central  Google Scholar 

  86. Warnecke T, Im S, Kaiser C, Hamacher C, Oelenberg S, Dziewas R. Aspiration and dysphagia screening in acute stroke—the Gugging swallowing screen revisited. Eur J Neurol. 2017;24(4):594–601.

    Article  CAS  PubMed  Google Scholar 

  87. Murphy J, Mayor A, Forde E. Identifying and treating older patients with malnutrition in primary care: the MUST screening tool. Br J Gen Pract. 2018;68(672):344–5.

    Article  PubMed  PubMed Central  Google Scholar 

  88. Sancarlo D, D'Onofrio G, Franceschi M, Scarcelli C, Niro V, Addante F, et al. Validation of a modified-multidimensional prognostic index (m-MPI) including the mini nutritional assessment short-form (MNA-SF) for the prediction of one-year mortality in hospitalized elderly patients. J Nutr Health Aging. 2011;15(3):169–73.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  89. Sandhu SK, Lee JY. Measurement of trigeminal neuralgia pain: Penn facial pain scale. Neurosurg Clin N Am. 2016;27(3):327–36.

    Article  PubMed  Google Scholar 

  90. Schuler MS, Becker S, Kaspar R, Nikolaus T, Kruse A, Basler HD. Psychometric properties of the German “pain assessment in advanced dementia scale” (PAINAD-G) in nursing home residents. J Am Med Dir Assoc. 2007;8(6):388–95.

    Article  PubMed  Google Scholar 

  91. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS pain), Numeric Rating Scale for Pain (NRS pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF). Arthritis Care Res. 2011;63(S11):S240–S52.

    Article  Google Scholar 

  92. Trivedi D. Cochrane review summary: Mini-Mental State Examination (MMSE) for the detection of dementia in clinically unevaluated people aged 65 and over in community and primary care populations. Prim Health Care Res Dev. 2017;18(06):527–8.

    Article  PubMed  Google Scholar 

  93. Borson S, Scanlan J, Brush M, Vitaliano P, Dokmak A. The mini-cog: a cognitive ?Vital signs? Measure for dementia screening in multi-lingual elderly. Int J Geriatr Psychiatry. 2000;15(11):1021–7.

    Article  CAS  PubMed  Google Scholar 

  94. Brodaty H, Pond D, Kemp NM, Luscombe G, Harding L, Berman K, et al. The GPCOG: a new screening test for dementia designed for general practice. J Am Geriatr Soc. 2002;50(3):530–4.

    Article  PubMed  Google Scholar 

  95. Hodkinson HM. Evaluation of a mental test score for assessment of mental impairment in the elderly. Age Ageing. 1972;1(4):233–8.

    Article  CAS  PubMed  Google Scholar 

  96. Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc. 1975;23(10):433–41.

    Article  CAS  PubMed  Google Scholar 

  97. Lincoln NB, Gladman JRF. The extended activities of daily living scale: a further validation. Disabil Rehabil. 1992;14(1):41–3.

    Article  CAS  PubMed  Google Scholar 

  98. Landi F, Tua E, Onder G, Carrara B, Sgadari A, Rinaldi C, et al. Minimum data set for home care: a valid instrument to assess frail older people living in the community. Med Care. 2000;38(12):1184–90.

    Article  CAS  PubMed  Google Scholar 

  99. Haider SI, Johnell K, Thorslund M, Fastbom J. Analysis of the association between polypharmacy and socioeconomic position among elderly aged ≥77 years in Sweden. Clin Ther. 2008;30(2):419–27.

    Article  PubMed  Google Scholar 

  100. O'Mahony D, O'Sullivan D, Byrne S, O'Connor MN, Ryan C, Gallagher P. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. Age Ageing. 2015;44(2):213–8.

    Article  PubMed  Google Scholar 

  101. Lewis T. Using the NO TEARS tool for medication review. BMJ. 2004;329(7463):434.

    Article  PubMed  PubMed Central  Google Scholar 

  102. American Geriatrics Society 2019 Updated AGS Beers Criteria® for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2019;67(4):674–94.

    Google Scholar 

  103. Samsa GP, Hanlon JT, Schmader KE, Weinberger M, Clipp EC, Uttech KM, et al. A summated score for the medication appropriateness index: development and assessment of clinimetric properties including content validity. J Clin Epidemiol. 1994;47(8):891–6.

    Article  CAS  PubMed  Google Scholar 

  104. Kiesel EK, Hopf YM, Drey M. An anticholinergic burden score for German prescribers: score development. BMC Geriatr. 2018;18:1.

    Article  CAS  Google Scholar 

  105. Pohl-Dernick K, Meier F, Maas R, Schoffski O, Emmert M. Potentially inappropriate medication in the elderly in Germany: an economic appraisal of the PRISCUS list. BMC Health Serv Res. 2016;16(1):109.

    Article  PubMed  PubMed Central  Google Scholar 

  106. Wehling M. How to use the FORTA ("fit fOR the aged") list to improve pharmacotherapy in the elderly. Drug Res (Stuttg). 2016;66(2):57–62.

    CAS  Google Scholar 

  107. Bridges CB, Fukuda K, Uyeki TM, Cox NJ, Singleton JA. Prevention and control of influenza. Recommendations of the advisory committee on immunization practices (ACIP). MMWR Recomm Rep. 2002;51(Rr-3):1–31.

    PubMed  Google Scholar 

  108. Eden MM, Tompkins J, Verheijde JL. Reliability and a correlational analysis of the 6MWT, ten-meter walk test, thirty second sit to stand, and the linear analog scale of function in patients with head and neck cancer. Physiother Theory Pract. 2018;34(3):202–11.

    Article  PubMed  Google Scholar 

  109. Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):M85–94.

    Article  CAS  PubMed  Google Scholar 

  110. Bennell K, Dobson F, Hinman R. Measures of physical performance assessments: Self-Paced Walk Test (SPWT), Stair Climb Test (SCT), Six-Minute Walk Test (6MWT), Chair Stand Test (CST), Timed Up & Go (TUG), Sock Test, Lift and Carry Test (LCT), and Car Task. Arthritis Care Res (Hoboken). 2011;63(Suppl 11):S350–70.

    Article  Google Scholar 

  111. Malmstrom TK, Miller DK, Simonsick EM, Ferrucci L, Morley JE. SARC-F: a symptom score to predict persons with sarcopenia at risk for poor functional outcomes. J Cachexia Sarcopenia Muscle. 2016;7(1):28–36.

    Article  PubMed  Google Scholar 

  112. Ford AC, Bercik P, Morgan DG, Bolino C, Pintos-Sanchez MI, Moayyedi P. Validation of the Rome III criteria for the diagnosis of irritable bowel syndrome in secondary care. Gastroenterology. 2013;145(6):1262–70.e1

    Article  PubMed  Google Scholar 

  113. Karmakar D, Mostafa A, Abdel-Fattah M. A new validated score for detecting patient-reported success on postoperative ICIQ-SF: a novel two-stage analysis from two large RCT cohorts. Int Urogynecol J. 2017;28(1):95–100.

    Article  PubMed  Google Scholar 

  114. Wilson JTL, Hareendran A, Grant M, Baird T, Schulz UGR, Muir KW, et al. Improving the assessment of outcomes in stroke: use of a structured interview to assign grades on the modified Rankin scale. Stroke. 2002;33(9):2243–6.

    Article  PubMed  Google Scholar 

  115. Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, et al. Toxicity and response criteria of the eastern cooperative oncology group. Am J Clin Oncol. 1982;5(6):649–55.

    Article  CAS  PubMed  Google Scholar 

  116. Crooks V, Waller S, Smith T, Hahn TJ. The use of the Karnofsky performance scale in determining outcomes and risk in geriatric outpatients. J Gerontol. 1991;46(4):M139–M44.

    Article  CAS  PubMed  Google Scholar 

  117. Gobbens RJJ, Van Assen MALM, Luijkx KG, Wijnen-Sponselee MT, Schols JMGA. The Tilburg frailty indicator: psychometric properties. J Am Med Dir Assoc. 2010;11(5):344–55.

    Article  PubMed  Google Scholar 

  118. Romero-Ortuno R, Walsh CD, Lawlor BA, Kenny RA. A frailty instrument for primary care: findings from the Survey of Health, Ageing and Retirement in Europe (SHARE). BMC Geriatr. 2010;10(1):57.

    Article  PubMed  PubMed Central  Google Scholar 

  119. Barkhausen T, Junius-Walker U, Hummers-Pradier E, Mueller CA, Theile G. “It’s MAGIC” - development of a manageable geriatric assessment for general practice use. BMC Fam Pract. 2015;16(1):4.

    Article  PubMed  PubMed Central  Google Scholar 

  120. Junius-Walker U, Krause O. Geriatrisches Assessment—Welche Tests eignen sich für die Hausarztpraxis? DMW—Deutsche Medizinische Wochenschrift. 2016;141(03):165–9.

    Article  Google Scholar 

  121. Piccoliori G, Gerolimon E, Abholz HH. Geriatric assessment in general practice using a screening instrument: is it worth the effort? Results of a South Tyrol Study. 2008;37(6):647–52.

    Google Scholar 

  122. Garrard JW, Cox NJ, Dodds RM, Roberts HC, Sayer AA. Comprehensive geriatric assessment in primary care: a systematic review. Aging Clin Exp Res. 2019;32:197.

    Article  PubMed  PubMed Central  Google Scholar 

  123. Lucchetti G, Granero AL. Use of comprehensive geriatric assessment in general practice: results from the ‘Senta Pua’ project in Brazil. Eur J Gen Pract. 2011;17(1):20–7.

    Article  PubMed  Google Scholar 

  124. Gladman JRF, Conroy SP, Ranhoff AH, Gordon AL. New horizons in the implementation and research of comprehensive geriatric assessment: knowing, doing and the ‘know-do’ gap. Age Ageing. 2016;45(2):194–200.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Ageing Clinical Research, Dpt. II of Internal Medicine and Centre of Molecular Medicine, University Hospital of Cologne Medical Faculty, Cologne, Germany

    Anna Maria Meyer & M. Cristina Polidori

  2. Primary Care Department, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy

    Stefano Celotto

  3. Primary Care Clinic, Eastern Piedmont, Novara, South-District, Italy

    Daniele Angioni

  4. Diagnostic Medical Sonographer in Vercelli, Vercelli, Italy

    Daniele Angioni

  5. Cologne Excellence Cluster CECAD, University of Cologne, Cologne, Germany

    M. Cristina Polidori

Authors
  1. Anna Maria Meyer
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  2. Stefano Celotto
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  3. Daniele Angioni
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  4. M. Cristina Polidori
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Corresponding author

Correspondence to M. Cristina Polidori .

Editor information

Editors and Affiliations

  1. Primary Care Department USL Toscana Sud Est, Grosseto, Italy

    Jacopo Demurtas

  2. Department of Internal Medicine and Geriatrics, University of Palermo, Palermo, Italy

    Nicola Veronese

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Meyer, A.M., Celotto, S., Angioni, D., Polidori, M.C. (2022). Scales and Scores for Comprehensive Geriatric Assessment in Primary Care. In: Demurtas, J., Veronese, N. (eds) The Role of Family Physicians in Older People Care. Practical Issues in Geriatrics. Springer, Cham. https://doi.org/10.1007/978-3-030-78923-7_9

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  • DOI: https://doi.org/10.1007/978-3-030-78923-7_9

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