Performances of a Brief Assessment Tool for the Early Diagnosis of Geriatric Syndromes by Primary Care Physicians

Study Overview
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Brief Summary
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The AGE (Active Geriatric Evaluation) aims to develop a brief assessment tool adapted to the primary care setting.

Detailed Description
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The AGE (Active Geriatric Evaluation) program is a collaborative project between a primary care institution and a specialised geriatric unit that aims to develop a brief assessment tool (BAT) adapted to the primary care setting. The objective of this study is to assess the performances of the BAT to identify major geriatric syndromes: cognitive impairment; mood disorder; functional impairment; urinary incontinence; malnutrition; gait and balance impairment; osteoporosis; hearing impairment; visual impairment. In order to achieve our objective, we plan to recruit 155 patients > 70 years old in primary care settings for which primary care physicians will perform the BAT (composed of specific questions and clinical exams). At the end of the consultation, the primary care physician will fill a questionnaire where the absence/presence of syndromes will be recorded (according to the findings of the BAT). Each patient will be then seen a second time by expert geriatricians that will perform a full geriatric evaluation (90 minutes). This will allow to calculate the performances of the intervention (BAT) in terms of sensibility /specificity,...

Official Title
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Study AGE - Part 2 (Active Geriatric Evaluation for General Practitioner), Performances of a Brief Assessment Tool for the Early Diagnosis of Geriatric Syndromes by Primary Care Physicians

Conditions
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Cognitive Impairment, Mood Disorders, Urinary Incontinence, Malnutrition, Osteoporosis, Hearing Impairment, Visual Impairment

Intervention / Treatment
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* Other: brief geriatric assessment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age > 70 years follow-up by general practitioner good understanding of french or presence of a translater No previous or on-going geriatric consultation Patient able to provide consent or a relative is present that can provide a consent instead Exclusion Criteria: Age < 70 years No follow-up by general practitioner Unable to understand French or absence of a translater On-going geriatric follow-up Patient unable to provide consent or a relative is absent

Ages Eligible for Study
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Minimum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: brief assessment tool (BAT)<br>all participants will have a brief assessment tool (BAT) for the identification of geriatric syndromes performed by their general practitioner. Afterwards, all participants will have a full geriatric assessment performed by geriatricians | Other: brief geriatric assessment<br>* All participants will be screened for geriatric syndromes using the brief assessment tool. Mix a simple questions and simple tests<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sensibility and specificity | performances of the brief assessment tool (BAT) will be measured by calculating sensibility and specificity for each of the geriatric syndromes: cognitive impairment; mood disorder; functional impairment; urinary incontinence; malnutrition; gait and balance impairment; osteoporosis; hearing impairment; visual impairment | one year |