Clinical trial NCT01816087: Performances of a Brief Assessment Tool for the Early Diagnosis of Geriatric Syndromes by Primary Care Physicians
Official title: 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
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cognitive Impairment
Mood Disorders
Urinary Incontinence
Malnutrition
Osteoporosis
Hearing Impairment
Visual Impairment
Lead sponsor: University of Lausanne
Sponsor class: OTHER
First posted: 2013-03-21
Enrollment: 86
Sex: ALL
Minimum age (years): 70
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: DIAGNOSTIC

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

Detailed description: 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,...

Eligibility criteria: 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

Primary outcomes:
measure: Sensibility and specificity
timeFrame: one year
Secondary outcomes:
Other outcomes:
Locations:
city: Lausanne
country: Switzerland
facility: Departement of Ambulatory Care and Community Medicine
state: VD
Study officials:
affiliation: Department of ambulatory care and community medicine, University of Lausanne, Switzerland
name: Nicolas Senn, MD PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Mueller YK, Monod S, Locatelli I, Bula C, Cornuz J, Senn N. Performance of a brief geriatric evaluation compared to a comprehensive geriatric assessment for detection of geriatric syndromes in family medicine: a prospective diagnostic study. BMC Geriatr. 2018 Mar 13;18(1):72. doi: 10.1186/s12877-018-0761-z.