Primary care guidelines for geriatric assessment

Frese, Thomas; Franke, Molly F; Keyser, Melanie; Rurik, Imre; Sandholzer, Hagen

doi:10.1007/s00391-011-0219-9

Cited by 5 publications

(2 citation statements)

References 28 publications

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“…At Leipzig Medical School, the STEP was augmented by the Mini-Mental State Examination (MMSE), two items of the COOP/WONCA charts (an established screening instrument that measures functional capacity at a given time), and the Barthel Index [13,15,16]. The STEP is an established comprehensive geriatric assessment tool for use in primary care addressing the relevant topics of elderly patients [11,14,17]. …”

Section: Methodsmentioning

confidence: 99%

Geriatric assessment in undergraduate geriatric education – a structured interpretation guide improves the quantity and accuracy of the results: a cohort comparison

Igenbergs¹,

Deutsch²,

Frese³

et al. 2013

BMC Med Educ

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BackgroundWith regard to the growing proportion of elderly multimorbid patients, a sound undergraduate geriatric education becomes more important. Therefore we included the execution and interpretation of a comprehensive geriatric assessment (CGA) into a mandatory two-week clerkship at a general practitioner's office. The present study examined the effect of a guide structuring the students’ considerations when interpreting a CGA on the quantity and accuracy of the documented findings and conclusions.MethodsWe compared random samples out of two cohorts of fourth-year medical students (interpreting the CGA with and without using the structured interpretation guide) completing their clerkship between April 2006 and March 2008 with regard to the content of the CGA interpretation and the grades the students achieved for their clerkship documentation, which were substantially determined by the quantity and accuracy of the documentation and interpretation of the CGA.ResultsThe structured interpretation guide led to significantly more mentions of aspects that have to be considered in geriatric patient care and to a higher documentation rate of respective positive results. Furthermore, students who analysed the CGA by using the interpretation guide achieved significantly better grades.ConclusionsAn additional tool structuring medical students’ considerations when interpreting a CGA increases the quantity and the accuracy of the documented findings and conclusions. This may enhance the students’ learning gain.

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Section: Methodsmentioning

confidence: 99%

Geriatric assessment in undergraduate geriatric education – a structured interpretation guide improves the quantity and accuracy of the results: a cohort comparison

Igenbergs¹,

Deutsch²,

Frese³

et al. 2013

BMC Med Educ

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“…However, geriatric assessment instruments and guidelines are heterogeneous with respect to content and quality 6. In general, geriatric assessment should be effective, feasible, and acceptable throughout general practice.…”

Section: Introductionmentioning

confidence: 99%

Feasibility, understandability, and usefulness of the STEP self-rating questionnaire: results of a cross-sectional study

Frese¹,

Hein²,

Sandholzer³

2013

CIA

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The study was designed to evaluate the acceptance of the self-rated version of the Standardized Assessment of Elderly People in primary care in Europe (STEP) by patients and general practitioners, as well as the feasibility, comprehensibility, and usefulness in gaining new information. In all, 1007 of 1540 patients aged 65 and above, from 28 different Saxon general practices took part. We recognized that 96% of the patients were able to fill in the questionnaire by themselves. It took them an average of approximately 20 minutes to do so. Further analysis of 257 randomly selected patients identified 281 previously unknown problems (1.1 per patient). In the practitioners’ opinion, 16% of these problems, particularly physiological and mental ones, could lead to immediate consequences. Remarkably, newly identified psychosocial problems were not followed by any consequences. Fourteen of the 75 questionnaire items were not answered by more than 9% of the participants. Eight of the 14 frequently unanswered items were marked as difficult to understand by the patients. Altogether the self-rating version of the STEP was found to be feasible and useful. It was well accepted among patients; however, some questions need further review to improve their comprehensibility. Furthermore, it should be investigated why some identified problems do not have consequences and whether there is a need to record these issues at all.

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In-home preventive comprehensive geriatric assessment (CGA) reduces mortality—A randomized controlled trial

Frese¹,

Deutsch²,

Keyser³

et al. 2012

Archives of Gerontology and Geriatrics

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Primary care guidelines for geriatric assessment

Cited by 5 publications

References 28 publications

Geriatric assessment in undergraduate geriatric education – a structured interpretation guide improves the quantity and accuracy of the results: a cohort comparison

Geriatric assessment in undergraduate geriatric education – a structured interpretation guide improves the quantity and accuracy of the results: a cohort comparison

Feasibility, understandability, and usefulness of the STEP self-rating questionnaire: results of a cross-sectional study

In-home preventive comprehensive geriatric assessment (CGA) reduces mortality—A randomized controlled trial

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