Predictive validity of a two-step tool to map frailty in primary care

Melis , Rene

Janneke van Kempen (Geriatric Medicine), Henk Schers (Primary and Community Care) and René Melis (photo; Geriatric medicine) of the theme Healthcare Improvement Science recently published a BMC Medicine paper describing that GPs applying the EASY-Care TOS procedure can predict negative health outcomes in their older populations efficiently and almost as accurately as a complete specialist Comprehensive Geriatric Assessment.

EASY-Care Two step Older people Screening (EASY-Care TOS) is a stepped approach to identify frail older people at risk for negative health outcomes in primary care, and makes use of General Practitioners’ (GPs) readily-available information. We aimed to determine the predictive value of EASY-Care TOS for negative health outcomes within the year from assessment.

A total of 587 patients of four GP practices in and around Nijmegen (The Netherlands) consented to participate in a longitudinal primary care registry based cohort study. Participants’ frailty was judged by their GP following the EASY-Care TOS procedure and by a Comprehensive Geriatric Assessment (CGA) at baseline. After one year health outcomes of the participants were measured by reassessment with the EASY-Care TOS procedure. The authors conclude that GPs applying the EASY-Care TOS procedure, where they only perform additional assessment when they judge this as necessary, can predict negative health outcomes in their older populations efficiently and almost as accurately as a complete specialist CGA.

BMC Medicine 2015, 13:287 doi:10.1186/s12916-015-0519-9


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