Identification of decreased intrinsic capacity: Performance of diagnostic measures of the ICOPE Screening tool in community dwelling older people in the VIMCI study.

Rojano I Luque, Xavier; Blancafort-Alias, Sergi; Prat Casanovas, Susanna; Forné, Susanna; Martín Vergara, Nuria; Fabregat Povill, Pilar; Vila Royo, Maria; Serrano, Rosa; Sanchez Rodriguez, Maria Dolores Carmen; Vílchez Saldaña, Montserrat; Martínez, Iris; Domínguez López, Mariola; Riba Porquet, Francesc; Intxaurrondo González, Aimar; Salvà Casanovas, Antoni

doi:10.1186/s12877-023-03799-0

Article (Scientific journals)

Identification of decreased intrinsic capacity: Performance of diagnostic measures of the ICOPE Screening tool in community dwelling older people in the VIMCI study.

Rojano I Luque, Xavier; Blancafort-Alias, Sergi; Prat Casanovas, Susanna et al.

2023 • In BMC Geriatrics, 23 (1), p. 106

Peer Reviewed verified by ORBi Dataset

Permalink
https://hdl.handle.net/2268/303346

DOI
10.1186/s12877-023-03799-0

PubMed
36809987

Files (1)Send to Details Statistics Bibliography Similar publications

Files

Full Text

2023_Rojano i Luque_ICOPE Screening tool_BMC Geriatrics.pdf

Author postprint (1.75 MB)

Download

All documents in ORBi are protected by a user license.

Send to

RIS BibTex APA Chicago Permalink X Linkedin

Details

Keywords :

Agreement; Diagnostic accuracy; ICOPE; Intrinsic capacity; Person-centered care; Psychometrics; Screening; Sensitivity; Specificity; Humans; Aged; Cohort Studies; Cross-Sectional Studies; Spain; Independent Living; Aging; Geriatrics and Gerontology

Abstract :

[en] [en] BACKGROUND: The World Health Organization (WHO) has developed the Integrated Care for Older People (ICOPE) strategy to face the challenges of ageing societies. This strategy is focused on person centered care and the assessment intrinsic capacity (IC). Early identification of five domains of IC (cognition, locomotion, vitality, sensory (hearing and vision), and psychological) has been shown to be related with adverse outcomes and can guide actions towards primary prevention and healthy ageing. IC assessment proposed by the WHO ICOPE guidelines is composed by two steps: First, Screening for decreased IC by the ICOPE Screening tool; second, by the reference standard methods. The aim was to assess the performance of diagnostic measures (sensibility, specificity, diagnostic accuracy, and agreement of the ICOPE Screening tool) compared to the reference standard methods in European community-dwelling older adults. METHODS: Cross-sectional analysis of the baseline of the ongoing VIMCI (Validity of an Instrument to Measure Intrinsic Capacity) cohort study, which was carried out in Primary Care centers and outpatient clinics from 5 rural and urban territories in Catalonia (Spain). Participants were 207community dwelling persons ≥ 70-year-old with Barthel ≥ 90, without dementia or advanced chronic conditions who provided their consent to participate. The 5 IC domains were assessed by the ICOPE Screening tool and the reference methods (SPPB, gait speed, MNA, Snellen chart, audiometry, MMSE, GDS5) during patients' visit. Agreement was assessed with the Gwet AC1 index. RESULTS: ICOPE Screening tool sensitivity was higher for cognition (0.889) and ranged between 0.438 and 0.569 for most domains. Specificity ranged from 0.682 to 0.96, diagnostic accuracy from 0.627 to 0.879, Youden index from 0.12 to 0.619, and Gwet AC1 from 0.275 to 0.842. CONCLUSION: The ICOPE screening tool showed fair performance of diagnostic measures; it was helpful to identify those participants with satisfactory IC and showed a modest ability to identify decreased IC in older people with high degree of autonomy. Since low sensitivities were found, a process of external validation would be recommended to reach better discrimination. Further studies about the ICOPE Screening tool and its performance of diagnostic measures in different populations are urgently required.

Disciplines :

Geriatrics

Author, co-author :

Rojano I Luque, Xavier; Fundació Salut i Envelliment UAB (FSIE-UAB), Barcelona, Spain ; Sant Pau Institute for Biomedical Research (IIB Sant Pau), Barcelona, Spain

Blancafort-Alias, Sergi; Fundació Salut i Envelliment UAB (FSIE-UAB), Barcelona, Spain. sergi.blancafort@uab.cat ; Sant Pau Institute for Biomedical Research (IIB Sant Pau), Barcelona, Spain. sergi.blancafort@uab.cat

Prat Casanovas, Susanna; ABS Ripoll-Sant Joan de les Abadesses, Institut Català de la Salut (ICS), Ripoll, Spain

Forné, Susanna; Fundació Sant Hospital, La Seu d'Urgell, Lleida, Spain

Martín Vergara, Nuria; EAP Horts de Miró, Institut Català de la Salut (ICS), Reus, Spain

Fabregat Povill, Pilar; Hospital de la Santa Creu, Tortosa, Spain

Vila Royo, Maria; Badalona Serveis Assistencials (BSA), Badalona, Spain

Serrano, Rosa; EDP Salut Sant Joan, Reus, Spain

Sanchez Rodriguez, Maria Dolores Carmen ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé

Vílchez Saldaña, Montserrat; ABS CamprodonInstitut Català de la Salut (ICS), Camprodon, Spain

More authors (5 more)

Language :

English

Title :

Identification of decreased intrinsic capacity: Performance of diagnostic measures of the ICOPE Screening tool in community dwelling older people in the VIMCI study.

Publication date :

21 February 2023

Journal title :

BMC Geriatrics

eISSN :

1471-2318

Publisher :

BioMed Central Ltd, England

Volume :

Issue :

Pages :

106

Peer reviewed :

Peer Reviewed verified by ORBi

Additional URL :

https://link.springer.com/content/pdf/10.1186/s12877-023-03799-0.pdf

Funding text :

The VIMCI study was carried out within the APTITUDE project, which is co-funded at 65% rate by the European Regional Development Fund (ERDF), through the INTERREG V-A Programme, Spain-France-Andorra (POCTEFA 2014–2020; grant EFA232/16), created by the European Union. The goal of the project is to develop actions to prevent disability and dependence among older adults through the creation of a network of experts to promote care, training, research and innovation in gerontology.The below persons contributed to data collection: Antonio Artuñedo González (Badalona Serveis Assistencials), Rocio Blanco Lapaz (Institut Català de la Salut Girona), Blanca Rosa Hernández Hernández (Badalona Serveis Assistencials), Ana Belén Fernández Sancho (Badalona Serveis Assistencials), Ivan Matey González (Badalona Serveis Assistencials), Maria Jesús González (Fundació Sant Hospital), Pau Vilanova Gallart (Institut Català de la Salut Girona)

Data Set :

10.1186/s12877-023-03799-0

Available on ORBi :

since 29 May 2023

Statistics

Number of views

65 (3 by ULiège)

Number of downloads

10 (1 by ULiège)

More statistics

Scopus citations^®

Scopus citations^®
without self-citations

OpenCitations

OpenAlex citations

Bibliography

World Health Organization. World report on ageing and health [Internet]. World Health Organization; 2015. Available from: https://apps.who.int/iris/handle/10665/186463. Accessed 8 Feb 2023.
Beard JR, Officer AM, Cassels AK. The World Report on Ageing and Health. Gerontologist [Internet]. 2016;56:S163–6. Available from: https://academic.oup.com/gerontologist/article-lookup/doi/ https://doi.org/10.1093/geront/gnw037
World Health Organization. WHO STEPS surveillance manual. 2017; Available from: https://www.who.int/teams/noncommunicable-diseases/surveillance/systems-tools/steps. Accessed 8 Feb 2023.
World Health Organization. Decade of healthy ageing: baseline report [Internet]. Geneva: World Health Organization; 2020. Available from: https://apps.who.int/iris/handle/10665/338677. Accessed 8 Feb 2023.
Cesari M, Araujo de Carvalho I, Amuthavalli Thiyagarajan J, Cooper C, Martin FC, Reginster J-Y, et al. Evidence for the Domains Supporting the Construct of Intrinsic Capacity. J Gerontol A Biol Sci Med Sci. 2018;73:1653–60.
Locquet M, Sanchez-Rodriguez D, Bruyère O, Geerinck A, Lengelé L, Reginster J-Y, et al. Intrinsic Capacity Defined Using Four Domains and Mortality Risk: A 5-Year Follow-Up of the SarcoPhAge Cohort. J Nutr Health Aging. 2022;26:23–9. DOI: 10.1007/s12603-021-1702-7
World Health Organization. Integrated Care for Older People: Guidelines on Community-Level Interventions to Manage Declines in Intrinsic Capacity. Geneva: World Health Organization; 2017.
Briggs AM, Araujo de Carvalho I. Actions required to implement integrated care for older people in the community using the World Health Organization’s ICOPE approach: A global Delphi consensus study. Van Bogaert P, editor. PLOS One. 2018;13:e0205533.
World Health Organization. Integrated care for older people (ICOPE): Guidance for person-centred assessment and pathways in primary care. Geneva: World Health Organization; 2019. Report No.: WHO/FWC/ALC/19.1.
Leung AYM, Su JJ, Lee ESH, Fung JTS, Molassiotis A. Intrinsic capacity of older people in the community using WHO Integrated Care for Older People (ICOPE) framework: A cross-sectional study. BMC Geriatr. 2022;22:304. DOI: 10.1186/s12877-022-02980-1
Ma L, Chhetri JK, Zhang Y, Liu P, Chen Y, Li Y, et al. Integrated Care for Older People Screening Tool for Measuring Intrinsic Capacity: Preliminary Findings From ICOPE Pilot in China. Front Med. 2020;7: 576079. DOI: 10.3389/fmed.2020.576079
Aptitude [Internet]. 2022. Available from: https://web.archive.org/web/20220411103259/https://www.aptitude-net.com/. Accessed 8 Feb 2023.
World Health Organization. Integrated care for older people (ICOPE): guidance for person-centred assessment and pathways in primary care [Internet]. 2019. Available from: https://apps.who.int/iris/handle/10665/326843. Accessed 8 Feb 2023.
Lobo A, Ezquerra J, Gómez Burgada F, Sala JM, Seva DA. El miniexamen cognoscitivo (un “test” sencillo, práctico, para detectar alteraciones intelectuales en pacientes médicos). Actas Luso-Espanolas De Neurologia, Psiquiatria Y Ciencias Afines. 1979;7:189–202.
López Miquel J, Martí Agustí G. Mini-Examen Cognoscitivo (MEC). Revista Española de Medicina Legal [Internet]. 2011;37:122–7. Available from: https://linkinghub.elsevier.com/retrieve/pii/S037747321170075X. Accessed 8 Feb 2023.
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:M85-94. DOI: 10.1093/geronj/49.2.M85
Perera S, Patel KV, Rosano C, Rubin SM, Satterfield S, Harris T, et al. Gait Speed Predicts Incident Disability: A Pooled Analysis. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences [Internet]. 2016;71:63–71. Available from: https://academic.oup.com/biomedgerontology/article-lookup/doi/ https://doi.org/10.1093/gerona/glv126. Accessed 8 Feb 2023.
Minneci C, Mello AM, Mossello E, Baldasseroni S, Macchi L, Cipolletti S, et al. Comparative Study of Four Physical Performance Measures as Predictors of Death, Incident Disability, and Falls in Unselected Older Persons: The Insufficienza Cardiaca negli Anziani Residenti a Dicomano Study. J Am Geriatr Soc. 2015;63:136–41. Available from: https://onlinelibrary.wiley.com/doi/ https://doi.org/10.1111/jgs.13195
Société des Produits Nestlé SA. MNA® forms [Internet]. Available from: https://web.archive.org/web/20220316120044/https://www.mna-elderly.com/mna-forms. Accessed 8 Feb 2023.
Hearing test, audiogram [Internet]. Russia, Moscow: IT4YOU; 2019. Available from: https://play.google.com/store/apps/details?id=com.it4you.dectone.gui.hearingtest
Hoyl MT, Alessi CA, Harker JO, Josephson KR, Pietruszka FM, Koelfgen M, et al. Development and testing of a five-item version of the Geriatric Depression Scale. J Am Geriatr Soc. 1999;47:873–8. DOI: 10.1111/j.1532-5415.1999.tb03848.x
Lubben J, Blozik E, Gillmann G, Iliffe S, von Renteln Kruse W, Beck JC, et al. Performance of an abbreviated version of the Lubben Social Network Scale among three European community-dwelling older adult populations. Gerontologist. 2006;46:503–13. DOI: 10.1093/geront/46.4.503
Jong-Gierveld J de, Frans Kamphuls. Manual of the loneliness scale 1999 (updated from the printed version) [Internet]. 2017. Available from: http://hdl.handle.net/1871/18954. Accessed 8 Feb 2023.
Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. J Chronic Dis. 1987;40:373–83. Available from: http://linkinghub.elsevier.com/retrieve/pii/0021968187901718. Accessed 8 Feb 2023.
Šimundić A-M. Measures of Diagnostic Accuracy: Basic Definitions. EJIFCC. 2009;19:203–11.
van Bokhorst-de van der Schueren MAE, Guaitoli PR, Jansma EP, de Vet HCW. Nutrition screening tools: Does one size fit all? A systematic review of screening tools for the hospital setting. Clin Nutr. 2014;33:39–58.
Gwet KL. Computing inter-rater reliability and its variance in the presence of high agreement. Br J Math Stat Psychol. 2008;61:29–48. Available from: http://doi.wiley.com/ https://doi.org/10.1348/000711006X126600
Shankar V, Bangdiwala SI. Observer agreement paradoxes in 2×2 tables: comparison of agreement measures. BMC Med Res Methodol. 2014;14:100. Available from: https://bmcmedresmethodol.biomedcentral.com/articles/ https://doi.org/10.1186/1471-2288-14-100
Andrews JS, Desai U, Kirson NY, Zichlin ML, Ball DE, Matthews BR. Disease severity and minimal clinically important differences in clinical outcome assessments for Alzheimer’s disease clinical trials. Alzheimers Dement. 2019;5:354–63. Available from: https://onlinelibrary.wiley.com/doi/abs/ https://doi.org/10.1016/j.trci.2019.06.005
Lobo A, Saz P, Marcos G, Día JL, de la Cámara C, Ventura T, et al. [Revalidation and standardization of the cognition mini-exam (first Spanish version of the Mini-Mental Status Examination) in the general geriatric population]. Med Clin. 1999;112:767–74.
Kwon S, Perera S, Pahor M, Katula JA, King AC, Groessl EJ, et al. What is a meaningful change in physical performance? Findings from a clinical trial in older adults (the LIFE-P study). J Nutr Health Aging. 2009;13:538–44. Available from: http://link.springer.com/ https://doi.org/10.1007/s12603-009-0104-z
World Health Organization. Integrated care for older people (ICOPE) implementation pilot programme: Findings from the “ready” phase. Geneva: World Health Organization; 2022.
Tavassoli N, de Souto BP, Berbon C, Mathieu C, de Kerimel J, Lafont C, et al. Implementation of the WHO integrated care for older people (ICOPE) programme in clinical practice: A prospective study. Lancet Health Longev. 2022;3:e394-404. DOI: 10.1016/S2666-7568(22)00097-6
Saliba J, Al-Reefi M, Carriere JS, Verma N, Provencal C, Rappaport JM. Accuracy of Mobile-Based Audiometry in the Evaluation of Hearing Loss in Quiet and Noisy Environments. Otolaryngol Head Neck Surg. 2017;156:706–11. Available from: http://journals.sagepub.com/doi/ https://doi.org/10.1177/0194599816683663
Gonzalez-Bautista E, Andrieu S, Gutiérrez-Robledo LM, García-Chanes RE, De Souto Barreto P. In the Quest of a Standard Index of Intrinsic Capacity. A Critical Literature Review. J Nutr Health Aging. 2020;24:959–65. Available from: https://link.springer.com/ https://doi.org/10.1007/s12603-020-1503-4
Zhao J, Chhetri JK, Chang Y, Zheng Z, Ma L, Chan P. Intrinsic capacity vs. Multimorbidity: A function-centered construct predicts disability better than a disease-based approach in a community-dwelling older population cohort. Front Med. 2021;8:753295. Available from: https://www.frontiersin.org/articles/ https://doi.org/10.3389/fmed.2021.753295/full
Prince MJ, Acosta D, Guerra M, Huang Y, Jacob KS, Jimenez-Velazquez IZ, et al. Intrinsic capacity and its associations with incident dependence and mortality in 10/66 Dementia Research Group studies in Latin America, India, and China: A population-based cohort study. Sachdev PS, editor. PLoS Med. 2021;18:e1003097. Available from: https://dx.plos.org/ https://doi.org/10.1371/journal.pmed.1003097
González-Bautista E, Souto Barreto P de, Andrieu S, Rolland Y, Vellas B, for the MAPT/DSA group. What day is today? Cognitive capacity and the risk of incident dementia in the context of integrated care for older people (ICOPE Step 1). Aging Clin Experiment Res. 2021;33:3135–9. Available from: https://link.springer.com/ https://doi.org/10.1007/s40520-021-01803-4
Gonzalez-Bautista E, Barreto P de S, Salinas-Rodriguez A, Manrique Espinoza B, Sourdet S, Rolland Y, et al. Development and validation of a cut-off for the chair stand test as a screening for mobility impairment in the context of the integrated care for older people (ICOPE) program. J Gerontol. 2022;glac055. Available from: https://academic.oup.com/biomedgerontology/advance-article/doi/ https://doi.org/10.1093/gerona/glac055/6539847