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

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

DOI
10.1186/s12877-023-03799-0

PubMed
36809987

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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

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since 29 May 2023

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