Geriatric assessment domains
| Geriatric assessment domain and measure . | Description of domain and measure . | Mean (SD) or median (IQR) . | Definitions of impairment . | n = 25, n with impairment (%) . |
|---|---|---|---|---|
| Medications or polypharmacy | Number of scheduled and as-needed medications, excluding chemotherapy | 9.5 (SD, 4.9) | ≥5 scheduled and as-needed medications, excluding chemotherapy | 22 (88.0) |
| Physical function | ≥1 impairment in SPPB, ADL, IADL, and fall | 21 (84.0) | ||
| In-person SPPB | Three tasks that include balance, gait speed, chair stands; evaluates lower extremity function; scores range from 0 to 12; lower score is worst32 | 9.2 (SD, 1.7) | ≤9 | 13 (76.5) |
| Virtual SPPB* | Assesses patient’s perceived ability to perform the 3 tasks on SPPB; scores range from 0 to 12; lower score is worst34 | 8.5 (SD, 3.0) | ≤9 | 14 (77.7) |
| ADL | Kats ADL; assesses independence in 6 self-care activities (e.g., bathing, ambulating); scores range from 0 to 6; lower score is worst30 | 6.0 (IQR, 0) | <6 | 3 (12.0) |
| IADL | OARS IADL; assesses independence in 7 self-care activities that are more complex (e.g., preparing meals, managing finances); scores range from 0 to 14; lower score is worst31 | 13.0 (IQR, 2.0) | <14 | 13 (52.0) |
| Fall† | Fall history over the past year | 0 (IQR, 1) | ≥1 | 8 (33.3) |
| Comorbidities | OARS Comorbidity Scale; patients report the presence or absence of 13 comorbidities and how the comorbidities affect them31 | 3.6 (SD, 1.8) | ≥1 comorbidity that affects them a “great deal” or ≥3 comorbidities | 19 (76.0) |
| Instrumental social support) | MOS Social Support survey; patients indicate support in 4 questions (if they had someone to help if they were confined to bed, take them to the doctor if needed, prepare their meals if they were unable to do it, and help with daily chores if they were sick), scores range from 4 to 20; higher score is better35 | 17.0 (IQR, 6.0) | Patients selected some of the time, a little of the time, or none of the time for any of the 4 questions | 7 (28.0) |
| Nutritional status | BMI and self-reported weight loss in the previous year | Mean BMI = 29.0 (SD, 5.2)Mean weight loss in kg = 5.2 (SD, 7.4) | A BMI <21 or >10% weight loss in the previous year | 7 (28.0) |
| Cognition | MOCA or MOCA-blind‡ (if in-person assessment was not possible), scores range from 0 to 30 and 0 to 22, respectively; lower score is worst36-38 | MOCA = 26.0 (IQR, 4.5) | MOCA <26 or MOCA-blind <19 | 12 (48.0) |
| Psychological health | CES-D; 20 items and assesses depressive symptoms, scores range from 0 to 60; higher score is worse39 | Mean = 11.7 (SD, 7.7) | CES-D ≥16 | 7 (28.0) |
| Geriatric assessment domain and measure . | Description of domain and measure . | Mean (SD) or median (IQR) . | Definitions of impairment . | n = 25, n with impairment (%) . |
|---|---|---|---|---|
| Medications or polypharmacy | Number of scheduled and as-needed medications, excluding chemotherapy | 9.5 (SD, 4.9) | ≥5 scheduled and as-needed medications, excluding chemotherapy | 22 (88.0) |
| Physical function | ≥1 impairment in SPPB, ADL, IADL, and fall | 21 (84.0) | ||
| In-person SPPB | Three tasks that include balance, gait speed, chair stands; evaluates lower extremity function; scores range from 0 to 12; lower score is worst32 | 9.2 (SD, 1.7) | ≤9 | 13 (76.5) |
| Virtual SPPB* | Assesses patient’s perceived ability to perform the 3 tasks on SPPB; scores range from 0 to 12; lower score is worst34 | 8.5 (SD, 3.0) | ≤9 | 14 (77.7) |
| ADL | Kats ADL; assesses independence in 6 self-care activities (e.g., bathing, ambulating); scores range from 0 to 6; lower score is worst30 | 6.0 (IQR, 0) | <6 | 3 (12.0) |
| IADL | OARS IADL; assesses independence in 7 self-care activities that are more complex (e.g., preparing meals, managing finances); scores range from 0 to 14; lower score is worst31 | 13.0 (IQR, 2.0) | <14 | 13 (52.0) |
| Fall† | Fall history over the past year | 0 (IQR, 1) | ≥1 | 8 (33.3) |
| Comorbidities | OARS Comorbidity Scale; patients report the presence or absence of 13 comorbidities and how the comorbidities affect them31 | 3.6 (SD, 1.8) | ≥1 comorbidity that affects them a “great deal” or ≥3 comorbidities | 19 (76.0) |
| Instrumental social support) | MOS Social Support survey; patients indicate support in 4 questions (if they had someone to help if they were confined to bed, take them to the doctor if needed, prepare their meals if they were unable to do it, and help with daily chores if they were sick), scores range from 4 to 20; higher score is better35 | 17.0 (IQR, 6.0) | Patients selected some of the time, a little of the time, or none of the time for any of the 4 questions | 7 (28.0) |
| Nutritional status | BMI and self-reported weight loss in the previous year | Mean BMI = 29.0 (SD, 5.2)Mean weight loss in kg = 5.2 (SD, 7.4) | A BMI <21 or >10% weight loss in the previous year | 7 (28.0) |
| Cognition | MOCA or MOCA-blind‡ (if in-person assessment was not possible), scores range from 0 to 30 and 0 to 22, respectively; lower score is worst36-38 | MOCA = 26.0 (IQR, 4.5) | MOCA <26 or MOCA-blind <19 | 12 (48.0) |
| Psychological health | CES-D; 20 items and assesses depressive symptoms, scores range from 0 to 60; higher score is worse39 | Mean = 11.7 (SD, 7.7) | CES-D ≥16 | 7 (28.0) |
ADL, activities of daily living; BMI, body mass index; CES-D, Center for Epidemiological Studies Depression Scale; IADL, instrumental activities of daily living; MOCA, Montreal Cognitive Assessment; MOS, Medical Outcomes Survey; OARS, older American resources and services; SPPB, short physical performance battery.
7 patients had missing data.
1 patient had missing data.
1 patient had MOCA-blind administered.