A randomized trial of office-based screening for common problems in older persons.
To test the effectiveness of a 10-minute office-staff administered screen to evaluate malnutrition/weight loss, visual impairment, hearing loss, cognitive impairment, urinary incontinence, depression, physical limitations, and reduced leg mobility among older persons seen in office practice.
This screen was coupled with clinical summaries to assist the physician in further evaluating and managing the screen-included problems.
PATIENTS AND METHODS
Twenty-six community-based office practices of internists and family physicians in Los Angeles were randomized to intervention or control groups.
Two hundred and sixty-one patients aged =70 years and seeing these physicians for a new visit or a physical examination participated in the study.
At the enrollment visit intervention group patients were administered the screening measure and their physicians were given the pertinent clinical summaries.
Outcome measures were detection of, and intervention for conditions screened, and health status 6 months after the intervention.
Hearing loss was both more commonly detected (40% intervention versus 28% control) and further evaluated (29% versus 16%) by physicians in the intervention group (P<0.05).
No other differences in the frequency of problem detection or intervention were noted between groups.
Six months after the intervention no differences were noted in health status between groups. (...)
Mots-clés Pascal : Vieillard, Homme, Randomisation, Evaluation, Common Elements Test, Criblage, Relation médecin malade, Exploration clinique, Surdité, Organisation santé
Mots-clés Pascal anglais : Elderly, Human, Randomization, Evaluation, Common Elements Test, Screening, Physician patient relation, Clinical investigation, Hearing loss, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0331133
Code Inist : 002B30A03B. Création : 12/09/1997.