Table 1.
Nephrology-Tailored Geriatric Assessment: Domains and Instruments |
Type of Assessment |
||||
---|---|---|---|---|---|
Domain | Subdomain | Instrument | (I) Patient questionnaire | (II) Provider-administered test set | |
Functional status | Activities of daily living | Katz Activities of Daily Living-619 | X | ||
Instrumental activities of daily living | Lawton Instrumental Activities of Daily Living20 | X | |||
Handgrip strength | Handgrip strength | X | |||
Fall risk assessment | One-year fall history, fear of falling | X | |||
Cognitive status | Cognitive functioning | Montreal Cognitive Assessment21 | X | ||
6-item Cognitive Impairment Test22 | X | ||||
Letter Digit Substitution Test23 | X | ||||
Psychological status/mood | Depression | Whooley-questions/Geriatric Depression Scale 15-item24,25 | X | ||
Optimism | Life Orientation Test-Revised26 | X | |||
Patient-reported outcome measures | Health-related quality of life | 12-item Short Form Health Survey27 | X | ||
Symptoms | Dialysis Symptom Index28 | X | |||
Somatic status | Clinical judgment | Surprise question29 | X | ||
Frailty | Clinical Frailty Score30 | X | |||
Comorbid condition | Charlson Comorbidity Index31 | X | |||
Polypharmacy | Polypharmacy (≥5 medications) | X | |||
Nutritional status | Patient-Generated Subjective Global Assessment32 | X | X | ||
Social | Caregiver burden | Self-perceived pressure from informal care-plus33 | Caregiver |
Note: This nephrology-tailored geriatric assessment, and its consensus-based development, has been described in more detail by Voorend et al.11