Table 5.
Appraisal of Relevance of the Instruments Included in the NGA
|
Domain |
Instrument | Respondents (n) | Survey Outcomes |
 |
|||
|---|---|---|---|---|---|---|---|
| Relevance scorea mean (SD) | Not relevant n (%) | Neutral n (%) | Relevant n (%) | ||||
| Functional status | Activities of daily living (Katz ADL-6) | 59 | 4.2 (0.70) | 0 (0%) | 9 (15%) | 50 (85%) |  |
| Instrumental Activities of daily living (Lawton) | 59 | 4.1 (0.70) | 0 (0%) | 11 (19%) | 48 (81%) | ||
| Handgrip strength | 60 | 3.7 (0.88) | 3 (5%) | 21 (35%) | 36 (60%) | ||
| Fall risk assessment | 61 | 4.1 (0.68) | 1 (2%) | 9 (15%) | 51 (84%) | ||
| Cognitive functioning | Montreal Cognitive Assessment | 61 | 4.5 (0.60) | 0 (0%) | 3 (5%) | 58 (95%) | |
| 6-item Cognitive Impairment Test | 59 | 4.1 (0.80) | 1 (2%) | 13 (22%) | 45 (76%) | ||
| Letter Digit Substitution Test | 56 | 3.7 (0.90) | 5 (9%) | 14 (25%) | 37 (66%) | ||
| Psychological status/mood | Whooley-questions/Geriatric Depression Scale-15 | 60 | 4.2 (0.81) | 1 (2%) | 7 (12%) | 52 (87%) | |
| Life Orientation Test-Revised | 59 | 3.6 (0.79) | 3 (5%) | 28 (47%) | 28 (47%) | ||
| PROM’s | HRQoL: 12-item Short Form Health Survey | 62 | 4.1 (0.69) | 0 (0%) | 11 (18%) | 51 (82%) | |
| Dialysis Symptom Index | 59 | 4.0 (0.73) | 0 (0%) | 15 (25%) | 44 (75%) | ||
| Somatic status | Surprise question | 63 | 4.0 (0.81) | 2 (3%) | 15 (24%) | 46 (73%) | |
| Clinical Frailty Score, | 64 | 4.4 (0.69) | 1 (2%) | 4 (6%) | 59 (92%) | ||
| Charlson Comorbidity Index | 60 | 4.0 (0.80) | 3 (5%) | 10 (17%) | 47 (78%) | ||
| Polypharmacy | 60 | 3.5 (0.98) | 10 (17%) | 21 (35%) | 29 (48%) | ||
| Nutrition | Patient-Generated Subjective Global Assessment | 62 | 3.8 (0.88) | 4 (6%) | 15 (24%) | 43 (69%) | |
| Social | Caregiver burden: SPICC-plus | 64 | 4.0 (0.79) | 4 (6%) | 9 (14%) | 51 (80%) | |
 |
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Note: The percentages in the fifth to seventh columns do not add up to exactly 100% because of rounding differences.
Abbreviations: HRQoL, health-related quality of life; NGA, nephrology-tailored geriatric assessment; PROM, patient-reported outcome measure; SPICC, self-perceived pressure from informal care.
a
Scoring was done on a 5-point Likert scale: 1 (not at all relevant) to 5 (very relevant).