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. 2021 Oct 21;147(12):1–11. doi: 10.1001/jamaoto.2021.2837

Table 2. Linear Mixed Model Analysis of Associations Between Geriatric Assessment and Global Health Status/Quality of Life (GHS/QOL) Trajectory.

Model parametersa Estimate, β (95% CI)b P valuec
Physical
ACE-27
None to moderate 0 [Reference]
Severe −7.00 (−12.43 to −1.56) .01
ACE-27 × time
None to moderate 0 [Reference]
Severe −4.90 (−9.70 to −0.10) .05
Polypharmacy
<5 Medications 0 [Reference]
≥5 Medications −0.82 (−5.19 to 3.55) .71
Polypharmacy × time
<5 Medications 0 [Reference]
≥5 Medications −2.76 (−6.01 to 0.48) .10
MUST
No risk of malnutrition 0 [Reference]
Medium to high risk of malnutrition −6.18 (−11.55 to −0.81) .02
MUST × time
No risk of malnutrition 0 [Reference]
Medium to high risk of malnutrition −3.83 (−8.47 to 0.81) .10
Functional
ADL
Independent 0 [Reference]
Dependent −7.17 (−14.91 to 0.57) .07
ADL × time
Independent 0 [Reference]
Dependent −5.32 (−11.89 to 1.24) .11
IADL
No restrictions 0 [Reference]
Restrictions −10.48 (−16.39 to −4.57) .001
IADL × time
No restrictions 0 [Reference]
Restrictions −5.36 (−10.50 to −0.22) .04
TUG
Normal mobility 0 [Reference]
Restricted mobility −6.09 (−12.78 to 0.60) .07
TUG × time
Normal mobility [Reference]
Restricted mobility −6.78 (−12.81 to −0.75) .03
Psychological
MMSE
No cognitive deficits 0 [Reference]
Cognitive deficits −0.13 (−7.35 to 7.08) .97
MMSE × time
No cognitive deficits 0 [Reference]
Cognitive deficits −6.14 (−13.43 to 1.13) .10
GDS-15
No signs of depression 0 [Reference]
Signs of depression −4.22 (−11.33 to 2.91) .25
GDS-15 × time
No signs of depression 0 [Reference]
Signs of depression −7.08 (−13.10 to −1.06) .02
Socioenvironmental
Marital status
In relationship 0 [Reference]
Single −3.17 (−7.77 to 1.42) .18
Marital status × time
In relationship 0 [Reference]
Single −0.98 (−4.74 to 2.78) .61
Living situation
At home 0 [Reference]
Assisted or nursing home −2.62 (−10.55 to 5.30) .52
Living situation × time
At home 0 [Reference]
Assisted or nursing home −8.74 (−15.75 to −1.73) .02
Deficit accumulation
No. of domains with deficits −3.17 (−5.04 to −1.30) .001
No. of domains with deficits × time −2.74 (−4.28 to −1.20) .001
Domains with deficits
<3 0 [Reference]
≥3 −9.62 (−15.35 to −3.88) .001
Domains with deficits × time
<3 0 [Reference]
≥3 −14.81 (−20.40 to −9.22) <.001

Abbreviations: ACE-27, Adult Comorbidity Evaluation 27; ADL, Activities of Daily Living; GDS-15, 15-item Geriatric Depression Scale; IADL, Instrumental Activities of Daily Living; MMSE, Mini-Mental State Examination; MUST, Malnutrition Universal Screening Tool; TUG, Timed Up & Go.

a

All models were adjusted for baseline GHS/QOL scores, and age, sex, stage, and treatment modality, and included an intercept and linear time.

b

Estimates (β coefficients) for normal model parameters refer to the main effects and can be interpreted as the novel difference in GHS/QOL after treatment at the 3 months’ follow-up interval between parameter categories. Estimates (β coefficients) for model parameters × time refer to the interaction term with time and can be interpreted as the increasing or decreasing difference in GHS/QOL between parameter categories over time with respect to 1 year. A domain with deficits was defined as a geriatric domain (either physical, functional, psychological, or socioenvironmental) with at least 1 impairment on the items of geriatric assessment belonging to the corresponding domain.

c

Statistical significance was defined as P < .05.