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.
All models were adjusted for baseline GHS/QOL scores, and age, sex, stage, and treatment modality, and included an intercept and linear time.
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.
Statistical significance was defined as P < .05.