PMID- 37612657
OWN - NLM
STAT- MEDLINE
DCOM- 20230825
LR  - 20231123
IS  - 1471-2318 (Electronic)
IS  - 1471-2318 (Linking)
VI  - 23
IP  - 1
DP  - 2023 Aug 23
TI  - Diagnostic performance analysis of the Integrated Care for Older People (ICOPE) 
      screening tool for identifying decline in intrinsic capacity.
PG  - 509
LID - 10.1186/s12877-023-04180-x [doi]
LID - 509
AB  - BACKGROUND: Intrinsic capacity (IC) is a comprehensive indicator of an 
      individual's positive attributes. The World Health Organization (WHO) recommends 
      a two-step approach to assess IC decline among older people. The first step 
      involves the used of the integrated care for older people (ICOPE) screening tool 
      to identify potential issues, and the second step involves using detailed 
      assessments for confirmation. This study aimed to assess the diagnostic 
      performance of the ICOPE screening tool as a simple preliminary screening to 
      identify IC decline among community-dwelling older people, which has been rarely 
      reported in China. METHODS: This cross-sectional study included 228 
      community-dwelling older individuals aged >/= 75 (mean age, 84.0 +/- 4.4 years; 131 
      [57.5%] females) who completed the IC evaluation according to the WHO IC 
      assessment pathway. The diagnostic performance of the ICOPE screening tool was 
      calculated using a 2 x 2 table and a receiver operating characteristic curve. 
      RESULTS: The proportion of possible IC decline identified by the ICOPE screening 
      tool was 79.4%, whereas the actual IC decline assessed by the detailed assessment 
      was 73.2%, mainly in locomotion. The ICOPE screening tool showed sensitivity and 
      specificity of 94.6% and 62.3%, respectively, with an overall diagnostic accuracy 
      of 86.0%. The diagnostic effectiveness of the ICOPE screening tool was 0.91 (95% 
      confidence interval: 0.87-0.95, p = 0.020). Except for the sensory dimension, the 
      sensitivity of the ICOPE screening tool for diagnosing impairments in each 
      dimension of the IC was the highest in the cognition domain (100%) and the lowest 
      in the vitality domain (51.3%), whereas the specificity was the highest in 
      vitality (94.7%) and the lowest in cognition (55.6%). CONCLUSIONS: The ICOPE 
      screening tool exhibits high sensitivity and can be used as an IC screening tool 
      in community-dwelling older people. However, further improvements are needed in 
      the vitality dimension of the ICOPE screening tool to enhance its sensitivity in 
      identifying individuals at risk of malnutrition.
CI  - (c) 2023. BioMed Central Ltd., part of Springer Nature.
FAU - Lu, Fei
AU  - Lu F
AD  - Department of Geriatrics, Peking Union Medical College, Chinese Academy of 
      Medical Sciences, Peking Union Medical College Hospital, No. 1 Shuai Fu Yuan, 
      Dong Cheng District, Beijing, China.
FAU - Li, Jiaojiao
AU  - Li J
AD  - Department of Geriatrics, Peking Union Medical College, Chinese Academy of 
      Medical Sciences, Peking Union Medical College Hospital, No. 1 Shuai Fu Yuan, 
      Dong Cheng District, Beijing, China.
FAU - Liu, Xiaohong
AU  - Liu X
AD  - Department of Geriatrics, Peking Union Medical College, Chinese Academy of 
      Medical Sciences, Peking Union Medical College Hospital, No. 1 Shuai Fu Yuan, 
      Dong Cheng District, Beijing, China. xhliu41@sina.com.
FAU - Liu, Shuo
AU  - Liu S
AD  - Department of Geriatrics, Peking Union Medical College, Chinese Academy of 
      Medical Sciences, Peking Union Medical College Hospital, No. 1 Shuai Fu Yuan, 
      Dong Cheng District, Beijing, China.
FAU - Sun, Xiaohong
AU  - Sun X
AD  - Department of Geriatrics, Peking Union Medical College, Chinese Academy of 
      Medical Sciences, Peking Union Medical College Hospital, No. 1 Shuai Fu Yuan, 
      Dong Cheng District, Beijing, China.
FAU - Wang, Xueying
AU  - Wang X
AD  - Yanyuan Rehabilitation Hospital, No.2, Jingrong Street, Nanshao Town, Changping 
      District, Beijing, China.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230823
PL  - England
TA  - BMC Geriatr
JT  - BMC geriatrics
JID - 100968548
SB  - IM
MH  - Female
MH  - Humans
MH  - Aged
MH  - Aged, 80 and over
MH  - Male
MH  - Cross-Sectional Studies
MH  - China/epidemiology
MH  - *Cognition
MH  - Independent Living
MH  - *Delivery of Health Care, Integrated
PMC - PMC10463906
OTO - NOTNLM
OT  - Diagnostic performance
OT  - ICOPE screening tool
OT  - Intrinsic capacity
OT  - Older people
COIS- The authors declare no competing interests.
EDAT- 2023/08/24 00:42
MHDA- 2023/08/25 06:42
PMCR- 2023/08/23
CRDT- 2023/08/23 23:40
PHST- 2023/04/11 00:00 [received]
PHST- 2023/07/18 00:00 [accepted]
PHST- 2023/08/25 06:42 [medline]
PHST- 2023/08/24 00:42 [pubmed]
PHST- 2023/08/23 23:40 [entrez]
PHST- 2023/08/23 00:00 [pmc-release]
AID - 10.1186/s12877-023-04180-x [pii]
AID - 4180 [pii]
AID - 10.1186/s12877-023-04180-x [doi]
PST - epublish
SO  - BMC Geriatr. 2023 Aug 23;23(1):509. doi: 10.1186/s12877-023-04180-x.