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Case finding in the elderly: a postal questionnaire

N Kerse1, F Clark

  • 1Department of General Practice, University of Auckland School of Medicine.

The New Zealand Medical Journal
|February 9, 1994
PubMed
Summary
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This study found that a postal questionnaire can help identify elderly individuals needing geriatric care. It showed good potential for use in general practice health surveillance programs.

Area of Science:

  • Gerontology
  • Public Health
  • Primary Care Medicine

Background:

  • Identifying elderly individuals requiring geriatric evaluation and intervention is crucial for community health.
  • Effective screening tools are needed to support health surveillance in primary care settings.

Purpose of the Study:

  • To assess the effectiveness of a postal questionnaire in identifying elderly persons needing geriatric evaluation and intervention.
  • To determine the accuracy of a self-administered questionnaire compared to a comprehensive geriatric assessment.

Main Methods:

  • A random sample of individuals over 75 years old from four Auckland general practices completed a postal questionnaire.
  • A blinded, in-home assessment using validated geriatric assessment tools served as the reference standard.

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  • Sensitivity, specificity, and predictive values were calculated by comparing questionnaire responses to the reference standard.
  • Main Results:

    • Out of 64 participants (aged 75-93), 61% reported unmet needs via the questionnaire.
    • The reference assessment identified 36% of participants with unmet needs.
    • The questionnaire demonstrated a sensitivity of 0.78 and a specificity of 0.49, with a negative predictive value of 80%.

    Conclusions:

    • A postal questionnaire can be a valuable supplementary tool for the health surveillance of elderly patients in New Zealand general practices.
    • The findings suggest that this screening method can aid in proactively identifying at-risk elderly populations.