% IMPORTANT: The following is UTF-8 encoded. This means that in the presence
% of non-ASCII characters, it will not work with BibTeX 0.99 or older.
% Instead, you should use an up-to-date BibTeX implementation like “bibtex8” or
% “biber”.
@ARTICLE{Maurus:178088,
author = {J. Maurus and T. Terzer$^*$ and A. Benner$^*$ and S.
Goisser and A. Eidam and A. Roth and M. Janssen and S.
Jaramillo and H. M. Lorenz and W. Micol and K. Hauer and C.
Müller-Tidow and J. M. Bauer and K. Jordan and N. R.
Neuendorff},
title = {{V}alidation of a proxy-reported {SARC}-{F} questionnaire
for current and retrospective screening of
sarcopenia-related functional impairments.},
journal = {Journal of cachexia, sarcopenia and muscle},
volume = {13},
number = {1},
issn = {2190-5991},
address = {Hoboken, NJ},
publisher = {Wiley},
reportid = {DKFZ-2021-03095},
pages = {264-275},
year = {2022},
note = {Volume13, Issue1, February 2022, Pages 264-275},
abstract = {The strength, assistance walking, rise from a chair, climb
stairs, and falls (SARC-F) questionnaire is a
well-established instrument for screening of sarcopenia and
sarcopenia-related functional impairments. As it is based on
self-reporting, its use precludes patients who are unable to
answer the questionnaire as a consequence of severe acute
diseases or cognitive impairment. Therefore, we aimed to
validate a proxy-reported version of the SARC-F for both
ad-hoc as well as retrospective screening for severe
sarcopenia-related functional impairments.Patients aged
≥60 years completed the SARC-F and performed the short
physical performance battery (SPPB) at baseline (T1).
Proxies in Cohort A gave a simultaneous assessment of the
patients' functional status with the proxy-reported SARC-F
at T1 and again, retrospectively, after 3 months (T2).
Proxies in Cohort B only completed the SARC-F
retrospectively at T2. The questionnaires' performances were
assessed through sensitivity/specificity analyses and
receiver operating characteristic (ROC) curves. For
non-inferiority analyses, results of both the
patient-reported and proxy-reported SARC-F were correlated
with the SPPB total score as well as the results of the
chair-rise test subcategory; the respective correlation
coefficients were tested against each other.One hundred and
four patients and 135 proxies participated. Using a SPPB
score < 9 points as the reference standard, the
proxy-reported SARC-F identified patients at high risk for
sarcopenia-related functional impairment with a sensitivity
of 0.81 (ad-hoc), 0.88 (retrospective Cohort A), and 0.87
(retrospective Cohort B) as well as a specificity of 0.89
(ad-hoc), 0.78 (retrospective Cohort A), and 0.64
(retrospective Cohort B). Areas under the ROC curves
were ≥ 0.9 for the ad-hoc proxy-reported SARC-F and the
retrospective proxy-reported SARC-F in both cohorts. The
proxy-reported SARC-F showed a non-inferior correlation with
the SPPB compared with the patient-reported SARC-F for
ad-hoc (P = <0.001) as well as retrospective screening for
severe sarcopenia-related functional impairment in both
Cohorts A (P = 0.007) and B (P = 0.026).Proxy-reported
SARC-F is a valid instrument for both ad-hoc as well as
retrospective screening for sarcopenia-related functional
impairment and could become the standard tool for evaluating
this risk in older adults with severe acute disease, for
example, in patients with quickly evolving haematological
conditions.},
keywords = {Patient-reported outcome (Other) / Premorbid condition
(Other) / Proxy-reported outcome (Other) / SARC-F (Other) /
Sarcopenia (Other) / Sarcopenia-related functional
impairments (Other)},
cin = {C060},
ddc = {610},
cid = {I:(DE-He78)C060-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:34898035},
doi = {10.1002/jcsm.12871},
url = {https://inrepo02.dkfz.de/record/178088},
}