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005     20240229133759.0
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037 _ _ |a DKFZ-2021-03095
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Maurus, Johannes
|b 0
245 _ _ |a Validation of a proxy-reported SARC-F questionnaire for current and retrospective screening of sarcopenia-related functional impairments.
260 _ _ |a Hoboken, NJ
|c 2022
|b Wiley
336 7 _ |a article
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336 7 _ |a ARTICLE
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336 7 _ |a JOURNAL_ARTICLE
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336 7 _ |a Journal Article
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500 _ _ |a Volume13, Issue1, February 2022, Pages 264-275
520 _ _ |a 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.
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650 _ 7 |a Patient-reported outcome
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650 _ 7 |a Premorbid condition
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650 _ 7 |a Proxy-reported outcome
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650 _ 7 |a SARC-F
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650 _ 7 |a Sarcopenia
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650 _ 7 |a Sarcopenia-related functional impairments
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700 1 _ |a Terzer, Tobias
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700 1 _ |a Benner, Axel
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700 1 _ |a Goisser, Sabine
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700 1 _ |a Eidam, Annette
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700 1 _ |a Roth, Anja
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700 1 _ |a Janssen, Maike
|b 6
700 1 _ |a Jaramillo, Sonia
|b 7
700 1 _ |a Lorenz, Hannes Martin
|b 8
700 1 _ |a Micol, William
|b 9
700 1 _ |a Hauer, Klaus
|b 10
700 1 _ |a Müller-Tidow, Carsten
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700 1 _ |a Bauer, Jürgen M
|b 12
700 1 _ |a Jordan, Karin
|b 13
700 1 _ |a Neuendorff, Nina Rosa
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773 _ _ |a 10.1002/jcsm.12871
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