title: Comprehensive geriatric assessment: comparison of elderly hemodialysis patients and primary care patients.
abstract: BACKGROUND
  The quality of life and survival of elderly depend not only on their age but on many social and health factors. In the present study, comprehensive geriatric assessment (CGA) was made in elderly patients on regular hemodialysis (HD) and those without chronic kidney disease recruited in primary health care in order to compare their sociodemographic characteristics, physical health, functional ability and social support.
  
  
  METHODS
  The 106 HD patients and 300 primary care patients aged 70 years and more were studied. Data on sociodemographic characteristics, neurosensory deficits, pain, falls, polypharmacy, basic activities of daily living (ADL) questionnaire, instrumental activities of daily living (IADL) questionnaire were obtained during interview. The Timed Up and Go, Nutritional Health Checklist, Two Question Instrument for depression and Charlson comorbidity index (CCI) were applied.
  
  
  RESULTS
  No significant differences were found for age, gender, education level and dwelling between the two groups. A lower percentage of HD patients lived alone when compared with controls. BMI >25 kg/m(2) had 43.4% of HD patients and 49.3% of controls. CCI differed significantly between HD and primary care patients (median: 6 vs. 4) and significantly more HD patients reported depression. No significant difference was found between groups for cognitive dysfunction and ADL, but HD patients had significantly lower IADL scores than controls. The mobility of HD patients was worse; 45.7% of them reported falls in the previous year but only 9.7% from the controls.
  
  
  CONCLUSIONS
  CGA revealed that HD patients had significantly higher CCI, worse IADL score, mobility and reported more frequent falls, depression and impaired vision than primary care patients.
authors.affiliation: a Faculty of Medicine Foča , University of East Sarajevo , The Republic of Srpska , Bosnia and Herzegovina .
authors.forename: Maja
authors.initials: M
authors.lastname: Račić
authors.affiliation: b Fresenius Medical Center - Hemodialysis Center in Šamac , The Republic of Srpska , Bosnia and Herzegovina .
authors.forename: Nenad
authors.initials: N
authors.lastname: Petković
authors.affiliation: c Fresenius Medical Center - Hemodialysis Center in Zvornik , The Republic of Srpska , Bosnia and Herzegovina .
authors.forename: Koviljka
authors.initials: K
authors.lastname: Bogićević
authors.affiliation: d Special Hospital for Endemic Nephropathy , Lazarevac , Serbia .
authors.forename: Ivko
authors.initials: I
authors.lastname: Marić
authors.affiliation: e Health Center Foča , The Republic of Srpska , Bosnia and Herzegovina , and.
authors.forename: Jelena
authors.initials: J
authors.lastname: Matović
authors.affiliation: e Health Center Foča , The Republic of Srpska , Bosnia and Herzegovina , and.
authors.forename: Velimirka
authors.initials: V
authors.lastname: Pejović
authors.affiliation: a Faculty of Medicine Foča , University of East Sarajevo , The Republic of Srpska , Bosnia and Herzegovina .
authors.forename: Marijana
authors.initials: M
authors.lastname: Kovačević
authors.affiliation: f School of Medicine, University of Belgrade , Belgrade , Serbia.
authors.forename: Ljubica
authors.initials: L
authors.lastname: Djukanović
mesh_terms: D000058:Accidental Falls; D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003071:Cognition; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis*; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D008297:Male; D011320:Primary Health Care / Q000458:organization & administration*; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life / Q000523:psychology*; D006435:Renal Dialysis / Q000523:psychology*; D012307:Risk Factors; D011795:Surveys and Questionnaires
keywords: Comprehensive geriatric assessment; hemodialysis; primary care patients