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AIMS To measure the prevalence of visual impairment in a large representative sample of people aged 75 years and over participating in the MRC trial of assessment and management of older people in the community. METHODS 53 practices in the MRC general practice research framework. Data were obtained from 14 600 participants aged 75 years and older.(More)
BACKGROUND Reduced hearing in elderly people is important because it is disabling and potentially treatable. We aimed to assess the prevalence of reduced hearing in elderly people and levels of ownership of hearing aids and use. METHODS We have done a cross-sectional survey of people aged at least 75 years in 106 family practices in the UK. We obtained(More)
BACKGROUND The benefit of multidimensional assessment and management of older people remains controversial. Most trials have been too small to produce adequate evidence to inform policy. We aimed to measure the effects of different approaches to assessment and management of older people. METHODS We undertook a cluster-randomised factorial trial in 106(More)
OBJECTIVE To determine referral rates and intermediate and long-term outcomes for patients consulting for menstrual disorders and referred by their general practitioner to gynaecology outpatient clinics. DESIGN General practitioners' records of referrals to outpatient clinics and retrospective audit of general practice notes to determine outcomes. (More)
BACKGROUND cognitive impairment is an important part of the diagnostic criteria for dementia. The Mini-Mental State Examination (MMSE) is recommended to test for cognitive impairment and to monitor medication response. OBJECTIVES we examined the prevalence of cognitive impairment in the UK and assessed associations with cognitive impairment. DESIGN(More)
BACKGROUND Several social, demographic and physical factors have been shown to be associated with depression in later life, but results have been inconsistent. We aimed to assess factors associated with depression in old age, using data from the MRC trial of assessment and management of older people in the community. METHOD Analysis of cross-sectional(More)
BACKGROUND The 15-item Geriatric Depression Scale (GDS-15) is recommended for screening older people, but there are no large epidemiological studies using this instrument in the UK. We describe the age and sex distribution of GDS-15 scores in the largest ever UK sample of people aged 75 and over. METHOD We used cross-sectional data from the MRC Trial of(More)
BACKGROUND A concise, accurate screening question for depression would be an important contribution to the Single Assessment Process for Older People. OBJECTIVE To examine the performance of a previously validated screening question for depression, in a large community sample. METHODS Both the single screening question, and the Geriatric Depression(More)