Synergistic effect of XXXX in ADL towards general practitioner visits.

@entity1 @entity51 @entity1118 @entity158
BACKGROUND: @entity158 and activities of daily living (ADLs) deficits are common problems among elderly @entity1 who visit general practitioners (GPs). OBJECTIVE: To examine whether the probability of visiting a GP is related to @entity158 , and whether these factors act synergistically towards GP visits. METHODS: A total of 3097 subjects aged >= 65 years from the Austrian Health Interview Survey formed the cohort. Visiting the GP in the last 4 weeks, @entity1118 ( @entity1118 ; @entity158 for at least 3 months) and deficits in ADLs across 11 dimensions were reported. Binary logistic regression models were applied and were stepwise controlled for possible confounders. Based on odds ratios (OR), the synergy index (SI), population attributable fraction (PAF) and relative excess risk due to interaction (RERI) were calculated. RESULTS: Overall, 61.0% visited their GP; 51.2% were affected by @entity51 and 42.2% by @entity1118 . In subjects with @entity51 , the OR for GP consultation was 1.32 (95% confidence interval [CI] 1.11-1.56) and in subjects with @entity1118 , 1.93 (95% CI 1.63-2.27) in the fully adjusted model. The OR for those affected by both was 2.56 (95% CI 2.08-3.15); SI was 1.82 (95% CI 1.04-3.18), PAF was 0.27 (95% CI 0.08-0.47) and RERI was 0.70 (95% CI 0.13-1.27). CONCLUSION: There is a strong synergistic effect of @entity1118 in ADL in @entity1 >= 65 years on visiting the GP. Prevention, screening, treatment and rehabilitation in this population should focus on both @entity1118 .
