{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T08:16:57Z","timestamp":1787991417130,"version":"build-2784847793"},"reference-count":23,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The Kihon Checklist (KCL), Clinical Frailty Scale (CFS), and Dementia Assessment Sheet for Community\u2010Based Integrated Care System\u20138 items (DASC\u20108) predict incident long\u2010term care needs (LTCN) certification. We aimed to identify additional factors associated with incident LTCN certification among older adults who screened positive on any tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective observational cohort study, we included patients aged\u2009\u2265\u200965\u2009years attending a frailty outpatient clinic and had no LTCN certification at baseline. Positive screening was defined as CFS, KCL, and DASC\u20108 scores \u2265\u20094, 8, and 11, respectively. Within each screening\u2010positive group, Cox proportional hazards models adjusted for age and sex were used to examine associations between incident LTCN certification and secondary assessment variables: gait speed, timed up and go (TUG), cognitive function, psychosocial factors, nutrition, and polypharmacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 647 participants, 198, 137, and 112 screened positive on the KCL, CFS, and DASC\u20108, respectively. Slower gait speed and longer TUG time were associated with incident LTCN certification across all screening\u2010positive groups. Cognitive impairment, defined as Mini\u2010Mental State Examination and Montreal Cognitive Assessment\u2013Japanese version scores \u2264\u200923 and 25, respectively, predicted incident LTCN certification in CFS\u2010positive and KCL\u2010positive groups, respectively. Polypharmacy (\u2265\u20096 medications) was associated with incident LTCN certification in KCL\u2010positive and DASC\u20108\u2013positive individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Physical function tests were additional factors associated with incident LTCN certification in all screening\u2010positive groups. As the association between incident LTCN certification and cognitive impairment or polypharmacy varied per screening tests, further evaluations should be tailored to the specific characteristics of each instrument.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70785","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T08:26:46Z","timestamp":1787041606000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["What Should Be Assessed Next After a Positive Screening Test for the Long\u2010Term Care Needs?: A Comparative Analysis of the Clinical Frailty Scale, the Kihon Checklist, and the Dementia Assessment Sheet for Community\u2010Based Integrated Care System\u20138 Items"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3479-5955","authenticated-orcid":false,"given":"Sayuri","family":"Mori","sequence":"first","affiliation":[{"name":"Department of Diabetes, Metabolism, and Endocrinology Tokyo Metropolitan Institute for Geriatrics and Gerontology  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1220-273X","authenticated-orcid":false,"given":"Kenji","family":"Toyoshima","sequence":"additional","affiliation":[{"name":"Department of Diabetes, Metabolism, and Endocrinology Tokyo Metropolitan Institute for Geriatrics and Gerontology  Tokyo Japan"},{"name":"The Center for Comprehensive Care and Research for Prefrailty Tokyo Metropolitan Institute for Geriatrics and Gerontology  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiaki","family":"Tamura","sequence":"additional","affiliation":[{"name":"Department of Diabetes, 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