ICOPE approach for the diagnosis of functional disorders in elderly patients in the practice of primary care physicians

TOPICALITY. In the middle of the last century, only about 8 % of the world's population was aged 60 or older. By 2000, this number had increased to 10 %; according to clinical and epidemiological studies, this figure is expected to reach 21 % by 2050. In recent years, there has been a steady trend towards an increase in the share of older people in Russian society. On the other hand, both on the part of the state and people of older age groups themselves, there is an increased demand for their social involvement [1]. One of the keys to the success of this engagement is to improve the quality of life related to health, and its main feature is functionality [2]. On the other hand, functionality itself is an important component of geriatric assessment, especially in light of the implementation of geriatric prevention programs. Functionality is an important component of geriatric assessment [3]. Providing comprehensive clinical prevention services for this population is important; however, individuals over 65 years of age are rarely included in prevention studies. But behavior, functional status, comorbidities, and life expectancy can predict who will benefit most from geriatric screening and preventive care. One of the keys to successful involvement of older people is to improve the quality of life related to health, and its main feature is functionality [4]. On the other hand, functionality itself is an important component of geriatric assessment [5]. Studies show that older adults with good functional status and no comorbidities are in the upper quartile (75th percentile) of life expectancy, whereas individuals with significant comorbidities and functional impairments are shown to be in the lower quartile (25th percentile) of life expectancy. [6]