The influence of outpatient comprehensive geriatric assessment on survival: a meta-analysis

Kuo, Hsu-Ko; Scandrett, Karen Glasser; Dave, Jatin; Mitchell, Susan L.

doi:10.1016/j.archger.2004.03.009

Cited by 83 publications

(43 citation statements)

References 22 publications

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“…Some reported reduced mortality and some did not [1,14,16,26,38,41]. Some showed an improved functional status, while others did not [1,10,32,35]. That is why other therapy goals have been proposed [32], e.g., more patientcentered goals like informing the participants or improvement of the family relationship or the use of preventive measures and influencing the health-related behavior [8,13,23,44].…”

Section: Guideline Contentmentioning

confidence: 96%

“…Some showed an improved functional status, while others did not [1,10,32,35]. That is why other therapy goals have been proposed [32], e.g., more patientcentered goals like informing the participants or improvement of the family relationship or the use of preventive measures and influencing the health-related behavior [8,13,23,44]. The question of whether a multidimensional assessment is necessary is uniformly answered with "yes" [26].…”

Section: Guideline Contentmentioning

confidence: 98%

See 1 more Smart Citation

Primary care guidelines for geriatric assessment

Frese¹,

Franke²,

Keyser³

et al. 2011

Z Gerontol Geriat

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A structured geriatric assessment (GA) improves the quality of health care; however, the quality of GA guidelines has hardly been investigated. Eight guidelines were identified by systematically searching guideline databases, web sites of guideline developers, and PubMed. The methodological quality was assessed by two appraisers using the German Guideline Evaluation Instrument (DELBI). Guideline content was extracted; organizational and medical recommendations were compared. The methodological appraisal revealed a broad range of quality. The domains "Scope and purpose" and "Clarity and presentation" showed good results. The domains "Applicability" and "Editorial independence" had results that were not as good. Medical recommendations agreed to a great extent. GA should be delivered continuously for all older people in their homes by one responsible assessor. In cooperation with relatives, patient-centered therapy goals should be defined. Differences were identified in profession, instruments, aims, and "tailoring." The quality of primary care guidelines for GA may be improved. Details of organization of a GA require further research.

show abstract

Section: Guideline Contentmentioning

confidence: 96%

Section: Guideline Contentmentioning

confidence: 98%

Primary care guidelines for geriatric assessment

Frese¹,

Franke²,

Keyser³

et al. 2011

Z Gerontol Geriat

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show abstract

“…Prolongation of life is not necessarily the most relevant outcome in nursing home residents. 34 Ethically, it would be relevant to study whether quality of life is improved in the frail elderly individuals along with improved survival.…”

Section: Discussionmentioning

confidence: 99%

A Geriatric Multidisciplinary and Tailor-Made Hospital-At-Home Method in Nursing Home Residents With Hip Fracture

Gregersen

Zintchouk

Borris

et al. 2011

Geriatr Orthop Surg Rehabil

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Introduction: Nursing home residents represent a large proportion of patients hospitalized with hip fracture. Generally, residents do not achieve the same physical ability level as before their fracture and have an increased risk of death within few days after discharge. This study aims to compare 2 new approaches to geriatric intervention in residents with hip fracture. . Median LOS was 2 days in both the groups. A total of 7 follow-up visits were performed with tailor-made intervention versus 3 visits with standardized intervention. In both the groups, the physical ability decreased significantly within the first 30 postoperative days, with no difference between groups (b ¼ 1.01 [95% CI: 0.82, 1.24]).Conclusion: A multidisciplinary and tailor-made geriatric intervention in nursing home residents has a positive effect on readmission rate and short-term mortality. Still, it is not obvious which part of the tailor-made intervention is most crucial.

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“…Much of this evidence is based on screening of hospital inpatients for those at high risk, while a smaller evidence base exists for purely outpatient-based approaches. Recent meta-analyses and summaries suggest, at best, modest and time-limited effects on survival, functional status, health care use and other important outcomes (1)(2)(3)(4)(5)(6)(7)(8)(9). Several important challenges that may contribute to limited program effectiveness, especially for outpatient programs, include engagement of primary care providers, convenient and accurate screening approaches to yield efficient targeting of high risk individuals, and capacity to implement management recommendations (10)(11)(12)(13)(14)(15).…”

mentioning

confidence: 99%

Improving care for community dwelling frail elders through patient and provider engagement

Studenski

2014

The Journal of nutrition, health and aging

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The influence of outpatient comprehensive geriatric assessment on survival: a meta-analysis

Cited by 83 publications

References 22 publications

Primary care guidelines for geriatric assessment

Primary care guidelines for geriatric assessment

A Geriatric Multidisciplinary and Tailor-Made Hospital-At-Home Method in Nursing Home Residents With Hip Fracture

Improving care for community dwelling frail elders through patient and provider engagement

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