Evidence map›Paper›PMID 20400483›Full record

Trial reportBMJ (Clinical research ed.)2010

Effect of preventive primary care outreach on health related quality of life among older adults at risk of functional decline: randomised controlled trial.

Jenny Ploeg, Kevin Brazil, Brian Hutchison, Janusz Kaczorowski, Dawn M Dalby, Charles H Goldsmith, William Furlong

Registry-linked trialOpen access · hybridAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00134836 (Preventive Primary Care Outreach for High Risk Older Persons), which is not on this map. Cited by 29 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 10 pooled it
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00134836 phase1completednot on this map

Preventive Primary Care Outreach for High Risk Older Persons

TypeinterventionalSponsorMcMaster UniversityRan2004 to 2006Enrolled719ConditionsFrailtyArmsPreventive Primary Care Outreach
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 10 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Jenny PloegSchool of Nursing, Faculty of Health Sciences, McMaster University, 1200 Main St W, Room HSc-3N28G Hamilton, ON, Canada L8N 3Z5. ploegj@mcmaster.ca
Kevin Brazil
Brian Hutchison
Janusz Kaczorowski
Dawn M Dalby
Charles H Goldsmith
William Furlong
McMaster University · CAChild and Family Research Institute · CAPolicy Analysis (United States) · USSt. Joseph’s Healthcare Hamilton · CAWilfrid Laurier University · CA

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

objectiveTo evaluate the impact of a provider initiated primary care outreach intervention compared with usual care among older adults at risk of functional decline.

designRandomised controlled trial.

settingPatients enrolled with 35 family physicians in five primary care networks in Hamilton, Ontario, Canada.

participantsPatients were eligible if they were 75 years of age or older and were not receiving home care services. Of 3166 potentially eligible patients, 2662 (84%) completed the validated postal questionnaire used to determine risk of functional decline. Of 1724 patients who met the risk criteria, 769 (45%) agreed to participate and 719 were randomised.

interventionThe 12 month intervention, provided by experienced home care nurses in 2004-6, consisted of a comprehensive initial assessment using the resident assessment instrument for home care; collaborative care planning with patients, their families, and family physicians; health promotion; and referral to community health and social support services.

main outcome measuresQuality adjusted life years (QALYs), use and costs of health and social services, functional status, self rated health, and mortality.

resultsThe mean difference in QALYs between intervention and control patients during the study period was not statistically significant (0.017, 95% confidence interval -0.022 to 0.056; P=0.388). The mean difference in overall cost of prescription drugs and services between the intervention and control groups was not statistically significant, (-$C165 ( pound107; euro118; $162), 95% confidence interval -$C16 545 to $C16 214; P=0.984). Changes over 12 months in functional status and self rated health were not significantly different between the intervention and control groups. Ten patients died in each group.

conclusionsThe results of this study do not support adoption of this preventive primary care intervention for this target population of high risk older adults. Trial registration Clinical trials NCT00134836.

Indexed as

Activities of Daily LivingAgedCosts and Cost AnalysisFemaleHealth Services for the AgedHome Care ServicesHumansMaleOntarioOutcome Assessment, Health CarePreventive Health ServicesPrimary Health CareQuality-Adjusted Life YearsRisk Factors

Identifiers

PMID20400483
PMCPMC3191725
OpenAlexW2003529130

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.