Evidence map›Paper›PMID 20424804›Full record

Trial reportThe journal of nutrition, health & aging2010

Cost-effectiveness of nutrition interventions in nursing home residents: a pilot intervention.

S F Simmons, X Zhuo, E Keeler

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The journal of nutrition, health & aging, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 6 pooled it
2.9field-weighted citation impact, top 10% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 6 syntheses or guidelines pooled it, 50 citations in OpenAlex.

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  9. Cost-Effectiveness of Nutrition Intervention in Long-Term Care.Journal of the American Geriatrics Society · 2015
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  19. Anorexia of aging: a true geriatric syndrome.The journal of nutrition, health & aging · 2012
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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

3 authors at 2 institutions in 1 country.

S F SimmonsVanderbilt University, School of Medicine, Division of General Internal Medicine and Public Health, Center for Quality Aging, Nashville, TN 37232-2400, USA. Sandra.Simmons@Vanderbilt.edu
X Zhuo
E Keeler
RAND Corporation · USVanderbilt University · US

Funding

UCLA OLDER AMERICANS INDEPENDENCE CENTERP30AG028748 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MOORE, ALISON AHERN · 2006 to 2017
$9.8M
NIA NIH HHS AG028748NIA NIH HHS P30 AG028748
6 · The paper itself

Abstract

objectivesUnintentional weight loss is a prevalent and costly clinical problem among nursing home (NH) residents. One of the most common nutrition interventions for residents at risk for weight loss is oral liquid nutrition supplementation. The purpose of this study was to determine the cost effectiveness of supplements relative to offering residents' snack foods and fluids between meals to increase caloric intake.

designRandomized, controlled trial.

settingThree long-term care facilities.

participantsSixty-three long-stay residents who had an order for nutrition supplementation.

interventionParticipants were randomized into one of three groups: (1) usual NH care control; (2) supplement, or (3) between-meal snacks. For groups two and three, trained research staff provided supplements or snacks twice daily between meals, five days per week, for six weeks with assistance and encouragement to promote consumption. MEASUREMENTS: Research staff observed residents during and between meals for two days at baseline, weekly, and post six weeks to estimate total daily caloric intake. For both intervention groups, research staff documented residents' caloric intake between meals from supplements or snack items, refusal rates and the amount of staff time required to provide each intervention.

resultsBoth interventions increased between meal caloric intake significantly relative to the control group and required more staff time than usual NH care. The snack intervention was slightly less expensive and more effective than the supplement intervention.

conclusionsOffering residents a choice among a variety of foods and fluids twice per day may be a more effective nutrition intervention than oral liquid nutrition supplementation.

Indexed as

Homes for the AgedNursing HomesAged, 80 and overCost-Benefit AnalysisDietary SupplementsEnergy IntakeFeeding MethodsFemaleFood, FormulatedHumansMaleNutrition TherapyPilot ProjectsTreatment OutcomeWeight Loss

Identifiers

PMID20424804
PMCPMC3686278
OpenAlexW1986960822

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.