Evidence map›Paper›PMID 21735403›Full record

SynthesisThe Cochrane database of systematic reviews2011

Comprehensive geriatric assessment for older adults admitted to hospital.

Graham Ellis, Martin A Whitehead, Desmond O'Neill, Peter Langhorne, David Robinson

Registry-linked trialOpen access · greenAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The Cochrane database of systematic reviews, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02664454 (Compared Efficacy of Nurse-led and GP-led Geriatric Assessment in PrImary Care), which is not on this map. Cited by 218 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
218citing papers in PubMed, 11 pooled it
–field-weighted citation impact
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.

NCT02664454 nacompletednot on this mapstarted 2016, after this paper: background citation

Compared Efficacy of Nurse-led and GP-led Geriatric Assessment in PrImary Care: A Pragmatic Three-arm Cluster Randomized Controlled Trial

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2016 to 2018Enrolled750ConditionsMultimorbidity, Geriatric AssessmentArmshealth care organization
3 · Its place in the literature

Who cites it

218 citing papers in PubMed, 11 syntheses or guidelines pooled it, 1,106 citations in OpenAlex.

  1. A Comprehensive Review of Geriatric Syndromes and Assessment in Older Adults With Inflammatory Bowel Diseases.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
    Pooled it
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  5. Guideline
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  8. Comprehensive geriatric assessment for older adults admitted to hospital.The Cochrane database of systematic reviews · 2017
    Pooled it
  9. Pooled it
  10. Discharge planning from hospital.The Cochrane database of systematic reviews · 2016
    Pooled it
  11. Medical day hospital care for older people versus alternative forms of care.The Cochrane database of systematic reviews · 2015
    Pooled it
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  18. Geriatric assessment with management intervention in older adults with cancer: a randomized pilot study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
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158 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 2 countries.

Graham EllisMedicine for the Elderly, Monklands Hospital, Monkscourt Avenue, Airdrie, Scotland, UK, ML6 0JS.
Martin A Whitehead
Desmond O'Neill
Peter Langhorne
David Robinson
Monklands Hospital · GBTallaght University Hospital · IEUniversity of Glasgow · GBUniversity of Oxford · GBWishaw General Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComprehensive geriatric assessment (CGA) is a multidimensional, interdisciplinary diagnostic process to determine the medical, psychological and functional capabilities of a frail elderly person in order to develop a co-ordinated and integrated plan for treatment and long-term follow up.

objectivesWe sought to evaluate the effectiveness of CGA in hospital for older adults admitted as an emergency. SEARCH STRATEGY: We searched the Cochrane Effective Practice and Organisation of Care (EPOC) Group Register, the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library), the Database of Abstracts of Reviews of Effects (DARE), MEDLINE, EMBASE, CINAHL and AARP Ageline, and handsearched high-yield journals. SELECTION CRITERIA: We searched for randomised controlled trials comparing CGA (whether by mobile teams or in designated wards) to usual care. DATA COLLECTION AND ANALYSIS: Two review authors initially assessed eligibility and trial quality and extracted published data. MAIN

resultsTwenty-two trials evaluating 10,315 participants in six countries were identified. Patients in receipt of CGA were more likely to be alive and in their own homes at up to six months (OR 1.25, 95% CI 1.11 to 1.42, P = 0.0002) and at the end of scheduled follow up (median 12 months) (OR 1.16, 95% CI 1.05 to 1.28, P = 0.003) when compared to general medical care. In addition, patients were less likely to be institutionalised (OR 0.79, 95% CI 0.69 to 0.88, P < 0.0001). They were less likely to suffer death or deterioration (OR 0.76, 95% CI 0.64 to 0.90, P = 0.001), and were more likely to experience improved cognition in the CGA group (OR 1.11, 95% CI 0.20 to 2.01, P = 0.02). Subgroup interaction in the primary outcomes suggests that the effects of CGA are primarily the result of CGA wards. AUTHORS'

conclusionsComprehensive geriatric assessment increases a patient's likelihood of being alive and in their own home at up to 12 months.

Indexed as

Frail ElderlyHospitalizationOutcome and Process Assessment, Health CareAgedComprehensive Health CareEmergenciesGeriatric AssessmentHumansIndependent LivingMortality

Identifiers

PMID21735403
PMCPMC4164377
OpenAlexW2138967628

What OpenQuestion holds

Textmetadata
LicenceTDM
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.