ReviewCanadian family physician Medecin de famille canadien2011
How applicable are clinical practice guidelines to elderly patients with comorbidities?
Review in Canadian family physician Medecin de famille canadien, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 7 of them syntheses that pooled 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.
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.
Who cites it
55 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Are Canadian Clinical Practice Guidelines Accounting for Adults With Multiple Chronic Diseases? A Systematic Review.Journal of evaluation in clinical practice · 2025Pooled it
- General practitioner strategies for managing patients with multimorbidity: a systematic review and thematic synthesis of qualitative research.BMC family practice · 2020Pooled it
- Recommendations for preventing fracture in long-term care.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2015Guideline
- Systematic review of clinical practice guidelines recommendations about primary cardiovascular disease prevention for older adults.BMC family practice · 2015Pooled it
- Hypertension in Older Persons: A Systematic Review of National and International Treatment Guidelines.Journal of clinical hypertension (Greenwich, Conn.) · 2015Pooled it
- Pooled it
- Guiding principles for the care of older adults with multimorbidity: an approach for clinicians: American Geriatrics Society Expert Panel on the Care of Older Adults with Multimorbidity.Journal of the American Geriatrics Society · 2012Guideline
- An interdisciplinary knowledge translation intervention in long-term care: study protocol for the vitamin D and osteoporosis study (ViDOS) pilot cluster randomized controlled trial.Implementation science : IS · 2012Trial
- A qualitative study of emergency physicians' perspective on the emergency journey of older patients.BMC health services research · 2026Article
- Structured Clinical Tools for Periodic Health Assessment of Older Adults in Primary Care: A Scoping Review.Health science reports · 2025Review
- Impact of Age and Comorbidities On Therapeutic Decision-making Among Older Patients With Gastrointestinal Cancer.Journal of gastrointestinal cancer · 2025Article
- New horizons in clinical practice guidelines for use with older people.Age and ageing · 2024Article
- Hip fracture rate and osteoporosis treatment in Ontario: A population-based retrospective cohort study.Archives of osteoporosis · 2024Article
- Polypharmacy in Older Adults: The Hazard of Hospitalization and Mortality is Mediated by Potentially Inappropriate Prescriptions, Findings From the Moli-sani Study.International journal of public health · 2024Article
- Prevalence of potentially inappropriate medications and association with comorbidities in older adults with diabetes in an outpatient visitation setting.Frontiers in public health · 2022Article
- Multimorbidity and clinical reasoning through the eyes of GPs: a qualitative study.Family medicine and community health · 2021Article
- Multimorbidity in Canadians living in the community: Results from the Canadian Longitudinal Study of Aging.Canadian family physician Medecin de famille canadien · 2021Article
- Patient-centred and not disease-focused: a review of guidelines and multimorbidity.Singapore medical journal · 2020Review
- Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the applicability of 10 common clinical practice guidelines (CPGs) to elderly patients with multiple comorbidities.
designContent analysis of published Canadian CPGs for the following chronic diseases: diabetes, dyslipidemia, dementia, congestive heart failure, depression, osteoporosis, hypertension, gastroesophageal reflux disease, chronic obstructive pulmonary disease, and osteoarthritis.
main outcome measuresPresence or absence of 4 key indicators of applicability of CPGs to elderly patients with multiple comorbidities. These indicators include any mention of older adults or people with comorbidities, time needed to treat to benefit in the context of life expectancy, and barriers to implementation of the CPG.
resultsOut of the 10 CPGs reviewed, 7 mentioned treatment of the elderly, 8 mentioned people with comorbidities, 4 indicated the time needed to treat to benefit in the context of life expectancy, 5 discussed barriers to implementation, and 7 discussed the quality of evidence.
conclusionThis study shows that although most CPGs discuss the elderly population, only a handful of them adequately address issues related to elderly patients with comorbidities. In order to make CPGs more patient centred rather than disease driven, guideline developers should include information on elderly patients with comorbidities.
Indexed as
Identifiers
21753084PMC3135464What OpenQuestion holds
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.