Evidence map›Paper›PMID 22194872›Full record

SynthesisPloS one2011

Assessing quality of care of elderly patients using the ACOVE quality indicator set: a systematic review.

Marjan Askari, Peter C Wierenga, Saied Eslami, Stephanie Medlock, Sophia E de Rooij, Ameen Abu-Hanna

Abstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–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.

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.

  1. Trial
  2. Observational
  3. Review
  4. Article
  5. Review
  6. Article
  7. Quality of primary care provided in community clinics in Japan.Journal of general and family medicine · 2019
    Article
  8. Article
  9. The quality of primary care provided to the elderly in Israel.Israel journal of health policy research · 2018
    Article
  10. Article
  11. Body Mass Index and Rural Status on Self-Reported Health in Older Adults: 2004-2013 Medicare Expenditure Panel Survey.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2018
    Article
  12. Article
  13. Article
  14. Assessment of the quality of fall detection and management in primary care in the Netherlands based on the ACOVE quality indicators.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016
    Article
  15. Review
  16. Article
  17. Article
  18. Observational
  19. Residency and specialties training in nutrition: a call for action.The American journal of clinical nutrition · 2014
    Article
  20. Article
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

6 authors.

Marjan AskariDepartment of Medical Informatics, Academic Medical Center, Amsterdam, The Netherlands. m.askari@amc.uva.nl
Peter C Wierenga
Saied Eslami
Stephanie Medlock
Sophia E de Rooij
Ameen Abu-Hanna

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCare of the elderly is recognized as an increasingly important segment of health care. The Assessing Care Of Vulnerable Elderly (ACOVE) quality indicators (QIs) were developed to assess and improve the care of elderly patients.

objectivesThe purpose of this review is to summarize studies that assess the quality of care using QIs from or based on ACOVE, in order to evaluate the state of quality of care for the reported conditions.

methodsWe systematically searched MEDLINE, EMBASE and CINAHL for English-language studies indexed by February 2010. Articles were included if they used any ACOVE QIs, or adaptations thereof, for assessing the quality of care. Included studies were analyzed and relevant information was extracted. We summarized the results of these studies, and when possible generated an overall conclusion about the quality of care as measured by ACOVE for each condition, in various settings, and for each QI.

resultsSeventeen studies were included with 278 QIs (original, adapted or newly developed). The quality scores showed large variation between and within conditions. Only a few conditions showed a stable pass rate range over multiple studies. Overall, pass rates for dementia (interquartile range (IQR): 11%-35%), depression (IQR: 27%-41%), osteoporosis (IQR: 34%-43%) and osteoarthritis (IQR: 29-41%) were notably low. Medication management and use (range: 81%-90%), hearing loss (77%-79%) and continuity of care (76%-80%) scored higher than other conditions. Out of the 278 QIs, 141 (50%) had mean pass rates below 50% and 121 QIs (44%) had pass rates above 50%. Twenty-three percent of the QIs scored above 75%, and 16% scored below 25%.

conclusionsQuality of care per condition varies markedly across studies. Although there has been much effort in improving the care for elderly patients in the last years, the reported quality of care according to the ACOVE indicators is still relatively low.

Indexed as

AgedHumansQuality Assurance, Health CareQuality Indicators, Health Care

Identifiers

PMID22194872
PMCPMC3241679

What OpenQuestion holds

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Registered trials

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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.