Trial reportBMC health services research2012
Comprehensive geriatric assessment, multifactorial interventions and nurse-led care coordination to prevent functional decline in community-dwelling older persons: protocol of a cluster randomized trial.
Trial report in BMC health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05379504 (Reducing COVID-19 Related Disability in Rural Community-Dwelling Older Adults Using Smart Technology), which is not on this map. Cited by 18 papers, 2 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.
Reducing COVID-19 Related Disability in Rural Community-Dwelling Older Adults Using Smart Technology
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Community-based complex interventions to sustain independence in older people, stratified by frailty: a systematic review and network meta-analysis.Health technology assessment (Winchester, England) · 2024Pooled it
- Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy: ASCO Guideline for Geriatric Oncology.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018Guideline
- Trial
- Effects of Nurse-Led Multifactorial Care to Prevent Disability in Community-Living Older People: Cluster Randomized Trial.PloS one · 2016Trial
- Factors associated with recognition and prioritization for falling, and the effect on fall incidence in community dwelling older adults.BMC geriatrics · 2015Trial
- Status of comprehensive geriatric assessment in hospital settings: a cross-sectional survey.Frontiers in medicine · 2025Article
- Development and testing of the Geriatric Care Assessment Practices (G-CAP) survey.BMC geriatrics · 2021Article
- Addressing safety risks in integrated care programs for older people living at home: a scoping review.BMC geriatrics · 2020Article
- Comprehensive geriatric assessments in integrated care programs for older people living at home: A scoping review.Health & social care in the community · 2019Article
- Minimal Important Change and Minimal Detectable Change in Activities of Daily Living in Community-Living Older People.The journal of nutrition, health & aging · 2017Article
- 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 · 2016Article
- Identifying Patients at Risk of High Healthcare Utilization.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2016Article
- Initiatives on early detection and intervention to proactively identify health and social problems in older people: experiences from the Netherlands.BMC geriatrics · 2015Article
- Older patients' perceived burdens of their health problems: a cross-sectional analysis in 74 German general practices.Patient preference and adherence · 2015Article
- Validity and reliability of the Katz-15 scale to measure unfavorable health outcomes in community-dwelling older people.The journal of nutrition, health & aging · 2014Article
- Diabetes predicts long-term disability in an elderly urban cohort: the Northern Manhattan Study.Annals of epidemiology · 2014Article
- Improving care for older adults: a model to segment the senior population.The Permanente journal · 2014Article
- Self-report of healthcare utilization among community-dwelling older persons: a prospective cohort study.PloS one · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFunctional decline in community-dwelling older persons is associated with the loss of independence, the need for hospital and nursing-home care and premature death. The effectiveness of multifactorial interventions in preventing functional decline remains controversial. The aim of this study is to investigate whether functional decline in community-dwelling older persons can be delayed or prevented by a comprehensive geriatric assessment, multifactorial interventions and nurse-led care coordination. METHODS/
designIn a cluster randomized controlled trial, with the general practice as the unit of randomization, 1281 participants from 25 general practices will be enrolled in each condition to compare the intervention with usual care. The intervention will focus on older persons who are at increased risk for functional decline, identified by an Identification of Seniors at Risk Primary Care (ISAR-PC) score (≥ 2). These older persons will receive a comprehensive geriatric assessment, an individually tailored care and treatment plan, consisting of multifactorial, evidence-based interventions and subsequent nurse-led care coordination. The control group will receive 'care as usual' by the general practitioner (GP). The main outcome after 12 months is the level of physical functioning on the modified Katz-15 index score. The secondary outcomes are health-related quality of life, psychological and social functioning, healthcare utilization and institutionalization. Furthermore, a process evaluation and cost-effectiveness analysis will be performed. DISCUSSION: This study will provide new knowledge regarding the effectiveness and feasibility of a comprehensive geriatric assessment, multifactorial interventions and nurse-led elderly care in general practice.
trial registrationNTR2653 GRANT: Unrestricted grant 'The Netherlands Organisation for Health Research and development' no 313020201.
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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.