Trial reportBMC nephrology2012
Systematic comprehensive geriatric assessment in elderly patients on chronic dialysis: a cross-sectional comparative and feasibility study.
Trial report in BMC nephrology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 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
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Managing clinical uncertainty in older people towards the end of life: a systematic review of person-centred tools.BMC palliative care · 2021Pooled it
- Design of a consensus-based geriatric assessment tailored for older chronic kidney disease patients: results of a pragmatic approach.European geriatric medicine · 2021Guideline
- The Relevance of Geriatric Impairments in Patients Starting Dialysis: A Systematic Review.Clinical journal of the American Society of Nephrology : CJASN · 2016Pooled it
- Assessing Caregiver Burden in Kidney Failure: A Systematic Review of Measurement Properties of Instruments.Kidney medicine · 2025Review
- Geriatric Assessment in CKD Care: An Implementation Study.Kidney medicine · 2024Article
- Narrative Review: Clinical Implications and Assessment of Frailty in Patients With Advanced CKD.Kidney international reports · 2024Review
- Delivering Personalized, Goal-Directed Care to Older Patients Receiving Peritoneal Dialysis.Kidney diseases (Basel, Switzerland) · 2023Review
- Home dialysis in older adults: challenges and solutions.Clinical kidney journal · 2023Article
- Palliative Care for Patients with Kidney Disease.Journal of clinical medicine · 2022Review
- The Impact of Care Partners on the Mobility of Older Adults Receiving Hemodialysis.Kidney medicine · 2022Article
- Health, social care and technological interventions to improve functional ability of older adults living at home: An evidence and gap map.Campbell systematic reviews · 2021Article
- Perspectives and experiences of patients and healthcare professionals with geriatric assessment in chronic kidney disease: a qualitative study.BMC nephrology · 2021Article
- Depression and quality of life in older adults on hemodialysis.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2020Article
- Article
- Geriatric Assessment and the Relation with Mortality and Hospitalizations in Older Patients Starting Dialysis.Nephron · 2019Article
- Breaking the cycle of functional decline in older dialysis patients.Seminars in dialysis · 2018Article
- A holistic approach to factors affecting depression in haemodialysis patients.International urology and nephrology · 2018Review
- Frailty and chronic kidney disease: current evidence and continuing uncertainties.Clinical kidney journal · 2018Article
- Incorporating Geriatric Assessment into a Nephrology Clinic: Preliminary Data from Two Models of Care.Journal of the American Geriatrics Society · 2016Article
- Development of a risk stratification algorithm to improve patient-centered care and decision making for incident elderly patients with end-stage renal disease.Kidney international · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElderly dialysis patients are prone to disabilities and functional decline. This aggravates their last period of life. It would be valuable to be able to preserve daily function and quality of life. Identification of domains requiring additional attention is not common practice in standard care. Therefore, we performed a systematic Comprehensive Geriatric Assessment (CGA) to assess physical and psychosocial function and tested its feasibility in daily practice. The CGA is used more frequently in the assessment of elderly cancer patients, and we therefore compared the outcomes to this group.
methodsA cross-sectional, multicenter study, between June 1st and September 31st, 2009, in four Dutch outpatient dialysis units. Fifty patients aged 65 years or above who received dialysis because of end-stage renal disease (ESRD) were randomly included. We assessed the CGA during a systematic interview with patients and their caregivers. The cancer patients had had a similar CGA in an earlier study. We compared prevalences between groups.
resultsIn the dialysis population (68.0% 75 years or above, 76.6% on haemodialysis) caregivers often observed behavioral changes, such as deviant eating habits (34.0%) and irritability (27.7%). In 84.4%, caregivers felt overburdened by the situation of their family member. Somatic and psychosocial conditions were frequently found (polypharmacy (94.6%), depression (24.5%)) and prevalence of most geriatric conditions was comparable to those in elderly cancer patients.
conclusionsGeriatric conditions were highly prevalent among elderly dialysis patients and prevalences were comparable in both populations. The CGA proved feasible for recognition of these conditions and of overburdened caregivers. This could prevent further functional decline and preserve quality of life.
Indexed as
Identifiers
What 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.