SynthesisBMC geriatrics2012
A systematic mapping review of randomized controlled trials (RCTs) in care homes.
Synthesis in BMC geriatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Setting Priorities to Inform Assessment of Care Homes' Readiness to Participate in Healthcare Innovation: A Systematic Mapping Review and Consensus Process.International journal of environmental research and public health · 2020Pooled it
- Reducing hospital admissions from nursing homes: a systematic review.BMC health services research · 2014Pooled it
- Nursing home performance in a trial to reduce hospitalizations: Implications for future trials.Journal of the American Geriatrics Society · 2021Trial
- Barriers and facilitators to recruiting older adult care home residents into clinical trials of medicines and vaccines: a scoping review.Age and ageing · 2026Article
- A scoping review of randomised controlled trials of vaccines that recruited care home residents: lessons for future trials.Age and ageing · 2025Article
- Generating and translating evidence for safe and effective medication management in aged care homes.British journal of clinical pharmacology · 2025Review
- Outcome measures from international older adult care home intervention research: a scoping review.Age and ageing · 2023Article
- Therapeutic optimization through goal-oriented prescription in nursing homes.International journal of clinical pharmacy · 2021Review
- Quality improvement in long-term care settings: a scoping review of effective strategies used in care homes.European geriatric medicine · 2021Article
- A Scoping Review on the Attributes of Cluster Randomized Controlled Trials in Long-Term Care Facilities.Current gerontology and geriatrics research · 2020Article
- Effective health care for older people living and dying in care homes: a realist review.BMC health services research · 2016Review
- Advancing aged care: a systematic review of economic evaluations of workforce structures and care processes in a residential care setting.Cost effectiveness and resource allocation : C/E · 2016Review
- Article
- Data for improvement and clinical excellence: report of an interrupted time series trial of feedback in long-term care.Implementation science : IS · 2014Article
- Enabling research in care homes: an evaluation of a national network of research ready care homes.BMC medical research methodology · 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.
Funding
Abstract
backgroundA thorough understanding of the literature generated from research in care homes is required to support evidence-based commissioning and delivery of healthcare. So far this research has not been compiled or described. We set out to describe the extent of the evidence base derived from randomized controlled trials conducted in care homes.
methodsA systematic mapping review was conducted of the randomized controlled trials (RCTs) conducted in care homes. Medline was searched for "Nursing Home", "Residential Facilities" and "Homes for the Aged"; CINAHL for "nursing homes", "residential facilities" and "skilled nursing facilities"; AMED for "Nursing homes", "Long term care", "Residential facilities" and "Randomized controlled trial"; and BNI for "Nursing Homes", "Residential Care" and "Long-term care". Articles were classified against a keywording strategy describing: year and country of publication; randomization, stratification and blinding methodology; target of intervention; intervention and control treatments; number of subjects and/or clusters; outcome measures; and results.
results3226 abstracts were identified and 291 articles reviewed in full. Most were recent (median age 6 years) and from the United States. A wide range of targets and interventions were identified. Studies were mostly functional (44 behaviour, 20 prescribing and 20 malnutrition studies) rather than disease-based. Over a quarter focussed on mental health.
conclusionsThis study is the first to collate data from all RCTs conducted in care homes and represents an important resource for those providing and commissioning healthcare for this sector. The evidence-base is rapidly developing. Several areas - influenza, falls, mobility, fractures, osteoporosis - are appropriate for systematic review. For other topics, researchers need to focus on outcome measures that can be compared and collated.
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.