Evidence map›Paper›PMID 23662052›Full record

SynthesisClinical interventions in aging2013

Tools that assess functional decline: systematic literature review update.

Kate Beaton, Karen Grimmer

Abstract readSystematic Review
In one paragraph

Synthesis in Clinical interventions in aging, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Aging, longevity, and healthy aging: the public health approach.Aging clinical and experimental research · 2025
    Review
  8. Observational
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Race-based disparities in loss of functional independence after hysterectomy for uterine cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016
    Article
  16. Article
  17. Identifying functional decline: a methodological challenge.Patient related outcome measures · 2013
    Article
  18. Locomotive Syndrome: Definition and Management.Clinical reviews in bone and mineral metabolism
    Review
  19. 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

2 authors.

Kate BeatonInternational Centre for Allied Health Evidence, University of South Australia, Adelaide, Australia. kate.beaton@unisa.edu.au
Karen Grimmer

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundScreening for risk of functional decline in the elderly is increasingly important in ambulatory health care settings, to ensure that appropriate services are provided to reduce the risk of downstream decline. These screening tools should have sound psychometric properties and clinical utility.

designAn updated systematic literature review for (1) new screening tools published since the last review, conducted in 2007 and published in 2008, and (2) recent research into psychometric properties of the five tools identified in the previous review.

methodsA comprehensive review of multiple databases using the search terms from the Sutton et al review was conducted. The reference lists of included articles were hand-searched for additional articles, and the literature was evaluated with the appropriate critical appraisal tool. Included screening tools should be designed for, or applicable to, hospital emergency departments.

resultsTwo relevant new tools were identified (the Simplified PROFUNCTION index and Brief Risk Identification for Geriatric Health Tool). Six additional papers testing psychometric properties of four of the five previously reported screening tools were also found.

conclusionSeven relevant screening tools are available with similar validity and reliability estimates. They consider similar constructs and have convincing evidence of applicability to a range of older populations, or different cultures. Identification of Seniors at Risk, is the most frequently reported screening tool. The wider unanswered question is how, why, and where these functional decline screening tools are used; how valid the findings are on ill, stressed, older people in emergency departments; and how the findings are acted upon in terms of community intervention to slow functional decline.

Indexed as

Activities of Daily LivingAgedEmergency Service, HospitalGeriatric AssessmentHumansPsychometricsRisk Factorsfunctional declineolder adultsscreening and assessment tools

Identifiers

PMID23662052
PMCPMC3646484

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.