Evidence map›Paper›PMID 27459349›Full record

Trial reportPloS one2016

Effects of Nurse-Led Multifactorial Care to Prevent Disability in Community-Living Older People: Cluster Randomized Trial.

Jacqueline J Suijker, Marjon van Rijn, Bianca M Buurman, Gerben Ter Riet, Eric P Moll van Charante, Sophia E de Rooij

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 9 pooled it
2.6field-weighted citation impact, top 11% of its field
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, 9 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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  8. Comprehensive geriatric assessment in primary care: a systematic review.Aging clinical and experimental research · 2020
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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 at 2 institutions in 1 country.

Jacqueline J SuijkerDepartment of General Practice, Academic Medical Center, Amsterdam, The Netherlands.
Marjon van RijnDepartment of Internal Medicine, section of Geriatric Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Bianca M BuurmanDepartment of Internal Medicine, section of Geriatric Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Gerben Ter RietDepartment of General Practice, Academic Medical Center, Amsterdam, The Netherlands.
Eric P Moll van CharanteDepartment of General Practice, Academic Medical Center, Amsterdam, The Netherlands.
Sophia E de RooijDepartment of Internal Medicine, section of Geriatric Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Academic Medical Center · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the effects of nurse-led multifactorial care to prevent disability in community-living older people.

methodsIn a cluster randomized trail, 11 practices (n = 1,209 participants) were randomized to the intervention group, and 13 practices (n = 1,074 participants) were randomized to the control group. Participants aged ≥ 70 years were at increased risk of functional decline based on a score ≥ 2 points on the Identification of Seniors at Risk- Primary Care, ISAR-PC. Participants in the intervention group received a systematic comprehensive geriatric assessment, and individually tailored multifactorial interventions coordinated by a trained community-care registered nurse (CCRN) with multiple follow-up home visits. The primary outcome was the participant's disability as measured by the modified Katz activities of daily living (ADL) index score (range 0-15) at one year follow-up. Secondary outcomes were health-related quality of life, hospitalization, and mortality.

resultsAt baseline, the median age was 82.7 years (IQR 77.0-87.1), the median modified Katz-ADL index score was 2 (IQR 1-5) points in the intervention group and 3 (IQR 1-5) points in the control group. The follow-up rate was 76.8% (n = 1753) after one year and was similar in both trial groups. The adjusted intervention effect on disability was -0.07 (95% confidence interval -0.22 to 0.07; p = 0.33). No intervention effects were found for the secondary outcomes.

conclusionsWe found no evidence that a one-year individualized multifactorial intervention program with nurse-led care coordination was better than the current primary care in community-living older people at increased risk of functional decline in The Netherlands.

trial registrationNetherlands Trial Register NTR2653.

Indexed as

Frail ElderlyGeriatric AssessmentHome Care ServicesNursing CarePersons with DisabilitiesActivities of Daily LivingAgedAged, 80 and overFemaleGuideline AdherenceHospitalizationHumansMaleNetherlandsOutcome Assessment, Health CareQuality of Life

Identifiers

PMID27459349
PMCPMC4961429
OpenAlexW2493892093

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.