Evidence map›Paper›PMID 28340600›Full record

ArticleSystematic reviews2017

An evaluation of the comparative effectiveness of geriatrician-led comprehensive geriatric assessment for improving patient and healthcare system outcomes for older adults: a protocol for a systematic review and network meta-analysis.

Charlene Soobiah, Caitlin Daly, Erik Blondal, Joycelyne Ewusie, Joanne Ho, Meghan J Elliott, Rossini Yue, Jayna Holroyd-Leduc, Barbara Liu, Sharon Marr and 4 more

Open access · goldAbstract read
In one paragraph

Article in Systematic reviews, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Brazilian Guidelines of Hypertension - 2025.Arquivos brasileiros de cardiologia · 2025
    Article
  4. Article
  5. Article
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  7. Brazilian Guidelines of Hypertension - 2020.Arquivos brasileiros de cardiologia · 2021
    Article
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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

14 authors at 8 institutions in 1 country.

Charlene SoobiahLi Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, East Building, Room 716, Toronto, Ontario, M5B 1T8, Canada.
Caitlin DalyDepartment of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main Street West, Hamilton, Ontario, L8S 4K1, Canada.
Erik BlondalLi Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, East Building, Room 716, Toronto, Ontario, M5B 1T8, Canada.
Joycelyne EwusieDepartment of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main Street West, Hamilton, Ontario, L8S 4K1, Canada.
Joanne HoSchlegel Research Institute for Aging, 250 Laurelwood Drive, Waterloo, Ontario, N2J 0E2, Canada.
Meghan J ElliottLi Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, East Building, Room 716, Toronto, Ontario, M5B 1T8, Canada.
Rossini YueInstitute of Health Policy Management and Evaluation, University of Toronto, 155 College Street Suite 425, Toronto, Ontario, M5T 3M6, Canada.
Jayna Holroyd-LeducDepartment of Medicine, University of Calgary, Foothills Hospital, 11th Floor South Tower, Room 1103, 1403-29 Street NW, Calgary, Alberta, T2N 2T9, Canada.
Barbara LiuRegional Geriatrics Program of Toronto, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, L-wing, 1st floor, room L1-01D, Toronto, Ontario, M4N 3M5, Canada.
Sharon MarrRegional Geriatrics Program Central, McMaster University, 88 Maplewood, Hamilton, Ontario, L8M 1W9, Canada.
Jenny BasranDepartment of Medicine, University of Saskatchewan, 701 Queen St, Saskatoon, Saskatchewan, S7K 0M7, Canada.
Andrea C TriccoLi Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, East Building, Room 716, Toronto, Ontario, M5B 1T8, Canada.
Jemila HamidLi Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, East Building, Room 716, Toronto, Ontario, M5B 1T8, Canada.
Sharon E StrausLi Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, East Building, Room 716, Toronto, Ontario, M5B 1T8, Canada. sharon.straus@utoronto.ca.
McMaster University · CASt. Michael's Hospital · CAUniversity of Toronto · CAHealth Sciences Centre · CAPublic Health Ontario · CAResearch Institute for Aging · CAUniversity of Calgary · CAUniversity of Saskatchewan · CA

Funding

CIHR NKS 150583
6 · The paper itself

Abstract

backgroundComprehensive geriatric assessment (CGA) is an integrated model of care involving a geriatrician and an interdisciplinary team and can prioritize and manage complex health needs of older adults with multimorbidity. CGAs differ across healthcare settings, ranging from shared care conducted in primary care settings to specialized inpatient units in acute care. Models of care involving geriatricians vary across healthcare settings, and it is unclear which CGA model is most effective. Our objective is to conduct a systematic review and network meta-analysis (NMA) to examine the comparative effectiveness of various geriatrician-led CGAs and to identify which models improve patient and healthcare system level outcomes.

methodsAn integrated knowledge translation approach will be used and knowledge users (KUs) including patients, caregivers, geriatricians, and healthcare policymakers will be involved throughout the review. Electronic databases including MEDLINE, EMBASE, Cochrane library, and Ageline will be searched from inception to November 2016 to identify relevant studies. Randomized controlled trials of older adults (≥65 years of age) that examine geriatrician-led CGAs compared to any intervention will be included. Primary and secondary outcomes will be selected by KUs to ensure the results are relevant to their decision-making. Two reviewers will independently screen the search results, extract data, and assess risk of bias. Data will be synthesized using an NMA to allow for multiple comparisons using direct (head-to-head) as well as indirect evidence. Interventions will be ranked according to their effectiveness using surface under the cumulative ranking curve (SUCRA). DISCUSSION: As the proportion of older adults grows worldwide, the demand for specialized geriatric services that help manage complex health needs of older adults with multimorbidity will increase in many countries. Results from this systematic review and NMA will enhance decision-making and the efficient allocation of scarce geriatric resources. Moreover, active involvement of KUs throughout the review process will ensure the results are relevant to different levels of decision-making. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42014014008.

Indexed as

GeriatriciansQuality of Health CareResearch DesignAgedComparative Effectiveness ResearchGeriatric AssessmentHumansNetwork Meta-Analysis as TopicOutcome Assessment, Health CareQuality ImprovementReview Literature as TopicSystematic Reviews as TopicComprehensive geriatric assessmentGeriatric assessmentGeriatric careIntegrated knowledge translationNetwork meta-analysisSystematic review

Identifiers

PMID28340600
PMCPMC5366126
OpenAlexW2599816916

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.