Evidence map›Paper›PMID 28369687›Full record

SynthesisJournal of the American Geriatrics Society2017

Caregiver Integration During Discharge Planning for Older Adults to Reduce Resource Use: A Metaanalysis.

Juleen Rodakowski, Philip B Rocco, Maqui Ortiz, Barbara Folb, Richard Schulz, Sally C Morton, Sally Caine Leathers, Lu Hu, A Everette James

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06608589 (CONSTELLATIONS Living Lab), which is not on this map. Cited by 84 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 4 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.

NCT06608589 narecruitingnot on this mapstarted 2023, after this paper: background citation

CONSTELLATIONS Living Lab: Development, Implementation and Evaluation of a Patient-oriented Quality Improvement Program Targeting Care Transitions of Older Adults Living with Major Neurocognitive Disorders and Their Caregivers.

TypeinterventionalSponsorLaval UniversityRan2023 to 2026Enrolled700ConditionsAlzheimer Disease, Dementia, Neurocognitive DeclineArmsCoMPAS+ MNCDs Program - Quality improvement program targeting the care transitions of patients living with a major neurocognitive disorder and their caregivers
3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  14. International Environmental Impact of CKD Care.Kidney international reports · 2026
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24 more citing papers are in PubMed but not listed here.

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

9 authors.

Juleen RodakowskiSchool of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID http://orcid.org/0000-0002-6397-8124
Philip B RoccoDepartment of Political Science, Marquette University, Milwaukee, Wisconsin.
Maqui OrtizHealth Policy Institute, University of Pittsburgh, Pittsburgh, Pennsylvania.
Barbara FolbHealth Sciences Library System, University of Pittsburgh, Pittsburgh, Pennsylvania.
Richard SchulzUniversity Center for Social and Urban Research, University of Pittsburgh, Pittsburgh, Pennsylvania.
Sally C MortonCollege of Science, Virginia Polytechnic Institute and State University, Blacksburg, Virginia.
Sally Caine LeathersCenter for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Washington, District of Columbia.
Lu HuSchool of Medicine, New York University, New York, New York.
A Everette JamesHealth Policy Institute, University of Pittsburgh, Pittsburgh, Pennsylvania.

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
Institutional Career Development CoreKL2TR001856 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAY, KRISTIN N, RUBIO, DORIS M · 2016 to 2025
$13.8M
NCATS NIH HHS KL2 TR001856NIA NIH HHS P30 AG024827
6 · The paper itself

Abstract

objectivesTo determine the effect of integrating informal caregivers into discharge planning on postdischarge cost and resource use in older adults.

designA systematic review and metaanalysis of randomized controlled trials that examine the effect of discharge planning with caregiver integration begun before discharge on healthcare cost and resource use outcomes. MEDLINE, EMBASE, and the Cochrane Library databases were searched for all English-language articles published between 1990 and April 2016.

settingHospital or skilled nursing facility.

participantsOlder adults with informal caregivers discharged to a community setting. MEASUREMENTS: Readmission rates, length of and time to post-discharge rehospitalizations, costs of postdischarge care.

resultsOf 10,715 abstracts identified, 15 studies met the inclusion criteria. Eleven studies provided sufficient detail to calculate readmission rates for treatment and control participants. Discharge planning interventions with caregiver integration were associated with a 25% fewer readmissions at 90 days (relative risk (RR) = 0.75, 95% confidence interval (CI) = 0.62-0.91) and 24% fewer readmissions at 180 days (RR = 0.76, 95% CI = 0.64-0.90). The majority of studies reported statistically significant shorter time to readmission, shorter rehospitalization, and lower costs of postdischarge care among discharge planning interventions with caregiver integration.

conclusionFor older adults discharged to a community setting, the integration of caregivers into the discharge planning process reduces the risk of hospital readmission.

Indexed as

Patient DischargeRandomized Controlled Trials as TopicCaregiversHealth Care CostsHealth ResourcesHumansPatient Readmissioncaregivercostdischarge planningresource use

Identifiers

PMID28369687
PMCPMC5555776

What OpenQuestion holds

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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.