Evidence map›Paper›PMID 28638514›Full record

ArticleJournal of graduate medical education2017

Internal Medicine Residents' Ambulatory Management of Core Geriatric Conditions.

Kathryn E Callahan, Lindsay A Wilson, Juliessa M Pavon, James F Lovato, Hal H Atkinson, Jan Busby-Whitehead, Thomas Dalton, Mitchell T Heflin, Patricia Iverson, Janice S Lawlor and 4 more

Abstract read
In one paragraph

Article in Journal of graduate medical education, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Brown Bag Simulation to Improve Medication Management in Older Adults.MedEdPORTAL : the journal of teaching and learning resources · 2019
    Article
  6. Frailty Screening Using the Electronic Health Record Within a Medicare Accountable Care Organization.The journals of gerontology. Series A, Biological sciences and medical sciences · 2019
    Article
  7. Geriatrics 5Ms for Primary Care Workshop.MedEdPORTAL : the journal of teaching and learning resources · 2019
    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

14 authors.

Kathryn E Callahan
Lindsay A Wilson
Juliessa M Pavon
James F Lovato
Hal H Atkinson
Jan Busby-Whitehead
Thomas Dalton
Mitchell T Heflin
Patricia Iverson
Janice S Lawlor
Justin Marsden
William P Moran
Ellen Roberts
Jeff D Williamson

Funding

Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Jamie Nicole Justice · 2002 to 2026
$36.4M
University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Peihua Qiu · 2007 to 2026
$22.8M
NIA NIH HHS L30 AG043161NIA NIH HHS P30 AG021332NIA NIH HHS P30 AG028740
6 · The paper itself

Abstract

backgroundAdults aged 65 years and older account for more than 33% of annual visits to internal medicine (IM) generalists and specialists. Geriatrics experiences are not standardized for IM residents. Data are lacking on IM residents' continuity experiences with older adults and competencies relevant to their care.

objectiveTo explore patient demographics and the prevalence of common geriatric conditions in IM residents' continuity clinics.

methodsWe collected data on age and sex for all IM residents' active clinic patients during 2011-2012. Academic site continuity panels for 351 IM residents were drawn from 4 academic medical center sites. Common geriatric conditions, defined by Assessing Care of Vulnerable Elders measures and the American Geriatrics Society IM geriatrics competencies, were identified through International Classification of Disease, ninth edition, coded electronic problem lists for residents' patients aged 65 years and older and cross-checked by audit of 20% of patients' charts across 1 year.

resultsPatient panels for 351 IM residents (of a possible 411, 85%) were reviewed. Older adults made up 21% of patients in IM residents' panels (range, 14%-28%); patients ≥ 75 (8%) or 85 (2%) years old were relatively rare. Concordance between electronic problem lists and chart audit was poor for most core geriatric conditions. On chart audit, active management of core geriatric conditions was variable: for example, memory loss (10%-25%), falls/gait abnormality (26%-42%), and osteoporosis (11%-35%).

conclusionsThe IM residents' exposure to core geriatric conditions and management of older adults was variable across 4 academic medical center sites and often lower than anticipated in community practice.

Indexed as

Internship and ResidencyAgedAged, 80 and overChronic DiseaseClinical CompetenceContinuity of Patient CareGeriatricsHumansInternal MedicineOutpatient Clinics, HospitalPhysiciansPrevalencePrimary Health CareUnited States

Identifiers

PMID28638514
PMCPMC5476385

What OpenQuestion holds

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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.