Evidence map›Paper›PMID 28983384›Full record

ArticleCanadian geriatrics journal : CGJ2017

Reversing Frailty Levels in Primary Care Using the CARES Model.

Olga Theou, Grace H Park, Antonina Garm, Xiaowei Song, Barry Clarke, Kenneth Rockwood

Open access · diamondAbstract read
In one paragraph

Article in Canadian geriatrics journal : CGJ, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. FI-CGA and eFI-CGA in Frailty Care: a Scoping Review.Canadian geriatrics journal : CGJ · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Integrating social prescribing in a Canadian regional health system to support healthy aging.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024
    Article
  10. Article
  11. Article
  12. Family Caregiving during the COVID-19 Pandemic in Canada: A Mediation Analysis.International journal of environmental research and public health · 2022
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Exploring Clinically Meaningful Changes for the Frailty Index in a Longitudinal Cohort of Hospitalized Older Patients.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
    Article
  18. Diagnosis and Management of Frailty in Primary Health Care.Korean journal of family medicine · 2020
    Article
  19. Article
  20. 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

6 authors at 3 institutions in 1 country.

Olga TheouDepartment of Geriatric Medicine, Dalhousie University and Nova Scotia Health Authority, Halifax, NS.
Grace H ParkFraser Health Authority, Surrey, BC.
Antonina GarmFraser Health Authority, Surrey, BC.
Xiaowei SongFraser Health Authority, Surrey, BC.
Barry ClarkeDepartment of Family Medicine, Dalhousie University and Nova Scotia Health Authority, Halifax, NS.
Kenneth RockwoodDepartment of Geriatric Medicine, Dalhousie University and Nova Scotia Health Authority, Halifax, NS.
Fraser Health · CADalhousie University · CANova Scotia Health Authority · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this manuscript was to evaluate the effectiveness of the Community Actions and Resources Empowering Seniors (CARES) model in measuring and mitigating frailty among community-dwelling older adults.

methodsThe CARES model is based on a goal-oriented multidisciplinary primary care plan which combines a comprehensive geriatric assessment (CGA) with health coaching. A total of 51 older adults (82 ± 7 years; 33 females) participated in the pilot phase of this initiative. Frailty was measured using the Clinical Frailty Scale (CFS) and the Frailty Index (FI-CGA) at baseline and at six-month follow-up.

resultsThe FI-CGA at follow-up (0.21 ± 0.08) was significantly lower than the FI-CGA at baseline (0.24 ± 0.08), suggesting an average reduction of 1.8 deficits. Sixty-one per cent of participants improved their FI-CGA and 38% improved CFS categories. Participants classified as vulnerable/frail at baseline were more responsive to the intervention compared to non-frail participants.

conclusionPilot data showed that it is feasible to assess frailty in primary care and that the CARES intervention might have a positive effect on frailty, a promising finding that requires further investigations. General practitioners who participate in the CARES model can now access their patients' FI-CGA scores at point of service through their electronic medical records.

Indexed as

clinical frailty scaleCommunity Actions and Resources Empowering Seniors (CARES)comprehensive geriatric assessmentfrailtyfrailty index

Identifiers

PMID28983384
PMCPMC5624254
OpenAlexW2759929961

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.