Evidence map›Paper›PMID 28985248›Full record

ReviewAge and ageing2017

New horizons in multimorbidity in older adults.

Alison J Yarnall, Avan A Sayer, Andrew Clegg, Kenneth Rockwood, Stuart Parker, John V Hindle

Registry-linked trialOpen access · bronzeAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Age and ageing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04188470 (Open Randomised Multicentric Controlled Trial to Evaluate the Impact of an Intervention to Improve Drug Appropriateness in Polymedicated Patients According to the Person-centered Care Model by a Multidisciplinary Team At Primary Care), which is not on this map. Cited by 160 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
160citing papers in PubMed, 12 pooled it
16.0field-weighted citation impact, top 1% 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.

NCT04188470 nacompletednot on this mapstarted 2020, after this paper: background citation

Open Randomised Multicentric Controlled Trial to Evaluate the Impact of an Intervention to Improve Drug Appropriateness in Polymedicated Patients According to the Person-centered Care Model by a Multidisciplinary Team At Primary Care

TypeinterventionalSponsorFundacio d'Investigacio en Atencio Primaria Jordi Gol i GurinaRan2020 to 2024Enrolled208ConditionsMultiple Chronic Conditions, End Stage DiseaseArmsperson-centered care model
3 · Its place in the literature

Who cites it

160 citing papers in PubMed, 12 syntheses or guidelines pooled it, 376 citations in OpenAlex.

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100 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

6 authors at 4 institutions in 2 countries.

Alison J YarnallAGE Research Group, Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK.
Avan A SayerAGE Research Group, Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK.
Andrew CleggAcademic Unit of Elderly Care & Rehabilitation, University of Leeds, Leeds, UK.
Kenneth RockwoodDivision of Geriatric Medicine, Department of Medicine, Dalhousie University, Halifax, Canada.
Stuart ParkerNIHR Newcastle Biomedical Research Centre, Newcastle upon Tyne Hospitals NHS Foundation Trust and Newcastle University, Newcastle upon Tyne, UK.
John V HindleSchool of Psychology, Bangor University, Bangor, UK.
Newcastle upon Tyne Hospitals NHS Foundation Trust · GBBetsi Cadwaladr University Health Board · GBDalhousie University · CAUniversity of Leeds · GB

Funding

Department of Health HS&DR/12/5003/02
6 · The paper itself

Abstract

The concept of multimorbidity has attracted growing interest over recent years, and more latterly with the publication of specific guidelines on multimorbidity by the National Institute for Health and Care Excellence (NICE). Increasingly it is recognised that this is of particular relevance to practitioners caring for older adults, where multimorbidity may be more complex due to the overlap of physical and mental health disorders, frailty and polypharmacy. The overlap of frailty and multimorbidity in particular is likely to be due to the widespread health deficit accumulation, leading in some cases to functional impairment. The NICE guidelines identify 'target groups' who may benefit from a tailored approach to care that takes their multimorbidity into account, and make a number of research recommendations. Management includes a proactive individualised assessment and care plan, which improves quality of life by reducing treatment burden, adverse events, and unplanned or uncoordinated care.

Indexed as

AgingMultimorbidityAgedAged, 80 and overAge FactorsFrail ElderlyFrailtyGeriatric AssessmentGeriatricsHumansLong-Term CareMental HealthNeurodegenerative DiseasesPolypharmacyQuality of Lifefrailtylong-term conditionsmultimorbidityolder people

Identifiers

PMID28985248
PMCPMC5860018
OpenAlexW2752126862

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.