SynthesisBMJ open2018
Quality indicators for in-hospital geriatric co-management programmes: a systematic literature review and international Delphi study.
Synthesis in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Quality indicators for integrating oncology and home palliative care in Japan: modified Delphi study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Pooled it
- Strengthening tRansparent reporting of reseArch on uNfinished nursing CARE: The RANCARE guideline.Research in nursing & health · 2021Guideline
- Evaluation of Internal Medicine Physician or Multidisciplinary Team Comanagement of Surgical Patients and Clinical Outcomes: A Systematic Review and Meta-analysis.JAMA network open · 2020Pooled it
- Geriatric Models of Surgical Care: A Scoping Review.Journal of advanced nursing · 2026Article
- Optimization of care and recovery in older colorectal cancer surgery patients: a hybrid effectiveness-implementation pilot study protocol.Pilot and feasibility studies · 2026Article
- Challenges of Care Transition From Hospital to Home for Older Colorectal Surgery Patients: Surgeons' Perspectives.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Transforming vacant rural school buildings into age-friendly facilities under China's aging and low-fertility context: a natural language processing-based evaluation framework.BMC geriatrics · 2026Article
- Implementation and Outcomes of a Perioperative Geriatrics Strategy, PRIME, for Older Adults Undergoing Gastrointestinal Cancer Surgery.Current oncology (Toronto, Ont.) · 2025Article
- The surgeon's role in optimizing elective surgical care for older adults: Perspectives of outpatient geriatricians.Current problems in surgery · 2025Article
- Quality indicators for rural surgical and obstetrical care: A modified Delphi consensus study.PloS one · 2025Article
- [Cooperation of geriatrics and trauma surgery in certified geriatric trauma centers : Insights into different care models and the implementation of requirements resulting from certification].Zeitschrift fur Gerontologie und Geriatrie · 2024Article
- Development of a Clinical Prediction Rule for Adverse Events in Multimorbid Patients in Emergency and Hospitalisation.International journal of environmental research and public health · 2022Article
- Article
- How to implement geriatric co-management in your hospital? Insights from the G-COACH feasibility study.BMC geriatrics · 2022Article
- Selecting Performance Indicators and Targets in Health Care: An International Scoping Review and Standardized Process Framework.Risk management and healthcare policy · 2022Article
- Physiotherapy in nursing homes. A qualitative study of physiotherapists' views and experiences.BMC geriatrics · 2021Article
- Design and Evaluation of a Hospital-Based Educational Event on Fracture Care for Older Adult.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Consensus of the Liaison-Psychiatry Committee of the Colombian Psychiatric Association on the Diagnosis and Treatment of Delirium in the Context of the COVID-19 Pandemic.Revista Colombiana de psiquiatria · 2020Article
- Examining consensus for a standardised patient assessment in community paramedicine home visits: a RAND/UCLA-modified Delphi Study.BMJ open · 2019Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo find consensus on appropriate and feasible structure, process and outcome indicators for the evaluation of in-hospital geriatric co-management programmes.
designAn international two-round Delphi study based on a systematic literature review (searching databases, reference lists, prospective citations and trial registers).
settingWestern Europe and the USA.
participantsThirty-three people with at least 2 years of clinical experience in geriatric co-management were recruited. Twenty-eight experts (16 from the USA and 12 from Europe) participated in both Delphi rounds (85% response rate). MEASURES: Participants rated the indicators on a nine-point scale for their (1) appropriateness and (2) feasibility to use the indicator for the evaluation of geriatric co-management programmes. Indicators were considered appropriate and feasible based on a median score of seven or higher. Consensus was based on the level of agreement using the RAND/UCLA Appropriateness Method.
resultsIn the first round containing 37 indicators, there was consensus on 14 indicators. In the second round containing 44 indicators, there was consensus on 31 indicators (structure=8, process=7, outcome=16). Experts indicated that co-management should start within 24 hours of hospital admission using defined criteria for selecting appropriate patients. Programmes should focus on the prevention and management of geriatric syndromes and complications. Key areas for comprehensive geriatric assessment included cognition/delirium, functionality/mobility, falls, pain, medication and pressure ulcers. Key outcomes for evaluating the programme included length of stay, time to surgery and the incidence of complications.
conclusionThe indicators can be used to assess the performance of geriatric co-management programmes and identify areas for improvement. Furthermore, the indicators can be used to monitor the implementation and effect of these programmes.
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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.