Evidence map›Paper›PMID 29608779›Full record

ArticleJournal of the American Geriatrics Society2018

Interdisciplinary Home Visits for Individuals with Advanced Parkinson's Disease and Related Disorders.

Jori Fleisher, William Barbosa, Meghan M Sweeney, Sarah E Oyler, Amy C Lemen, Arash Fazl, Mia Ko, Talia Meisel, Naomi Friede, Geraldine Dacpano and 3 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
4.8field-weighted citation impact, top 5% 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

39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Person-centred integrated care for people living with Parkinson's, Huntington's and Multiple Sclerosis: A systematic review.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
  5. Trial
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  12. Breaking barriers in Parkinson's care: the multidisciplinary team approach.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
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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

13 authors at 6 institutions in 1 country.

Jori FleisherSection of Movement Disorders, Department of Neurological Sciences, Rush Medical College, Rush Medical University, Chicago, Illinois.ORCID 0000-0001-5003-9091
William BarbosaMarlene and Paolo Fresco Institute for Parkinson's and Movement Disorders, NYU Langone Health, Department of Neurology, School of Medicine, New York University, New York, New York.
Meghan M SweeneyKaiser Permanente, Department of Palliative Care, Lafayette, Colorado.
Sarah E OylerMovement Disorders, Intermountain Medical Center, Murray, Utah.
Amy C LemenMarlene and Paolo Fresco Institute for Parkinson's and Movement Disorders, NYU Langone Health, Department of Neurology, School of Medicine, New York University, New York, New York.
Arash FazlMarlene and Paolo Fresco Institute for Parkinson's and Movement Disorders, NYU Langone Health, Department of Neurology, School of Medicine, New York University, New York, New York.
Mia KoAlbert Einstein Medical Center, Philadelphia, Pennsylvania.
Talia MeiselDownstate Medical Center College of Medicine, State University of New York, Brooklyn, New York.
Naomi FriedeMarlene and Paolo Fresco Institute for Parkinson's and Movement Disorders, NYU Langone Health, Department of Neurology, School of Medicine, New York University, New York, New York.
Geraldine DacpanoMarlene and Paolo Fresco Institute for Parkinson's and Movement Disorders, NYU Langone Health, Department of Neurology, School of Medicine, New York University, New York, New York.
Rebecca M GilbertMarlene and Paolo Fresco Institute for Parkinson's and Movement Disorders, NYU Langone Health, Department of Neurology, School of Medicine, New York University, New York, New York.
Alessandro Di RoccoMarlene and Paolo Fresco Institute for Parkinson's and Movement Disorders, NYU Langone Health, Department of Neurology, School of Medicine, New York University, New York, New York.
Joshua ChodoshDivision of Geriatric Medicine and Palliative Care, Department of Medicine, School of Medicine, New York University, New York, New York.
New York University · USEinstein Medical Center Philadelphia · USIntermountain Medical Center · USKaiser Permanente · USState University of New York · USVA NY Harbor Healthcare System · US

Funding

PSYCHOSOCIAL COREP30AG008051 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI WISNIEWSKI, THOMAS M · 1990 to 2019
$36.1M
Reaching the Most Vulnerable: A Novel Model of Care in Advanced Parkinson's DiseaseK23NS097615 · NINDS · RUSH UNIVERSITY MEDICAL CENTER · PI FLEISHER, JORI ERIN · 2017 to 2021
$921k
NIA NIH HHS P30 AG008051NINDS NIH HHS K23 NS097615NINDS NIH HHS L30 NS084235
6 · The paper itself

Abstract

Parkinson's disease (PD) is a complex, multisymptom, neurodegenerative disease affecting primarily older adults. With progression, many individuals become homebound and removed from coordinated, expert care, resulting in excess morbidity, mortality, and healthcare expenditures in acute care settings and institutions. Home visit care models have achieved the triple aim of improving individual and population health while reducing costs in many frail, community-dwelling geriatric cohorts. This study details a novel, interdisciplinary home visit program specifically designed for individuals with PD and related disorders and their family caregivers built upon best practice principles in the care of multimorbid older adults. At each quarterly home visit, a movement disorders-trained neurologist, social worker, and nurse work in parallel with the individual and caregiver to complete a history, physical, detailed medication reconciliation, psychosocial needs assessment, and home safety assessment. A comprehensive, person-centered plan is agreed upon, referrals to community resources are made, standardized documentation is shared, and follow-up communication is instituted. In the first 2 years, 272 visits were conducted with 85 individuals who represent one of the oldest, most disabled PD populations reported. Satisfaction with and retention in the program were high. This study represents the first translation of the success of interdisciplinary and home-based geriatric care models to a population with a specific neurological disease. Preliminary evidence supports the need for such programs in vulnerable populations. Future studies will prospectively assess person-centered outcomes, the effect of using telemedicine on sustainability, and cost effectiveness.

Indexed as

Home Care ServicesHouse CallsQuality of LifeAgedFemaleFrail ElderlyGeriatric AssessmentHomebound PersonsHumansIndependent LivingMaleNeurodegenerative DiseasesParkinson DiseasePatient Care TeamProgram EvaluationQuality Improvementhealth serviceshome visitsinterdisciplinaryneurologyParkinson's disease

Identifiers

PMID29608779
PMCPMC6105368
OpenAlexW2796005953

What OpenQuestion holds

Textmetadata
LicenceTDM
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.