ArticleBMC geriatrics2018
The effectiveness of an integrated care pathway in geriatric rehabilitation among older patients with complex health problems and their informal caregivers: a prospective cohort study.
Article in BMC geriatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05527223 (Integrated Care with GP Participation for Older Persons in the Ambulatory Care Hub), which is not on this map. Cited by 19 papers, 1 of them a synthesis 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.
Integrated Care with GP Participation for Older Persons in the Ambulatory Care Hub: a Prospective Cohort Study of Clinical and Process Outcomes.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Can in-hospital or post discharge caregiver involvement increase functional performance of older patients? A systematic review.BMC geriatrics · 2020Pooled it
- Exploring perspectives of older adults and informal caregivers on physical activity during non-weight-bearing rehabilitation: a qualitative study.European geriatric medicine · 2026Article
- Current state of geriatric services in Georgia: education, policy gaps, and recommendations.Frontiers in public health · 2026Review
- Nurses as guardians of time: the hidden clinical value of continuous care in geriatrics.Frontiers in public health · 2026Review
- Article
- Models of Care for Older People: A Scoping Review.Journal of the American Geriatrics Society · 2025Article
- Building a pan-European network to bridge gaps in geriatric medicine education: the PROGRAMMING COST Action 21,122-a call for endorsement.European geriatric medicine · 2025Article
- Goal Setting for Participatory Person-Centered Geriatric Rehabilitation-From Function-Centered Rehabilitation towards Digitally Supported Personalized and Integrated Care for Older People.Journal of clinical medicine · 2024Review
- Factors influencing interprofessional collaboration in general and during multidisciplinary team meetings in long-term care and geriatric rehabilitation: a qualitative study.BMC medical education · 2024Article
- Multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): study protocol for a multicenter randomized controlled trial.BMC geriatrics · 2024Article
- Dilemmas and deliberations in managing the care trajectory of elderly patients with complex health needs: a single-case study.BMC health services research · 2022Article
- Outcomes of complex discharge planning in older adults with complex needs: a scoping review.The Journal of international medical research · 2022Article
- Bridging the Gap: A Mixed Methods Study Investigating Caregiver Integration for People with Geriatric Syndrome.International journal of integrated care · 2021Article
- Unpacking Healthcare Professionals' Work to Achieve Coherence in the Healthcare Journey of Elderly Patients: An Interview Study.Journal of multidisciplinary healthcare · 2021Article
- Practices of caregivers when evaluating the risk of falls in the admission of older adults to nursing homes.Dementia & neuropsychologia · 2020Article
- Elderly patients with complex health problems in the care trajectory: a qualitative case study.BMC health services research · 2020Article
- The Living Lab In Ageing and Long-Term Care: A Sustainable Model for Translational Research Improving Quality of Life, Quality of Care and Quality of Work.The journal of nutrition, health & aging · 2020Article
- Subjective well-being of geriatric patients during and after inpatient geriatric rehabilitation: a biopsychosocial prediction model.European geriatric medicine · 2019Article
- The Role of Nurses in Rehabilitation in Primary Health Care for Ageing Populations: A Secondary Analysis from a Scoping Review.SAGE open nursingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo improve continuity and coordination of care in geriatric rehabilitation, an integrated care pathway was developed and implemented in The Netherlands. The purpose of this study was to assess the effects of this pathway on patients and informal caregivers.
methodsTwo cohorts of patients and their informal caregivers were prospectively recruited before implementation of the pathway (2011-2012) and after implementation of the pathway (2013-2014). Primary outcome measures were dependence in activities of daily living in patients (KATZ-15) and self-rated burden among informal caregivers (SRB-VAS). Secondary outcome measures were the frequency of performing extended daily activities, social participation, psychological well-being, quality of life and discharge location (patients) and quality of life and objective care burden (informal caregivers). Outcomes were measured at baseline, after three and after nine months.
resultsNo effect was shown on the KATZ-15 after three and nine months. However, a larger percentage of patients were discharged home in the care pathway cohort (83% vs 58.1% after three months and 88.6% vs 67.4% after nine months; p = 0.004). Furthermore, after three months, patients from the care pathway cohort performed more extended daily activities (p = 0.014) and informal caregivers experienced a lower self-rated burden (p = 0.05). After nine months, these effects disappeared. No differences were found for the other outcome measures.
conclusionsDue to the positive effects of the integrated care pathway, we are inclined to recommend implementing the care pathway in regular care. To have longer lasting effects among patients and informal caregivers, we suggest actively disseminating information about the pathway to primary care providers who are currently still unaware of its content.
trial registrationISRCTN90000867 (date of registration: 07-04-2016).
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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.