Evidence map›Paper›PMID 31011077›Full record

ArticleGeriatrics (Basel, Switzerland)2018

Frailty Screening and Case-Finding for Complex Chronic Conditions in Older Adults in Primary Care.

Linda Lee, Tejal Patel, Loretta M Hillier, Jason Locklin, James Milligan, John Pefanis, Andrew Costa, Joseph Lee, Karen Slonim, Lora Giangregorio and 3 more

Abstract read
In one paragraph

Article in Geriatrics (Basel, Switzerland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Instruments Measuring Self-Care and Self-Management of Chronic Conditions by Community-Dwelling Older Adults: A Scoping Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
    Article
  5. Article
  6. Article
  7. Geriatric Care Models.Geriatrics (Basel, Switzerland) · 2021
    Article
  8. Article
  9. 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

13 authors.

Linda LeeCentre for Family Medicine Family Health Team, Kitchener, ON N2G 1C5, Canada. lee.linda.lw@gmail.com.
Tejal PatelCentre for Family Medicine Family Health Team, Kitchener, ON N2G 1C5, Canada. t5patel@uwaterloo.ca.ORCID 0000-0003-3002-8306
Loretta M HillierGeriatric Education and Research in Aging Sciences (GERAS), Hamilton Health Sciences, Hamilton, ON L8M 1W9, Canada. lmhillier@rogers.com.
Jason LocklinCentre for Family Medicine Family Health Team, Kitchener, ON N2G 1C5, Canada. jason.locklin@family-medicine.ca.
James MilliganCentre for Family Medicine Family Health Team, Kitchener, ON N2G 1C5, Canada. james.milligan@medportal.ca.
John PefanisCentre for Family Medicine Family Health Team, Kitchener, ON N2G 1C5, Canada. john.pefanis@gmail.com.
Andrew CostaDepartments of Clinical Epidemiology & Biostatistics, and Medicine, McMaster University, Hamilton, ON L8S 4K1, Canada. acosta@mcmaster.ca.
Joseph LeeCentre for Family Medicine Family Health Team, Kitchener, ON N2G 1C5, Canada. joe.lee@family-medicine.ca.
Karen SlonimCentre for Family Medicine Family Health Team, Kitchener, ON N2G 1C5, Canada. karen.slonim@gmail.com.
Lora GiangregorioSchlegel-University of Waterloo Research Institute for Aging, University of Waterloo, Waterloo, ON N2J 0E2, Canada. lora.giangregorio@uwaterloo.ca.
Susan HunterSchool of Physical Therapy at Western University, London, ON N6G 1H1, Canada. smuir4@uwo.ca.
Heather KellerSchlegel-University of Waterloo Research Institute for Aging, University of Waterloo, Waterloo, ON N2J 0E2, Canada. hkeller@uwaterloo.ca.
Veronique BoscartSchlegel-University of Waterloo Research Institute for Aging, University of Waterloo, Waterloo, ON N2J 0E2, Canada. vboscart@conestogac.on.ca.

Funding

Canadian Mental Health Association Waterloo Wellington Dufferin NACenter for Family Medicine Family Health Team NAOntario Ministry of Health and Long-Term Care/Ontario Medical Association Medically Complex Patient Demonstration Project NA
6 · The paper itself

Abstract

With the aging population, escalating demand for seniors' care and limited specialist resources, new care delivery models are needed to improve capacity for primary health care for older adults. This paper describes the "C5-75" (Case-finding for Complex Chronic Conditions in Seniors 75+) program, an innovative care model aimed at identifying frailty and commonly associated geriatric conditions among older adults within a Canadian family practice setting and targeting interventions for identified conditions using a feasible, systematic, evidence-informed multi-disciplinary approach. We screen annually for frailty using gait speed and handgrip strength, screen for previously undiagnosed comorbid conditions, and offer frail older adults multi-faceted interventions that identify and address unrecognized medical and psychosocial needs. To date, we have assessed 965 older adults through this program; 14% were identified as frail based on gait speed alone, and 5% identified as frail based on gait speed with grip strength. The C5-75 program aims to re-conceptualize care from reactive interventions post-diagnosis for single disease states to a more proactive approach aimed at identifying older adults who are at highest risk of poor health outcomes, case-finding for unrecognized co-existing conditions, and targeting interventions to maintain health and well-being and potentially reduce vulnerability and health destabilization.

Indexed as

case-findingcomorbid conditionsfrailtyprimary carescreening

Identifiers

PMID31011077
PMCPMC6319211

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.