Evidence map›Paper›PMID 31360661›Full record

ArticleTranslational medicine @ UniSa

Integrated Care Models for Managing and Preventing Frailty: A Systematic Review for the European Joint Action on Frailty Prevention (ADVANTAGE JA).

A Hendry, E Vanhecke, A M Carriazo, L López-Samaniego, J M Espinosa, D Sezgin, M O'Donovan, T Hammar, P Ferry, A Vella and 8 more

Abstract read
In one paragraph

Article in Translational medicine @ UniSa. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing 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

34 citing papers in PubMed.

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  9. Article
  10. Review
  11. Article
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  13. Article
  14. Frailty in an Adult Acute Hospital Population: Predictors, Prevalence, and Outcomes.International journal of environmental research and public health · 2024
    Article
  15. Article
  16. Review
  17. Article
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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

18 authors.

A HendryNHS Lanarkshire, United Kingdom.
E VanheckeMinistry of Health and Social Affairs, France.
A M CarriazoConsejeria de Salud de la Junta de Andalucia, Sevilla, Spain.
L López-SamaniegoFundación Progreso y Salud, Consejería de Salud de la Junta de Andalucía, Sevilla, Spain.
J M EspinosaServicio Andaluz de Salud, Sevilla, Spain.
D SezginClinical Sciences Institute, National University of Ireland, Galway, Galway City, Ireland.
M O'DonovanClinical Sciences Institute, National University of Ireland, Galway, Galway City, Ireland.
T HammarNational Institute for Health and Welfare, Finland, Helsinki, Finland.
P FerryMinistry for the Family and Social Solidarity, Malta.
A VellaMinistry for the Family and Social Solidarity, Malta.
O A BacaicoaCentro de Excelencia en Investigación en Cronicidad (KRONIKGUNE), Barakaldo, Spain.
M BragaAgenzia Nazionale per i Servizi Sanitari Regionali, Italy.
M CiutanScoala Nationala de Sanatate Publica, Management si Perfectionare in Domeniul Sanitar, Bucharest, Romania.
A VelivasiSociety of Psychosocial Research and Intervention. Ioannina, Greece.
M Lamprini KoulaSociety of Psychosocial Research and Intervention. Ioannina, Greece.
J Van der HeydenSciensano, Brussels, Belgium.
A LiewClinical Sciences Institute, National University of Ireland, Galway, Galway City, Ireland.
R O'CaoimhClinical Sciences Institute, National University of Ireland, Galway, Galway City, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Frailty requires concerted integrated approaches to prevent functional decline. Although there is evidence that integrating care is effective for older people, there is insufficient data on outcomes from studies implementing integrated care to prevent and manage frailty. We systematically searched PubMed and Cochrane Library database for peer-reviewed medical literature on models of care for frailty, published from 2002 to 2017. We considered the effective and transferable components of the models of care and evidence of economic impact, where available. Information on European Union-funded projects or those registered with the European Innovation Partnership on Active and Healthy Ageing, and grey literature (including good practices) were also considered. We found 1,065 potential citations and 170 relevant abstracts. After excluding reports on specific diseases, processes or interventions and service models that did not report data, 42 full papers met the inclusion criteria. The evidence showed that few models of integrated care were specifically designed to prevent and tackle frailty in the community and at the interface between primary and secondary (hospital) care. Current evidence supports the case for a more holistic and salutogenic response to frailty, blending a chronic care approach with education, enablement and rehabilitation to optimise function, particularly at times of a sudden deterioration in health, or when transitioning between home, hospital or care home. In all care settings, these approaches should be supported by comprehensive assessment and multidimensional interventions tailored to modifiable physical, psychological, cognitive and social factors.

Indexed as

Frailtyintegrated caremodels of caresystematic review

Identifiers

PMID31360661
PMCPMC6581495

What OpenQuestion holds

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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.