Evidence map›Paper›PMID 32180170›Full record

ReviewAging clinical and experimental research2020

Using the Multidimensional Prognostic Index (MPI) to improve cost-effectiveness of interventions in multimorbid frail older persons: results and final recommendations from the MPI_AGE European Project.

Alfonso J Cruz-Jentoft, Julia Daragjati, Laura Fratiglioni, Stefania Maggi, Arduino A Mangoni, Francesco Mattace-Raso, Marc Paccalin, Maria Cristina Polidori, Eva Topinkova, Luigi Ferrucci and 2 more

Open access · greenAbstract readReview
In one paragraph

Review in Aging clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

30 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
  2. The sound of longevity: music and technology for healthy ageing.Aging clinical and experimental research · 2026
    Review
  3. Article
  4. Article
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  6. Article
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  9. Review
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  13. Observational
  14. Review
  15. Review
  16. Article
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  18. Observational
  19. Multidimensional frailty and quality of life: data from the English Longitudinal Study of Ageing.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
  20. It Is Time for Senescience.Journal of clinical medicine · 2022
    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

12 authors at 9 institutions in 9 countries.

Alfonso J Cruz-JentoftServicio de Geriatría, Hospital Universitario Ramón y Cajal (IRYCIS), Madrid, Spain.
Julia DaragjatiGeriatrics Unit, San Antonio Hospital, Padua, Italy.
Laura FratiglioniAging Research Center, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet and Stockholm University, Stockholm, Sweden.
Stefania MaggiAging Section, National Research Council, Padua, Italy.
Arduino A MangoniDepartment of Clinical Pharmacology, College of Medicine and Public Health, Flinders Medical Centre, Flinders University, Adelaide, Australia.
Francesco Mattace-RasoErasmus University Medical Center, Rotterdam, The Netherlands.
Marc PaccalinGeriatrics Department, University Hospital Poitiers and Centre Investigation Clinique 1402, University of Poitiers, CHU Poitiers, INSERM, Poitiers, France.
Maria Cristina PolidoriAgeing Clinical Research, Dpt. II of Internal Medicine and Center of Molecular Medicine, University of Cologne Medical Faculty, Cologne, Germany.
Eva TopinkovaFirst Faculty of Medicine, Charles University, Prague, Czech Republic.
Luigi FerrucciNational Institute on Aging, Baltimore, MD, USA.
Alberto PilottoDepartment of Geriatric Care, Orthogeriatrics and Rehabilitation, E.O. Galliera Hospital, Mura delle Cappuccine 14, 16128, Genoa, Italy. alberto.pilotto@galliera.it.ORCID http://orcid.org/0000-0001-8967-1860
MPI_AGE Investigators
Flinders University · AUInserm · FRStockholm University · SECharles University · CZEnte Ospedaliero Ospedali Galliera · ITInstituto Ramón y Cajal de Investigación Sanitaria · ESNational Institute on Aging · USOspedale Sant Antonio · ITUniversity of Cologne · DE

Funding

Intramural NIH HHS Z99 AG999999
6 · The paper itself

Abstract

MPI_AGE is a European Union co-funded research project aimed to use the Multidimensional Prognostic Index (MPI), a validated Comprehensive Geriatric Assessment (CGA)-based prognostic tool, to develop predictive rules that guide clinical and management decisions in older people in different European countries. A series of international studies performed in different settings have shown that the MPI is useful to predict mortality and risk of hospitalization in community-dwelling older subjects at population level. Furthermore, studies performed in older people who underwent a CGA before admission to a nursing home or receiving homecare services showed that the MPI successfully identified groups of persons who could benefit, in terms of reduced mortality, of specific therapies such as statins in diabetes mellitus and coronary artery disease, anticoagulants in atrial fibrillation and antidementia drugs in cognitive decline. A prospective trial carried out in nine hospitals in Europe and Australia demonstrated that the MPI was able to predict not only in-hospital and long-term mortality, but also institutionalization, re-hospitalization and receiving homecare services during the one-year follow-up after hospital discharge. The project also explored the association between MPI and mortality in hospitalized older patients in need of complex procedures such as transcatheter aortic valve implantation or enteral tube feeding. Evidence from these studies has prompted the MPI_AGE Investigators to formulate recommendations for healthcare providers, policy makers and the general population which may help to improve the cost-effectiveness of appropriate health care interventions for older patients.

Indexed as

Frail ElderlyMultimorbidityAgedAged, 80 and overCost-Benefit AnalysisFemaleGeriatric AssessmentHospitalizationHumansIndependent LivingMalePrognosisProspective StudiesRisk FactorsComprehensive Geriatric AssessmentFrailtyMPI_AGEMultidimensional Prognostic IndexMultimorbidity

Identifiers

PMID32180170
PMCPMC12159427
OpenAlexW3010805442

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.