Evidence map›Paper›PMID 34271859›Full record

ArticleBMC geriatrics2021

Assessing the perspective of well-being of older patients with multiple morbidities by using the LAVA tool - a person-centered approach.

B Wild, V S Wurmbach, F Böhlen, M K-P Kusch, H M Seidling, P Reich, M Hartmann, W E Haefeli, H C Friederich, J Slaets

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Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

B WildDepartment of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, 69120, Heidelberg, Germany. beate.wild@med.uni-heidelberg.de.
V S WurmbachDepartment of Clinical Pharmacology and Pharmacoepidemiology, Heidelberg University Hospital, 69120, Heidelberg, Germany.
F BöhlenDepartment of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, 69120, Heidelberg, Germany.
M K-P KuschDepartment of Clinical Pharmacology and Pharmacoepidemiology, Heidelberg University Hospital, 69120, Heidelberg, Germany.
H M SeidlingDepartment of Clinical Pharmacology and Pharmacoepidemiology, Heidelberg University Hospital, 69120, Heidelberg, Germany.
P ReichDepartment of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, 69120, Heidelberg, Germany.
M HartmannDepartment of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, 69120, Heidelberg, Germany.
W E HaefeliDepartment of Clinical Pharmacology and Pharmacoepidemiology, Heidelberg University Hospital, 69120, Heidelberg, Germany.
H C FriederichDepartment of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, 69120, Heidelberg, Germany.
J SlaetsDepartment of Internal Medicine, Univ Medical Center Groningen, University Groningen, Groningen, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder patients with multiple morbidities are a particularly vulnerable population that is likely to face complex medical decisions at some time in their lives. A patient-centered medical care fosters the inclusion of the patients' perspectives, priorities, and complaints into clinical decision making.

methodsThis article presents a short and non-normative assessment tool to capture the priorities and problems of older patients. The so-called LAVA ("Life and Vitality Assessment") tool was developed for practical use in seniors in the general population and for residents in nursing homes in order to gain more knowledge about the patients themselves as well as to facilitate access to the patients. The LAVA tool conceptualizes well-being from the perspectives of older individuals themselves rather than from the perspectives of outside individuals.

resultsThe LAVA tool is graphically presented and the assessment is explained in detail. Exemplarily, the outcomes of the assessments with the LAVA of three multimorbid older patients are presented and discussed. In each case, the assessment pointed out resources as well as at least one problem area, rated as very important by the patients themselves.

conclusionsThe LAVA tool is a short, non-normative, and useful approach that encapsulates the perspectives of well-being of multimorbid patients and gives insights into their resources and problem areas.

Indexed as

Nursing HomesPatient-Centered CareHumansMorbidityMultimorbidityGeriatric patientsMultimorbidityNormative assessmentPatient-centred carePatients’ needsPatients’ perspectivePatients’ prioritiesShared decision making

Identifiers

PMID34271859
PMCPMC8285789

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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.