ReviewHealth science reports2021
A systematic review of risk stratification tools internationally used in primary care settings.
Review in Health science reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07136168 (Healthy Ageing - an Interdisciplinary Randomised Study of Health Dialogues in Primary Care), which is not on this map. Cited by 33 papers, 5 of them syntheses 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.
Healthy Ageing - an Interdisciplinary Randomised Study of Health Dialogues in Primary Care
Who cites it
33 citing papers in PubMed, 5 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Medication Management Strategies at Hospital Admission: A Systematic Review and Meta-Analysis.Clinical and translational science · 2026Pooled it
- A scoping review of clinicalFrontiers in medicine · 2026Pooled it
- Mapping Healthcare Needs: A Systematic Review of Population Stratification Tools.Medical sciences (Basel, Switzerland) · 2025Pooled it
- Stratifying the population based on health risk: identification of patient key health risk factors through consensus techniques.BMC primary care · 2025Guideline
- Promising algorithms to perilous applications: a systematic review of risk stratification tools for predicting healthcare utilisation.BMJ health & care informatics · 2024Pooled it
- Population health management within the primary care context - scoping review.The European journal of general practice · 2026Article
- A Patient Panel Assignment Strategy to Balance Provider Workload in Family Medicine.Healthcare (Basel, Switzerland) · 2026Article
- The SUPREME Index for 30-day all-cause readmission: development and internal validation of a machine learning-based risk stratification index in community-dwelling adults.BMC medical informatics and decision making · 2026Article
- Feasibility of stratification of households based on health needs in Mugalur village, Anekal taluk-An exploratory study.Journal of family medicine and primary care · 2026Article
- Baseline Human Metabolic Profiling and Risk of Death from COVID-19: Conceptualization of Multivariate Prediction Model Development via Retrospective Database Analysis in the United States Department of Veterans Affairs.Journal of clinical medicine · 2026Article
- Predictive Utility of Cerebral Blood Flow Transients in Experimental Stroke.Translational stroke research · 2026Article
- Federated foundation models for psychiatry: a new paradigm for diagnosis, prognosis, and treatment of mood disorders.Frontiers in psychiatry · 2026Article
- Improving Overall Risk Ranking via Subgroup-Level Information Borrowing in Survival Risk Stratification.Statistics and its interface · 2026Article
- Volumetric Assessment of Perimesencephalic Subarachnoid Hemorrhage.Neurology and therapy · 2025Article
- Disentangling unobserved heterogeneity: Novel application of a statistical method to evaluate a multilevel healthcare intervention for hispanic individuals living on the United States-Mexico border with comorbid diabetes and hypertension.Preventive medicine reports · 2025Article
- Improving event prediction using general practitioner clinical judgement in a digital risk stratification model: a pilot study.BMC medical informatics and decision making · 2024Article
- Predicting population-level vulnerability among pregnant women using routinely collected data and the added relevance of self-reported data.European journal of public health · 2024Article
- Validity of the Johns Hopkins Adjusted Clinical Groups system on the utilisation of healthcare services in Norway: a retrospective cross-sectional study.BMC health services research · 2024Article
- Identifying individuals with complex and long-term health-care needs using the Johns Hopkins Adjusted Clinical Groups System: A comparison of data from primary and specialist health care.Scandinavian journal of public health · 2024Article
- From bedside-to-model: Designing clinical prediction rules for implementation.Journal of the American Geriatrics Society · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsIn our current healthcare situation, burden on healthcare services is increasing, with higher costs and increased utilization. Structured population health management has been developed as an approach to balance quality with increasing costs. This approach identifies sub-populations with comparable health risks, to tailor interventions for those that will benefit the most. Worldwide, the use of routine healthcare data extracted from electronic health registries for risk stratification approaches is increasing. Different risk stratification tools are used on different levels of the healthcare continuum. In this systematic literature review, we aimed to explore which tools are used in primary healthcare settings and assess their performance.
methodsWe performed a systematic literature review of studies applying risk stratification tools with health outcomes in primary care populations. Studies in Organisation for Economic Co-operation and Development countries published in English-language journals were included. Search engines were utilized with keywords, for example, "primary care," "risk stratification," and "model." Risk stratification tools were compared based on different measures: area under the curve (AUC) and C-statistics for dichotomous outcomes and
resultsThe search provided 4718 articles. Specific election criteria such as primary care populations, generic health utilization outcomes, and routinely collected data sources identified 61 articles, reporting on 31 different models. The three most frequently applied models were the Adjusted Clinical Groups (ACG, n = 23), the Charlson Comorbidity Index (CCI, n = 19), and the Hierarchical Condition Categories (HCC, n = 7). Most AUC and C-statistic values were above 0.7, with ACG showing slightly improved scores compared with the CCI and HCC (typically between 0.6 and 0.7).
conclusionBased on statistical performance, the validity of the ACG was the highest, followed by the CCI and the HCC. The ACG also appeared to be the most flexible, with the use of different international coding systems and measuring a wider variety of health outcomes.
Indexed as
Identifiers
What OpenQuestion holds
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.