Evidence map›Paper›PMID 34674471›Full record

ArticleEuropean geriatric medicine2018

Implementation of geriatric care models in Europe (imAGE.eu): a cross-sectional survey in eight countries.

Mieke Deschodt, Benoit Boland, Cecilia M Lund, Kai Saks, Venetia-Sofia Velonaki, Olafur Samuelsson, Sean Kennelly, Mark Anthony Vassallo, Gregor Veninšek, Johan Flamaing

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In one paragraph

Article in European geriatric medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Review
  5. Clinical and health-economic impact of orthogeriatric care models in Belgium: A population-based data registry study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Developing a Conceptual Framework for an Age-Friendly Health System: A Scoping Review.International journal of health policy and management · 2023
    Article
  11. Article
  12. Article
  13. Observational
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.

Mieke DeschodtGerontology and Geriatrics, Department of Chronic Diseases, Metabolism and Ageing, KU Leuven - University of Leuven, Herestraat 49, 3000, Leuven, Belgium. mieke.deschodt@kuleuven.be.ORCID http://orcid.org/0000-0003-1560-2277
Benoit BolandGeriatric Medicine, Cliniques Universitaires Saint-Luc & Research Institute of Health and Society, UCLouvain, Louvain-La-Neuve, Belgium.
Cecilia M LundDanish Geriatric Society & Herlev and Gentofte, Copenhagen University Hospital, Herlev Ringvej 75, 2730, Herlev, Denmark.
Kai SaksEstonian Association of Gerontology and Geriatrics (EGGA) & University of Tartu, Puusepa 8, L6027, 51014, Tartu, Estonia.
Venetia-Sofia VelonakiHellenic Association of Gerontology and Geriatrics (HAGG), Kaniggos 23, 106 77, Athens, Greece.
Olafur SamuelssonThe Icelandic Geriatrics Society & Landspitali University Hospital, Hringbraut 101, Reykjavík, Iceland.
Sean KennellyIrish Society of Physicians in Geriatric Medicine & Department of Age-related Healthcare, Tallaght University Hospital, Dublin, Ireland.ORCID http://orcid.org/0000-0002-3721-0197
Mark Anthony VassalloGeriatric Medicine Society of Malta & Telghet G'Mangia, Rehabilitation Hospital Karin Grech, Pietà, Malta.
Gregor VeninšekSlovene Geriatric Medicine Society & Geriatric Medicine Unit, Division of Internal Medicine, University Medical Centre Ljubljana, Vodnikova 62, 1000, Ljubljana, Slovenia.
Johan FlamaingGerontology and Geriatrics, Department of Chronic Diseases, Metabolism and Ageing, KU Leuven - University of Leuven, Herestraat 49, 3000, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDespite the beneficial impact of comprehensive geriatric assessment (CGA) for older patients in the hospital, it is not clear to what extent these models have been implemented in European hospitals. This study aims to map the implementation status of CGA-based models of care in general hospitals in Europe.

methodsA cross-sectional survey study was conducted in autumn 2017 to map the implementation status of CGA-based care models in general hospitals (n = 178) in Belgium, Denmark, Estonia, Greece, Iceland, Ireland, Malta, and Slovenia.

resultsAcute geriatric units are implemented in all of the Belgian and the majority of Danish hospitals, but are scarce in Malta, Estonia, Slovenia and Greece. Geriatric rehabilitation units are most common in Ireland (63.6%) and Iceland (75%). In-hospital multidisciplinary geriatric consultation teams are widely implemented in Belgium (100%), Ireland (72.7%) and Denmark (59.1%), but are rare in Malta, Iceland, Estonia and Greece. Transitional care programs to ensure continuity of care after discharge are present in 60.1% of all hospitals. The intention to implement any of these care models in the next 5 years ranges from 10.3 to 25.4% and is the highest for co-management (36.5%), systematic screening of ED patients (36.2%) and transitional care programs (29.6%).

conclusionsA great variety in the implementation of CGA-based care models was observed among the surveyed EU countries with the uptake being the highest in Belgium, Denmark and Ireland. A supportive legislative framework and a residency training in geriatrics favor the implementation of the geriatric care models.

Indexed as

Comprehensive geriatric assessmentImplementationModels of careSurvey

Identifiers

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Registered trials

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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.