Evidence map›Paper›PMID 36626320›Full record

SynthesisAge and ageing2023

Effectiveness of outpatient geriatric rehabilitation after inpatient geriatric rehabilitation or hospitalisation: a systematic review and meta-analysis.

Astrid Preitschopf, Marije Holstege, Andrea Ligthart, Wim Groen, George Burchell, Margriet Pol, Bianca Buurman

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Age and ageing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

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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

7 authors.

Astrid PreitschopfDepartment of Medicine for Older People, Amsterdam UMC, location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0003-1640-7844
Marije HolstegeDepartment of Research GRZPLUS; Omring and Zorgcirkel, Hoorn, The Netherlands.
Andrea LigthartDepartment of Research GRZPLUS; Omring and Zorgcirkel, Hoorn, The Netherlands.
Wim GroenDepartment of Medicine for Older People, Amsterdam UMC, location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
George BurchellMedical Library, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Margriet PolDepartment of Medicine for Older People, Amsterdam UMC, location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Bianca BuurmanDepartment of Medicine for Older People, Amsterdam UMC, location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to the increasing number of older people with multi-morbidity, the demand for outpatient geriatric rehabilitation (OGR) will also increase.

objectiveTo assess the effects of OGR on the primary outcome functional performance (FP) and secondary outcomes: length of in-patient stay, re-admission rate, patients' and caregivers' quality of life, mortality and cost-effectiveness. We also aim to describe the organisation and content of OGR.

methodsSystematic review and meta-analysis. Five databases were queried from inception to July 2022. We selected randomised controlled trials written in English, focusing on multidisciplinary interventions related to OGR, included participants aged ≥65 and reported one of the main outcomes. A meta-analysis was performed on FP, patients' quality of life, length of stay and re-admissions. The structural, procedural and environmental aspects of OGR were systematically mapped.

resultsWe selected 24 studies involving 3,405 participants. The meta-analysis showed no significant effect on the primary outcome FP (activity). It demonstrated a significant effect of OGR on shortening length of in-patient stay (P = 0.03, MD = -2.41 days, 95%CI: [-4.61-0.22]). Frequently used elements of OGR are: inpatient start of OGR with an interdisciplinary rehabilitation team, close cooperation with primary care, an OGR coordinator, individual goal setting and education for both patient and caregiver.

conclusionThis review showed that OGR is as effective as usual care on FP activity. It shows low certainty of evidence for OGR being effective in reducing the length of inpatient stay. Further research is needed on the various frequently used elements of OGR.

Indexed as

OutpatientsQuality of LifeAgedHospitalizationHumansInpatientsfunctional performancelength of stayolder peopleoutpatient geriatric rehabilitationquality of lifere-admissionsystematic review

Identifiers

PMID36626320
PMCPMC9831263

What OpenQuestion holds

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LicenceCC BY-NC
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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.