Evidence map›Paper›PMID 36782119›Full record

Trial reportBMC geriatrics2023

Local, collaborative, stepped, and personalized care management for older people with chronic diseases - results from the randomized controlled LoChro-trial.

Gloria Metzner, Lukas Maximilian Horstmeier, Jürgen Bengel, Eva Maria Bitzer, Elena Dreher, Fabian Frank, Anne Göhner, Bernhard Heimbach, Ines Himmelsbach, Klaus Kaier and 10 more

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. [Focusing on intersectorality-strategies and current research projects for the care of geriatric people].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024
    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

20 authors at 4 institutions in 1 country.

Gloria MetznerSection of Health Care Research and Rehabilitation Research, Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany. gloria.metzner@uniklinik-freiburg.de.
Lukas Maximilian HorstmeierSection of Health Care Research and Rehabilitation Research, Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany.
Jürgen BengelDepartment of Rehabilitation Psychology and Psychotherapy, University of Freiburg, Engelbergerstr. 41, 79085, Freiburg, Germany.
Eva Maria BitzerUniversity of Education Freiburg, Public Health and Health Education, Kunzenweg 21, 79117, Freiburg, Germany.
Elena DreherCenter for Geriatric Medicine and Gerontology, University Medical Center Freiburg, Faculty of Medicine and Medical Center, University of Freiburg, Lehener Str. 88, 79106, Freiburg, Germany.
Fabian FrankDepartment of Social Work, Protestant University of Applied Sciences Freiburg, Bugginger Straße 38, 79114, Freiburg, Germany.
Anne GöhnerCenter for Geriatric Medicine and Gerontology, University Medical Center Freiburg, Faculty of Medicine and Medical Center, University of Freiburg, Lehener Str. 88, 79106, Freiburg, Germany.
Bernhard HeimbachCenter for Geriatric Medicine and Gerontology, University Medical Center Freiburg, Faculty of Medicine and Medical Center, University of Freiburg, Lehener Str. 88, 79106, Freiburg, Germany.
Ines HimmelsbachCatholic University of Applied Sciences Freiburg, Karlstraße 63, 79104, Freiburg, Germany.
Klaus KaierInstitute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Zinkmattenstr. 6a, 79108, Freiburg, Germany.
Jasmin KiekertCatholic University of Applied Sciences Freiburg, Karlstraße 63, 79104, Freiburg, Germany.
Katharina KohlerCenter for Geriatric Medicine and Gerontology, University Medical Center Freiburg, Faculty of Medicine and Medical Center, University of Freiburg, Lehener Str. 88, 79106, Freiburg, Germany.
Katharina LaubnerDivision of Endocrinology and Diabetology, Department of Medicine II, University Medical Center Freiburg, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Lisa LyssenkoUniversity of Education Freiburg, Public Health and Health Education, Kunzenweg 21, 79117, Freiburg, Germany.
Andy MaunInstitute of General Practice / Family Medicine, Medical Center - University of Freiburg, Faculty of Medicine, Elsässer Str. 2m, 79110, Freiburg, Germany.
Christoph MaurerCenter for Geriatric Medicine and Gerontology, University Medical Center Freiburg, Faculty of Medicine and Medical Center, University of Freiburg, Lehener Str. 88, 79106, Freiburg, Germany.
Claudia SalmInstitute of General Practice / Family Medicine, Medical Center - University of Freiburg, Faculty of Medicine, Elsässer Str. 2m, 79110, Freiburg, Germany.
Jochen SeufertDivision of Endocrinology and Diabetology, Department of Medicine II, University Medical Center Freiburg, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Sebastian Voigt-RadloffSection of Health Care Research and Rehabilitation Research, Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany.
Erik Farin-GlattackerSection of Health Care Research and Rehabilitation Research, Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany.
University of Freiburg · DEUniversity Medical Center Freiburg · DECatholic University of Applied Sciences Freiburg · DEUniversity of Education Freiburg · DE

Funding

German Federal Ministry of Education and Research 01GL1703 A-C
6 · The paper itself

Abstract

backgroundIn the aging population of Western societies, an increasing number of older adults have multiple chronic diseases. As multifaceted health problems imply the involvement of several healthcare professionals, multimorbid older people frequently face a fragmentation of health care. Addressing these challenges, we developed a local, collaborative, stepped, and personalized care management approach (LoChro-Care) and evaluated its effectiveness.

methodsA two-group, parallel randomized controlled trial was conducted comparing LoChro-Care recipients (IG) to participants with usual care (CG). Patients aged 65 + with chronic conditions were recruited at inpatient and outpatient departments of the Medical Center, University of Freiburg. Participants were allocated using block randomization (n

resultsWe analyzed N = 491 participants (n

conclusionSupporting patients' self-management in coordinating their individual care network through LoChro-Care did not result in any significant effect on the primary and secondary outcomes. A decline of functional health and depressive symptoms was observed among all participants. Potential future intervention adaptations are discussed, such as a more active case management through direct referral to (in-)formal support, an earlier treatment initiation, and the consideration of specific sociodemographic factors in care management planning.

trial registrationGerman Clinical Trials Register (DRKS): DRKS00013904 (02.02.2018), https://drks.de/search/de/trial/DRKS00013904.

Indexed as

Delivery of Health CareQuality of LifeAgedCase ManagementChronic DiseaseFemaleHealth StatusHumansMaleCare managementChronic diseasesCollaborative careEvaluationInterventionMultimorbidityOlder adultsRandomized controlled trial

Identifiers

PMID36782119
PMCPMC9924193
OpenAlexW4320485079

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.