Evidence map›Paper›PMID 37420187›Full record

SynthesisBMC geriatrics2023

Effectiveness of outpatient geriatric evaluation and management intervention on survival and nursing home admission: a systematic review and meta-analysis of randomized controlled trials.

Pei-Chia Yen, Yu-Tai Lo, Chih-Cheng Lai, Ching-Chi Lee, Ching-Ju Fang, Chia-Ming Chang, Yi-Ching Yang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. 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

7 authors.

Pei-Chia YenDepartment of Family Medicine, Kuo General Hospital, No.22, Sec.2, Min Sheng Road, West Central Dist, Tainan, 700, Taiwan.
Yu-Tai LoDepartment of Family Medicine, Kuo General Hospital, No.22, Sec.2, Min Sheng Road, West Central Dist, Tainan, 700, Taiwan. n105218@mail.hosp.ncku.edu.tw.
Chih-Cheng LaiDepartment of Internal Medicine, Chi-Mei Medical Center, No.901, Zhong Hua Road, Yongkang Dist, Tainan, 710, Taiwan.
Ching-Chi LeeClinical Medicine Research Centre, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng Li Road, North Dist, Tainan, 704, Taiwan.
Ching-Ju FangDepartment of Secretariat, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng Li Road, North Dist, Tainan, 704, Taiwan.
Chia-Ming ChangDepartment of Geriatrics and Gerontology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng Li Road, North Dist, Tainan, 704, Taiwan.
Yi-Ching YangDepartment of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng Li Road, North Dist, Tainan, 704, Taiwan.

Funding

National Cheng Kung University Hospital NCKUH-11103002National Health Research Institutes NHRI-11A1-CG-CO-04-2225-1
6 · The paper itself

Abstract

backgroundThe benefit of inpatient comprehensive geriatric assessment on patient survival and function has been demonstrated among frail older patients. However, the influence of outpatient geriatric evaluation and management (GEM) on clinical outcomes remains debated. This study aimed to update the research evidence detailing the effect of outpatient GEM on survival and nursing-home admission through a comparison with conventional care.

methodsCochrane Library, EMBASE, and MEDLINE databases were searched up to January 29th, 2022, to identify randomized controlled trials (RCTs) including older people over age 55 that compared outpatient GEM with conventional care on mortality (primary outcome) and nursing-home admission (secondary outcome) during a follow-up period of 12 to 36 months.

resultsNineteen reports from 11 studies that recruited 7,993 participants (mean age 70-83) were included. Overall, outpatient GEM significantly reduced mortality (risk ratio (RR) = 0.87, 95% confidence interval (CI) = 0.77-0.99, I

conclusionsOutpatient GEM led by a geriatrician with a multidisciplinary team improved overall survival, specifically during the 24-month follow-up period. This trivial effect was demonstrated in rates of nursing-home admission. Future research on outpatient GEM involving a larger cohort is warranted to corroborate our findings.

Indexed as

HospitalizationOutpatientsAgedAged, 80 and overHumansNursing HomesRandomized Controlled Trials as TopicSkilled Nursing FacilitiesGeriatric assessmentsMeta-analysisMortalityNursing homeOutpatients

Identifiers

PMID37420187
PMCPMC10329350

What OpenQuestion holds

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LicenceCC BY
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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.