Evidence map›Paper›PMID 38045879›Full record

ArticleCanadian geriatrics journal : CGJ2023

Using Comprehensive Geriatric Assessment in Identifying Care Goals and Referral Services in a Frailty Intervention Clinic.

Reenika Aggarwal, Suraj Brar, Michael Goodstadt, Rachel Devitt, Sara Penny, Meena Ramachandran, Danielle Underwood, Chloe Farand Taylor

Abstract read
In one paragraph

Article in Canadian geriatrics journal : CGJ, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

8 authors.

Reenika AggarwalProvidence Healthcare, Unity Health Toronto, Toronto, ON.
Suraj BrarProvidence Healthcare, Unity Health Toronto, Toronto, ON.
Michael GoodstadtProvidence Healthcare, Unity Health Toronto, Toronto, ON.
Rachel DevittProvidence Healthcare, Unity Health Toronto, Toronto, ON.
Sara PennyProvidence Healthcare, Unity Health Toronto, Toronto, ON.
Meena RamachandranProvidence Healthcare, Unity Health Toronto, Toronto, ON.
Danielle UnderwoodProvidence Healthcare, Unity Health Toronto, Toronto, ON.
Chloe Farand TaylorProvidence Healthcare, Unity Health Toronto, Toronto, ON.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The proportion of older adults and frail adults in Canada is expected to rise significantly in upcoming years. Currently, a considerable number of older adults do not actively participate in developing their own care plans; prior research has indicated several benefits of patient engagement in this process. Thus, we conducted a mixed methods study that examined the prevalence of rehabilitation goals and identified these for 305 community dwelling older adults referred to a frailty intervention clinic utilizing Comprehensive Geriatric Assessment (CGA) between 2014 and 2018. Top patient concerns included mobility (84%), services, systems, and policies (51%), sensory functions and pain (50%), and self-care or domestic life (47%). The most common referrals or recommendations for patients included further follow-up with a physician or specialist (36%), referral to an onsite falls prevention clinic (31%), and medication modifications (31%). Based upon these findings, we recommend greater utilization of CGA within a team-based approach to improve patient care by allowing for greater collaboration and shared decision-making by health-care providers. Moreover, CGA can be an effective tool to meet the complex and unique health-care needs of frail patients while incorporating patient goals. This is vitally important considering the predicted growth in the population of frail and/or older patients, as well as the current challenges and shortfalls in meeting the health-care needs of this population.

Indexed as

comprehensive geriatric assessmentfrailtyhealth-care deliveryhealth-care needsolder adultsrehabilitation goals

Identifiers

PMID38045879
PMCPMC10684302

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.