Evidence map›Paper›PMID 39554285›Full record

ArticleJournal of general and family medicine2024

The characteristics of general practitioners and geriatricians who take overall responsibility for the care of older patients with multimorbidity.

Takuma Kimura, Shinji Matsumura, Masayoshi Hashimoto, Ken Shinmura

Abstract read
In one paragraph

Article in Journal of general and family medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Takuma KimuraDepartment of R&D Innovation for Home Care Medicine Tokyo Medical and Dental University School of Medicine Tokyo Japan.ORCID https://orcid.org/0009-0002-9318-6539
Shinji MatsumuraMatsumura Clinic Tokyo Japan.ORCID https://orcid.org/0000-0003-0324-5719
Masayoshi HashimotoDepartment of R&D Innovation for Home Care Medicine Tokyo Medical and Dental University School of Medicine Tokyo Japan.
Ken ShinmuraDepartment of General Internal Medicine Hyogo Medical University, School of Medicine Hyogo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Older patients with multimorbidity often seek care from multiple health care providers and visit several medical institutions. Having a primary care provider who takes overall responsibility for their care may be beneficial. We conducted a survey to identify the characteristics of general practitioners and geriatricians who frequently assume such responsibility for older patients with multimorbidity. Methods: In June 2022, we distributed by mail an anonymous questionnaire to 3300 family medicine specialists, primary care-certified physicians, and geriatric specialists in Japan. We used a four-point Likert-type scale to score items related to conditions and patient backgrounds that pose challenges in treatment, key clinical factors, and important clinical strategies. Modified Poisson regression was used to identify factors associated with frequently assuming overall responsibility for medical care. Results: Data from 746 physicians were included in the analysis. Factors associated with frequently assuming overall responsibility for medical care of older patients with multimorbidity included providing inpatient ward care (prevalence ratio [PR] 1.237, 95% CI 1.124-1.362), providing home medical care (PR 1.357, 95% CI 1.225-1.504), frequently treating patients over 90 years old (PR 2.043, 95% CI 1.258-3.318), and the overall score for clinical strategies (PR 1.021, 95% CI 1.010-1.033). Conclusions: General practitioners and geriatricians who frequently assume overall responsibility for the care of older patients with multimorbidity tend to engage significantly in ward and home medical care, often treat patients above 90 years, and employ numerous clinical strategies.

Indexed as

family medicine specialistsgeriatric specialistsmultimorbidityolder patientsprimary care‐certified physicians

Identifiers

PMID39554285
PMCPMC11565074

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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.