Evidence map›Paper›PMID 39873689›Full record

GuidelineDeutsches Arzteblatt international2025

Clinical Practice Guideline: Comprehensive Geriatric Assessment in the Hospital.

Barbara Kumlehn, Simone Brefka, Thomas Kocar, Filippo Maria Verri, Rainer Wirth, Michael Denkinger

Abstract readPractice Guideline
In one paragraph

Guideline in Deutsches Arzteblatt international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. [Functional assessment and medication in older adults].Innere Medizin (Heidelberg, Germany) · 2026
    Article
  8. Observational
  9. Review
  10. Article
  11. [Preventing frailty and maintaining good health during aging].Innere Medizin (Heidelberg, Germany) · 2025
    Review
  12. 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

6 authors.

Barbara KumlehnInstitute for Geriatric Research, Ulm University Hospital, and Geriatric Center at AGAPLESION Bethesda Clinic at Ulm University, Ulm, Germany; Department of Geriatric Medicine and Early Rehabilitation, Marien Hospital Herne - University Hospital of Ruhr University Bochum, Herne, Germany.
Simone Brefka
Thomas Kocar
Filippo Maria Verri
Rainer Wirth
Michael Denkinger

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn increasing number of older people are being treated in German hospitals. In 2022, more than 35.7 million hospitalized patients in Germany were of age 65 or older. Comprehensive geriatric assessment (CGA) can help to structure and improve the diagnosis and treatment of these patients, many of whom suffer from multimorbidity.

methodsThe guideline group developed this guideline in accordance with the AWMF recommendations. Answers to questions were either evidence-based or consensus-based; the latter were established with a Delphi procedure followed by a consensus conference. The guideline was issued in May 2024.

resultsThe guideline contains twelve evidence-based and eight consensus-based recommendations and statements. The strongest evidence for the effectiveness of CGA was found in the wards for acute geriatric medicine, oncology, and orthopedics/trauma surgery, with weaker evidence from emergency departments and general surgery wards. Core elements of the guideline are the specification of a minimum duration of CGA (15 minutes), the definition of minimum requirements (six core dimensions: self-help ability, mobility, cognitive function/delirium, affect, nutrition, social situation), and setting-specific process recommendations. Specific screening instruments to identify patients who stand to benefit from CGA are recommended mainly in the oncological setting (G8 questionnaire).

conclusionThe German clinical practice guideline on CGA can serve as a guide to personalized geriatric medicine in the hospital. Further complex interventional studies are needed to evaluate the efficacy of CGA in other settings.

Indexed as

Geriatric AssessmentGeriatricsAgedAged, 80 and overEvidence-Based MedicineFemaleGermanyHumansMale

Identifiers

PMID39873689
PMCPMC12456062

What OpenQuestion holds

Textmetadata
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.