Evidence map›Paper›PMID 40405172›Full record

ArticleBMC health services research2025

Feasibility and potential value of a local governmental frail check-up program for the risk assessment of long-term care in apparently healthy older citizens: a prospective study.

Yoji Nagai, Yasumasa Kakei, Tatsuo Kagimura, Shinsuke Kojima, Hisatomo Kowa, Tohmi Osaki, Ryoma Kayano, Yasuji Yamamoto

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2025. 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

8 authors.

Yoji NagaiDepartment of Clinical Research Facilitation, Institute for Advancement of Clinical and Translational Science, Kyoto University Hospital, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.
Yasumasa KakeiClinical & Translational Research Center, Kobe University Hospital, 7-5-2 Kusunoki-cho, Chuo- ku, Kobe, 650-0017, Japan. ykakei@med.kobe-u.ac.jp.
Tatsuo KagimuraTranslational Research Center for Medical Innovation, Foundation for Biomedical Research and Innovation, 1-5-4 Minatojima-minamimachi, Chuo-ku, Kobe, 650-0047, Japan.
Shinsuke KojimaTranslational Research Center for Medical Innovation, Foundation for Biomedical Research and Innovation, 1-5-4 Minatojima-minamimachi, Chuo-ku, Kobe, 650-0047, Japan.
Hisatomo KowaDivision of Cognitive and Psychiatric Rehabilitation, Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, 7-10-2 Tomogaoka-cho, Suma-ku, Kobe, 654-0142, Japan.
Tohmi OsakiFaculty of Rehabilitation, Kobe Gakuin University, 518 Arise, Ikawadani-cho, Nishi-ku, Kobe, 651-2180, Japan.
Ryoma KayanoWorld Health Organization Centre for Health Development (WHO Kobe Centre), I.H.D. Center Building 9 F, 1-5-1 Wakinohama-Kaigandori, Chuo-ku, Kobe, 651-0073, Japan.
Yasuji YamamotoDepartment of Biosignal Pathophysiology, Kobe University Graduate School of Medicine, 7-5- 2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.

Funding

WHO Centre for Health Development (WHO Kobe Centre) WKC: K18001World Health Organization 001
6 · The paper itself

Abstract

backgroundEarlier identification of individuals at risk of needing long-term care can increase the opportunities for preventive/therapeutic interventions, leading to a reduced social burden.

methodsWe examined the feasibility and potential value of a frailty check-up program implemented by the local government for risk assessment of long-term care needs in 1,528 apparently healthy older (aged 64/65 years) citizens in Kobe, Japan, between August 2017 and March 2018. The program comprised a questionnaire on general frailty (Comprehensive score) and evaluation of other frailty-related measures, cognitive function-related activities of daily living (Cognitive Function Instrument), and health-related quality of life (EQ-5D-5L). In March 2020, these measures were merged with data on long-term care or support certification, where the latter represented a condition requiring care for a certain period preceding long-term care needs.

resultsOverall, 15 citizens were certified as having long-term care needs and 38 as having long-term care or support needs. Using receiver operating characteristic curve analysis, certain measures, including the Comprehensive score and EQ-5D-5L, significantly predicted the incidence of long-term care or support needs.

conclusionsThe frailty checkup program conducted by the local government may be feasible and valuable for risk assessment of long-term care needs in apparently healthy older citizens.

Indexed as

Frail ElderlyFrailtyGeriatric AssessmentLong-Term CareActivities of Daily LivingAgedAged, 80 and overFeasibility StudiesFemaleHumansJapanMaleMiddle AgedProspective StudiesQuality of LifeRisk AssessmentAgingGeneral frailtyHealth check-upLocal governmental servicesLong-term care

Identifiers

PMID40405172
PMCPMC12096563

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LicenceCC BY
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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.