Evidence map›Paper›PMID 40490724›Full record

SynthesisBMC geriatrics2025

The effectiveness of comprehensive geriatric assessment intervention for older people in outpatient setting: a systematic review / meta-analysis.

Eka Dian Safitri, Respati Wulansari Ranakusuma, Natan Kevin Partogu Siagian, Jessica Marsigit, Siti Rizny Fitriana Saldi, Widyaningsih Widyaningsih, Rahmi Istanti, Muhammad Khifzhon Azwar, Risyad Abiyyu Siregar, Kuntjoro Harimurti and 1 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
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  6. 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

11 authors.

Eka Dian SafitriClinical Epidemiology and Evidence Based Medicine Unit dr. Cipto Mangunkusumo Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia. ed_safitri@yahoo.com.
Respati Wulansari RanakusumaClinical Epidemiology and Evidence Based Medicine Unit dr. Cipto Mangunkusumo Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Natan Kevin Partogu SiagianClinical Epidemiology and Evidence Based Medicine Unit dr. Cipto Mangunkusumo Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Jessica MarsigitInternal Medicine Department dr. Cipto Mangunkusumo Hospital-Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Siti Rizny Fitriana SaldiClinical Epidemiology and Evidence Based Medicine Unit dr. Cipto Mangunkusumo Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Widyaningsih WidyaningsihClinical Epidemiology and Evidence Based Medicine Unit dr. Cipto Mangunkusumo Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Rahmi IstantiClinical Epidemiology and Evidence Based Medicine Unit dr. Cipto Mangunkusumo Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Muhammad Khifzhon AzwarInternal Medicine Department dr. Cipto Mangunkusumo Hospital-Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Risyad Abiyyu SiregarClinical Epidemiology and Evidence Based Medicine Unit dr. Cipto Mangunkusumo Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Kuntjoro HarimurtiClinical Epidemiology and Evidence Based Medicine Unit dr. Cipto Mangunkusumo Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Siti SetiatiClinical Epidemiology and Evidence Based Medicine Unit dr. Cipto Mangunkusumo Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionComprehensive geriatric assessment (CGA) is a multidisciplinary diagnostic and treatment process that identifies a frail older person's medical, psychosocial, and functional limitations. The effectiveness of CGA in patients admitted to hospitals is well known, but it is still unclear whether those benefits translate to the outpatient setting. Therefore, this study aims to assess the effectiveness of CGA in the hospital outpatient setting.

methodsWe collected randomized clinical trials comparing CGA and usual care in the outpatient setting for older patients (aged 60 years and above). We used a combination of the keywords and their synonyms in several databases: PubMed, EMBASE Proquest, and the clinical trial registry. Risk of bias (RoB) assessment was done using RoB 2 from Cochrane. GRADE assessment for outcome mortality and hospitalization was also done.

resultWe found seven articles with a total of 3,254 subjects undergoing CGA in the outpatient clinic. The implementation of CGA is highly varied from center to center. Low-quality evidence demonstrated that CGA did not significantly affect all-cause mortality, patient satisfaction, hospitalization, functional status of basic and instrumental activities of daily living, cognitive, and cost. Very low-quality evidence showed favorable quality of life in CGA group at 3 and 12 months, as reported by individual studies. No difference was found in all studies relating to the risk of hospitalization.

conclusionCGA is a complex intervention and is highly dependent on context. Therefore, a robust conclusion is challenging to make due to the different practices and measurement tools used in the studies. Further research using a guideline for hospital outpatient CGA may be beneficial.

Indexed as

Ambulatory CareGeriatric AssessmentOutpatientsActivities of Daily LivingAgedHospitalizationHumansQuality of LifeRandomized Controlled Trials as TopicClinical improvementComprehensive geriatric assessmentOutpatient setting

Identifiers

PMID40490724
PMCPMC12147235

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.