Evidence map›Paper›PMID 41019914›Full record

ArticleJournal of the American College of Emergency Physicians open2025

A Model for Developing Subspecialty Clinical Practice Guidelines: The Geriatric Emergency Department Guidelines 2.0.

Satheesh Gunaga, Christopher R Carpenter, Maura Kennedy, Lauren T Southerland, Alexander X Lo, Sangil Lee, Kirby Swan, Fabrice Mowbray, Rachel M Skains, Teresita M Hogan and 16 more

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Screening and Interventions for Elder Mistreatment: Geriatric Emergency Department Guidelines 2.0 Systematic Review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Pooled it
  2. A Systematic Review Evaluating Pain Assessment Strategies for Patients With Dementia in the Emergency Department: The Geriatric ED Guidelines 2.0.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Disposition at Equipoise: A Qualitative Study of Emergency Physicians' Decision-Making About Hospitalizing People With Dementia.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  8. 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

26 authors.

Satheesh GunagaDepartment of Emergency Medicine, Henry Ford Health, Wyandotte Hospital, Wyandotte, Michigan, USA.
Christopher R CarpenterDepartment of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Maura KennedyDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Lauren T SoutherlandDepartment of Emergency Medicine, The Ohio State University, Columbus, Ohio, USA.
Alexander X LoDepartment of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Sangil LeeDepartment of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Kirby SwanDepartment of Emergency Medicine, Henry Ford Health, Wyandotte Hospital, Wyandotte, Michigan, USA.
Fabrice MowbrayCollege of Nursing & College of Human Medicine, Michigan State University, East Lansing, Michigan, USA.
Rachel M SkainsDepartment of Emergency Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA; Geriatric Research, Education and Clinical Center, Birmingham VAMC, Birmingham, Alabama, USA.
Teresita M HoganSection of Emergency Medicine, Department of Medicine, University of Chicago Pritzker School of Medicine, Chicago, Illinois, USA.
Martin F CaseyDepartment of Emergency Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Kei OuchiDepartment of Emergency Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Naomi R GeorgeDepartment of Emergency Medicine, Division of Critical Care, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.
Kerstin de WitDepartment of Emergency Medicine, Queens University, Kingston, Ontario, Canada.
Cameron J GettelDepartment of Emergency Medicine, Yale University, New Haven, Connecticut, USA.
Katherine SelmanDepartment of Emergency Medicine, Cooper Medical School of Rowan University, Camden, New Jersey, USA.
Luna C RagsdaleDepartment of Emergency Medicine, Durham VA Health Care System, Durham, North Carolina, USA.
Anita N CharyDepartment of Emergency Medicine, Medicine-Section of Health Services Research, Baylor College of Medicine, Houston, Texas, USA.
James D van OppenCentre for Urgent and Emergency Care Research, University of Sheffield, Sheffield, United Kingdom.
Glenn ArendtsUniversity of Western Australia Medical School, Crawley, Western Australia, Australia.
Charles L MaddowDepartment of Emergency Medicine, University of Texas Health Science Center at Houston McGovern Medical School, Houston, Texas, USA.
Katherine M HunoldDepartment of Emergency Medicine, The Ohio State University, Columbus, Ohio, USA.
Katren R TylerDepartment of Emergency Medicine, University of California Davis School of Medicine, Sacramento, California, USA.
Danya KhoujahDepartment of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Ula HwangDepartment of Emergency Medicine, Yale University, New Haven, Connecticut, USA.
Shan LiuDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.

Funding

Growing the Geriatric Emergency care Applied Research (GEAR 1.1) network: Expanding and sustaining an emergency care aging study infrastructure.R33AG058926 · NIA · YALE UNIVERSITY · PI Ula Y Hwang, Daniella Meeker · 2020 to 2026
$4.6M
Risk Factors and Time Course of Incident Delirium Among Older Adults in the Emergency Department (ED)R03AG082923 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SKAINS, RACHEL MICHELLE · 2023 to 2024
$297k
NIA NIH HHS R03 AG082923NIA NIH HHS R33 AG058926
6 · The paper itself

Abstract

The original consensus-based Geriatric Emergency Department (GED) Guidelines, published in 2014, established a framework of core principles for delivering high-quality, age-appropriate emergency care for older adults. In response to significant advances in geriatric emergency medicine research and evolving clinical priorities, we developed the GED Guidelines 2.0 to ensure continued relevance, clinical utility, and evidence-based rigor. This concept paper describes the systematic and iterative process undertaken to update the guidelines, including the formation of multidisciplinary working groups and the application of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. Unlike the original GED Guidelines, our approach prioritized methodological transparency, formalized evidence grading, and consensus building grounded in systematic reviews and meta-analyses. We describe the identification, recruitment, and collaboration of multidisciplinary clinical and academic experts working together to improve the care of older adults in the emergency department. Through this multidisciplinary effort, key geriatric domains were selected, priority topics identified, and systematic reviews and meta-analyses conducted to generate a robust evidence base for future guideline and policy development. The GED Guidelines 2.0 represents the first emergency medicine (EM) subspecialty guideline effort to fully adopt the GRADE framework, offering a novel blueprint for future EM guideline development.

Indexed as

agedemergency medicineevidence-based medicinegeriatricshealth services for the agedpractice guidelines as topicprogram development

Identifiers

PMID41019914
PMCPMC12476112

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.