Evidence map›Paper›PMID 41662853›Full record

ReviewThe Lancet. Public health2026

Rethinking health-care systems to tackle social isolation and frailty.

Fereshteh Mehrabi, Mary Louise Pomeroy, Emiel O Hoogendijk, Thomas K M Cudjoe, Mark Oremus, Karen Bandeen-Roche, Charity Oga-Omenka

Erratum issuedAbstract readReview
In one paragraph

Review in The Lancet. Public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Fereshteh MehrabiDepartment of Psychology, Concordia University, Montreal, QC, Canada.
Mary Louise PomeroyCenter for Equity in Aging, Johns Hopkins School of Nursing, Baltimore, MD, USA.
Emiel O HoogendijkDepartment of Epidemiology & Data Science, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam UMC, Amsterdam, Netherlands. Electronic address: e.hoogendijk@amsterdamumc.nl.
Thomas K M CudjoeDivision of Geriatric Medicine and Gerontology, School of Medicine, Johns Hopkins University, Baltimore, MD, USA; Center on Aging and Health, Johns Hopkins University, Baltimore, MD, USA.
Mark OremusSchool of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada.
Karen Bandeen-RocheDepartment of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; Center on Aging and Health, Johns Hopkins University, Baltimore, MD, USA.
Charity Oga-OmenkaSchool of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada.

Funding

Technological Assessment and Solutions Core - RC4P30AG021334 · NIA · JOHNS HOPKINS UNIVERSITY · PI Jeremy D Walston · 2003 to 2026
$33.2M
NIA NIH HHS P30 AG021334
6 · The paper itself

Abstract

Ageing populations face increasing burdens from frailty and social isolation, which are two inter-related public health challenges that increase the risk of dementia, hospitalisation, and mortality. Despite health systems' potential to intervene, the co-occurrence of frailty and social isolation remains overlooked in policy, research, and routine care, leading to fragmented and insufficient responses. Structural barriers (eg, cultural and linguistic obstacles, low health literacy, complex system navigation, financial constraints, geographical isolation, and care coordination) further limit access. In this Viewpoint, we highlight four priorities to address these challenges: (1) screening in primary and acute care; (2) integrated medical and social care; (3) social prescribing; and (4) equity-focused policy and research within ageing strategies. Coordinated and cross-sector action that addresses social determinants of health and embeds frailty prevention and social wellbeing as core health system functions is urgently needed to enable healthy ageing.

Indexed as

Delivery of Health CareFrail ElderlySocial IsolationAgedDelivery of Health Care, IntegratedHealth EquityHealth Services AccessibilityHumansPrimary Health CareSocial PrescribingSocial Support

Identifiers

PMID41662853
PMCPMC13159021

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.