Evidence map›Paper›PMID 42410280›Full record

Trial reportEuropean geriatric medicine2026

Effect of home-based comprehensive geriatric assessment on hospital days in multimorbid older adults: a randomized controlled trial (the GerMoT trial).

Karol Robert Biegus, Anna Saxne Jöud, Katarina Steen Carlsson, Anne Wissendorff Ekdahl

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European geriatric medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02923843 (Are Care Given by a Geriatric Hospital-Based Out Patient-Care Team Better Than Usual Care? - a Randomised Controlled Trial), which is not on this map. 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.

NCT02923843 nacompletednot on this map

Are Care Given by a Geriatric Hospital-Based Out Patient-Care Team Better Than Usual Care? - a Randomised Controlled Trial (The GerOP-Ca-trial)

TypeinterventionalSponsorRegion SkaneRan2016 to 2020Enrolled450ConditionsElderly, FrailArmsComprehensive Geriatric Assessment
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

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

4 authors.

Karol Robert BiegusDepartment of Geriatric Medicine, Helsingborg Hospital, Charlotte Yhléns Gata 10, 251 87, Helsingborg, Sweden. karol.biegus@med.lu.se.ORCID http://orcid.org/0000-0002-7924-1709
Anna Saxne JöudDepartment of Clinical Sciences, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0001-7192-4911
Katarina Steen CarlssonDepartment of Research, Development, Education and Innovation, Skåne University Hospital, Lund, Sweden.ORCID http://orcid.org/0000-0002-2325-5634
Anne Wissendorff EkdahlDepartment of Geriatric Medicine, Helsingborg Hospital, Charlotte Yhléns Gata 10, 251 87, Helsingborg, Sweden.ORCID http://orcid.org/0000-0001-8677-176X

Funding

Familjen Kamprads Stiftelse 20170077Stig and Ragna Gorthon Foundation 2017-81801
6 · The paper itself

Abstract

purposeTo determine whether Comprehensive Geriatric Assessment (CGA)-based healthcare, delivered by a mobile team over 24 months in patients' homes reduces hospital care or improves quality of life, physical performance, frailty, activities of daily living (ADL), or cognition and whether it reduces mortality or number of hospital admissions.

methodsPatients ≥ 75 years of age, with ≥ 3 visits to the Emergency Department in the last 18 months, with ≥ 3 diagnosed diseases, living in their own home and within the catchment area of the local hospital were invited to the study. Enrolled patients were randomized to either the intervention group, which received CGA-based healthcare by a geriatric mobile team in addition to usual healthcare, or a control group which received usual healthcare only.

results450 participants were randomised equally into the intervention and the control groups. The participant's mean age was 83 years (SD = 5.5) and 245 were female (54%). The mean number of days spent in hospital did not differ between the intervention and control groups after 24 months (16.2 and 17.6 days; P = 0.14) follow-up. There were also no differences in mortality, quality of life, frailty levels, or other health-related outcome measures.

conclusionThis study did not show any clinically relevant effect of home CGA-based healthcare delivering over 24 months on the outcomes measured. We question the quality of the intervention and speculate that lack of continuity and scarce team building could have contributed to the results.

trial registrationThe trial was registered at ClinicalTrials.gov in year 2016 with ID: NCT02923843.

Indexed as

Geriatric AssessmentHome Care ServicesHospitalizationLength of StayActivities of Daily LivingAgedAged, 80 and overFemaleFrail ElderlyHumansMaleMultimorbidityQuality of LifeComprehensive geriatric assessmentFrailtyHospitalisationMobile

Identifiers

PMID42410280
PMCPMC13562170

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Registered trials

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.