Evidence map›Paper›PMID 42493464›Full record

ArticleGeriatrics & gerontology international2026

Advancing Geriatric Care in Japan: Integrating the 5Ms Framework With Comprehensive Geriatric Assessment for Enhanced Clinical Practice in a Super-Aged Society.

CGA and 5Ms Working Group of the Japan Geriatrics Society, Tomomichi Sakai, Taku Fujimoto, Yuji Yamada, Tatsuya Hosoi, Naoki Tomita, Hiroyuki Kadoya, Yumi Chiba, Mariko Otsuka, Akitoshi Hara and 12 more

Abstract read
In one paragraph

Article in Geriatrics & gerontology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

22 authors.

CGA and 5Ms Working Group of the Japan Geriatrics Society
Tomomichi SakaiCommunity Medicine Education Unit, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.ORCID https://orcid.org/0000-0003-4057-4247
Taku FujimotoDepartment of Geriatric and General Medicine, The University of Osaka Graduate School of Medicine, Suita, Japan.ORCID https://orcid.org/0009-0008-2503-3921
Yuji YamadaBrookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID https://orcid.org/0000-0002-5452-5334
Tatsuya HosoiDepartment of Geriatric Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Naoki TomitaDivision of Geriatric and Community Medicine, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Hiroyuki KadoyaDepartment of General Geriatric Medicine, Kawasaki Medical School, Kurashiki, Japan.
Yumi ChibaAdvanced Adult Nursing, Department of Nursing, Graduate School of Medicine, Yokohama City University, Yokohama, Japan.ORCID https://orcid.org/0000-0002-0915-9822
Mariko OtsukaNagano College of Nursing, Komagane, Japan.
Akitoshi HaraDepartment of Geriatric and General Medicine, The University of Osaka Graduate School of Medicine, Suita, Japan.
Hiroyasu AkatsuNational Center for Geriatrics and Gerontology, Obu, Japan.ORCID https://orcid.org/0000-0002-0089-6033
Kenji SekiguchiDepartment of Medicine, Omachi Municipal Hospital, Omachi, Japan.
Keisuke MaedaNutrition Therapy Support Center, Aichi Medical University Hospital, Nagakute, Japan.ORCID https://orcid.org/0000-0001-7132-7818
Ken ShinmuraDepartment of General Internal Medicine, Hyogo Medical University, Nishinomiya, Japan.
Katsutoshi FurukawaDivision of Geriatric and Community Medicine, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Satoru EbiharaDepartment of Rehabilitation Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.ORCID https://orcid.org/0000-0002-3574-649X
Soichiro ShimizuDepartment of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan.
Ken SugimotoDepartment of General Geriatric Medicine, Kawasaki Medical School, Kurashiki, Japan.ORCID https://orcid.org/0000-0001-6516-5998
Sumito OgawaDepartment of Geriatric Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.ORCID https://orcid.org/0000-0002-5935-276X
Hiroyuki UmegakiDepartment of Community Health and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan.ORCID https://orcid.org/0000-0003-2504-4133
Koichi KozakiDepartment of Geriatric Medicine, Kyorin University School of Medicine, Tokyo, Japan.
Koichi YamamotoDepartment of Geriatric and General Medicine, The University of Osaka Graduate School of Medicine, Suita, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundJapan faces unprecedented demographic challenges as the world's most rapidly aging country, with 29.4% of the population aged ≥ 65 (2025) and projections estimating 38% by 2065. While Comprehensive Geriatric Assessment (CGA) is the gold standard for geriatric care, its implementation in Japan remains limited to geriatric specialists, creating a significant gap in delivering optimal care to Japan's growing older adult population.

objectiveTo propose an integrated model that combines the 5Ms framework (Mind, Mobility, Medications, Multicomplexity, Matters Most) with CGA to enhance accessibility, practicality, and continuity of geriatric care in Japanese healthcare systems.

methodsThis position statement synthesizes evidence on CGA effectiveness and the educational and clinical utility of the 5Ms, evaluates cultural considerations in Japan, and proposes a three-tiered implementation model.

resultsThe integration of CGA and the 5Ms framework creates a tiered assessment continuum that adapts to clinical contexts, facilitates team-based care, and improves quality and continuity across settings. The model supports education, quality improvement, and culturally sensitive care planning.

conclusionsThe integration of the 5Ms and CGA offers a practical framework to formalize, connect, and strengthen geriatric care already being delivered across Japanese healthcare settings. The Japan Geriatrics Society supports this model as a guiding structure for phased implementation, workforce development, and ongoing evaluation to enhance the delivery of person-centered geriatric care in Japan.

Indexed as

Geriatric AssessmentGeriatricsHealth Services for the AgedAgedHumansJapan

Identifiers

PMID42493464
PMCPMC13395633

What OpenQuestion holds

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LicenceCC BY-NC
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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.