Trial reportCanadian family physician Medecin de famille canadien1998
Prospective care of elderly patients in family practice. Is screening effective?
Trial report in Canadian family physician Medecin de famille canadien, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
7 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Community-based complex interventions to sustain independence in older people, stratified by frailty: a systematic review and network meta-analysis.Health technology assessment (Winchester, England) · 2024Pooled it
- Community based complex interventions to sustain independence in older people: systematic review and network meta-analysis.BMJ (Clinical research ed.) · 2024Pooled it
- Preventive home visits for mortality, morbidity, and institutionalization in older adults: a systematic review and meta-analysis.PloS one · 2014Pooled it
- Effectiveness of preventive primary care outreach interventions aimed at older people: meta-analysis of randomized controlled trials.Canadian family physician Medecin de famille canadien · 2005Pooled it
- Effect of preventive primary care outreach on health related quality of life among older adults at risk of functional decline: randomised controlled trial.BMJ (Clinical research ed.) · 2010Trial
- Effect of preventive home visits by a nurse on the outcomes of frail elderly people in the community: a randomized controlled trial.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2000Trial
- Interprofessional partnerships in chronic illness care: a conceptual model for measuring partnership effectiveness.International journal of integrated care · 2008Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate cost and benefits of screening for and treating health and lifestyle risks among community-dwelling elderly.
designRandomized controlled trial.
settingPrimary care.
participantsAn opportunistic and prompted sample of 619 rostered elderly patients presenting for treatment who screened positive.
interventionsOne third (209) of experimental subjects had screening questionnaires placed in their charts with concerns highlighted for referrals. Two control groups received usual care.
main outcome measuresYearly assessments of health service use and multidimensional functional capacity.
resultsOverall, screening and treatment of functionally active, elderly, middle-class people had no significant beneficial effect. Almost half of the experimental sample was ineligible because of treatment noncompliance. Generally ineligible subjects were older and more severely impaired. Subjects 75 years and older with risk factors showed improvement in daily living activities, and those living alone were found to have improved mental health and social functions (11% and 22%, respectively).
conclusionsScreening and treatment was ineffective in improving total functional capacity of all seniors 65 years and older. Elderly people 75 years and older, however, who were living alone or lonely did benefit from screening and treatment showing an improvement in daily activities, mental health scores, and social functions. This finding has implications for selective preventive health care spending for the elderly. A 2-year follow-up period could be too brief to detect long-term effects of early intervention with younger, middle-class seniors, especially those who are already functionally active.
Indexed as
Identifiers
9870121PMC2277795What OpenQuestion holds
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.