Comprehensive geriatric assessment for older adults admitted to hospital: meta-analysis of randomised controlled trials
Open accessAbstract
OBJECTIVE: To evaluate the effectiveness of comprehensive geriatric assessment in hospital for older adults admitted as an emergency. SEARCH STRATEGY: We searched the EPOC Register, Cochrane's Controlled Trials Register, the Database of Abstracts of Reviews of Effects (DARE), Medline, Embase, CINAHL, AARP Ageline, and handsearched high yield journals. SELECTION CRITERIA: Randomised controlled trials of comprehensive geriatric assessment (whether by mobile teams or in designated wards) compared with usual care. Comprehensive geriatric assessment is a multidimensional interdisciplinary diagnostic process used to determine the medical, psychological, and functional capabilities of a frail elderly person to develop a coordinated and integrated plan for treatment and long term follow-up. DATA COLLECTION AND ANALYSIS: Three independent reviewers assessed eligibility and trial quality and extracted published data. Two additional reviewers moderated. RESULTS: Twenty two trials evaluating 10,315 participants in six countries were identified. For the primary outcome "living at home," patients who underwent comprehensive geriatric assessment were more likely to be alive and in their own homes at the end of scheduled follow-up (odds ratio 1.16 (95% confidence interval 1.05 to 1.28; P = 0.003; number needed to treat 33) at a median follow-up of 12 months versus 1.25 (1.11 to 1.42; P < 0.001; number needed to treat 17) at a median follow-up of six months) compared with patients who received general medical care. In addition, patients were less likely to be living in residential care (0.78, 0.69 to 0.88; P < 0.001). Subgroup interaction suggested differences between the subgroups "wards" and "teams" in favour of wards. Patients were also less likely to die or experience deterioration (0.76, 0.64 to 0.90; P = 0.001) and were more likely to experience improved cognition (standardised mean difference 0.08, 0.01 to 0.15; P = 0.02) in the comprehensive geriatric assessment group. CONCLUSIONS: Comprehensive geriatric assessment increases patients' likelihood of being alive and in their own homes after an emergency admission to hospital. This seems to be especially true for trials of wards designated for comprehensive geriatric assessment and is associated with a potential cost reduction compared with general medical care.
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Comprehensive geriatric assessment has been applied successfully beyond elderly care medicine.
“has been applied successfully beyond elderly care medicine (112, 113).”
From Frailty in elderly people (2013) · cites this paper as [113]
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Cameron, I. D., Handoll, H. H., FINNEGAN, T. P., Madhok, R., & Langhorne, P. (2001) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000106 · Cited by 171 · see citing works
Self-citationRetractedCameron, I. D., Handoll, H. H., FINNEGAN, T. P., Madhok, R., & Langhorne, P. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000106.pub2 · Cited by 24 · see citing works
Self-citationRetractedComprehensive geriatric assessment: a meta-analysis of controlled trials
Stuck, A. E., Siu, A. L., Wieland, G. D., Rubenstein, L. Z., & Adams, J. (1993) · The Lancet · doi:10.1016/0140-6736(93)92884-v · Cited by 1,974 · see citing works
Covinsky, K. E., Palmer, R. M., Fortinsky, R. H., Counsell, S. R., Stewart, A. L., Kresevic, D., Burant, C. J., & Landefeld, C. S. (2003) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2003.51152.x · Cited by 1,670 · see citing works
Evaluation of the Quality of Prognosis Studies in Systematic Reviews
Hayden, J. A., Côté, P., & Bombardier, C. (2006) · Annals of Internal Medicine · doi:10.7326/0003-4819-144-6-200603210-00010 · Cited by 1,452 · see citing works
Organised inpatient (stroke unit) care for stroke
Collaboratio, S. U. T. (2007) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000197.pub2 · Cited by 1,315 · see citing works
Comprehensive geriatric assessment for older adults admitted to hospital
Ellis, G., Whitehead, M. A., O’Neill, D. J., Langhorne, P., & Robinson, D. W. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006211.pub2 · Cited by 1,139 · see citing works
Self-citationEffect of 10 Days of Bed Rest on Skeletal Muscle in Healthy Older Adults
Kortebein, P., Ferrando, A., Lombeida, J., Wolfe, R., & Evans, W. J. (2007) · JAMA · doi:10.1001/jama.297.16.1772-b · Cited by 933 · see citing works
Effectiveness of a Geriatric Evaluation Unit
Rubenstein, L. Z., Josephson, K. R., Wieland, G. D., English, P. A., Sayre, J. A., & Kane, R. L. (1984) · New England Journal of Medicine · doi:10.1056/nejm198412273112604 · Cited by 900 · see citing works
Landefeld, C. S., Palmer, R. M., Kresevic, D. M., Fortinsky, R. H., & Kowal, J. (1995) · New England Journal of Medicine · doi:10.1056/nejm199505183322006 · Cited by 825 · see citing works
A Controlled Trial of Inpatient and Outpatient Geriatric Evaluation and Management
Cohen, H. J., Feussner, J. R., Weinberger, M., Carnes, M. L., Hamdy, R. C., Hsieh, F., Phibbs, C. S., Courtney, D. M., Lyles, K. W., May, C., et al. (2002) · New England Journal of Medicine · doi:10.1056/nejmsa010285 · Cited by 642 · see citing works
Rubenstein, L. Z., Stuck, A. E., Siu, A. L., & Wieland, D. (1991) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1991.tb05927.x · Cited by 597 · see citing works
Bachmann, S., Finger, C., Huss, A., Egger, M., Stuck, A. E., & Clough‐Gorr, K. M. (2010) · BMJ · doi:10.1136/bmj.c1718 · Cited by 542 · see citing works
Organised inpatient (stroke unit) care for stroke
Stroke Unit Trialists' Collaboration (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000197.pub3 · Cited by 506 · see citing works
A Randomized, Controlled Trial of a Geriatric Assessment Unit in a Community Rehabilitation Hospital
Applegate, W. B., Miller, S. T., Graney, M. J., Elam, J. T., Burns, R. A., & Akins, D. E. (1990) · New England Journal of Medicine · doi:10.1056/nejm199005313222205 · Cited by 416 · see citing works
Counsell, S. R., Holder, C. M., Liebenauer, L. L., Palmer, R. M., Fortinsky, R. H., Kresevic, D. M., Quinn, L. M., Allen, K. R., Covinsky, K. E., & Landefeld, C. S. (2000) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2000.tb03866.x · Cited by 406 · see citing works
Baztán, J. J., Suárez-García, F. M., López‐Arrieta, J., Rodríguez‐Mañas, L., & Rodríguez‐Artalejo, F. (2009) · BMJ · doi:10.1136/bmj.b50 · Cited by 393 · see citing works
Comprehensive geriatric assessment for older hospital patients
Ellis, G., & Langhorne, P. (2005) · British Medical Bulletin · doi:10.1093/bmb/ldh033 · Cited by 350 · see citing works
Self-citationMultidisciplinary rehabilitation for older people with hip fractures
Handoll, H. H., Cameron, I. D., Mak, J. C. S., & FINNEGAN, T. P. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007125.pub2 · Cited by 300 · see citing works
A Randomized Trial of Comprehensive Geriatric Assessment in the Care of Hospitalized Patients
Reuben, D. B., Borok, G. M., Wolde-Tsadik, G., Ershoff, D. H., Fishman, L. K., Ambrosini, V. L., Liu, Y., Rubenstein, L. Z., & Beck, J. C. (1995) · New England Journal of Medicine · doi:10.1056/nejm199505183322007 · Cited by 248 · see citing works
Craen, K. V., Braes, T., Wellens, N. I. H., Denhaerynck, K., Flamaing, J., Moons, P., Boonen, S., Gosset, C., Pétermans, J., & Milisen, K. (2009) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2009.02621.x · Cited by 236 · see citing works
Nikolaus, T. (1999) · Age and Ageing · doi:10.1093/ageing/28.6.543 · Cited by 225 · see citing works
Effect of a Geriatric Consultation Team on Functional Status of Elderly Hospitalized Patients
McVey, L. J., Becker, P. M., Saltz, C. C., Feussner, J. R., & Cohen, H. J. (1989) · Annals of Internal Medicine · doi:10.7326/0003-4819-110-1-79 · Cited by 210 · see citing works
Asplund, K., Gustafson, Y., Jacobsson, C., Bucht, G., Wåhlin, A., Peterson, J., Blom, J., & Ängquist, K. (2000) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2000.tb02626.x · Cited by 189 · see citing works
Saltvedt, I. T., Mo, E.-S. O., Fayers, P. M., Kaasa, S., & Sletvold, O. (2002) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2002.50202.x · Cited by 179 · see citing works
Cm, A. (1986) · JAMA · doi:10.1001/jama.255.19.2617 · Cited by 158 · see citing works
Multidisciplinary rehabilitation for older people with hip fractures
Handoll, H. H., Cameron, I. D., Mak, J. C. S., Panagoda, C. E., & FINNEGAN, T. P. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007125.pub3 · Cited by 154 · see citing works
Mudge, A., O'Rourke, P. K., & Denaro, C. P. (2010) · The Journals of Gerontology Series A · doi:10.1093/gerona/glq069 · Cited by 151 · see citing works
Effect of a geriatric consultation service on management of patients in an acute care hospital.
Hogan, D. B., Fox, R. A., Bw, B., & Mann, O. (1987) · Europe PMC (PubMed Central) · Cited by 133 · see citing works
Becker, P. M. (1987) · JAMA · doi:10.1001/jama.1987.03390170069030 · Cited by 121 · see citing works
Fretwell, M. D., Raymond, P. M., McGarvey, S. T., Owens, N. J., Traines, M., Silliman, R. A., & Mor, V. (1990) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1990.tb01368.x · Cited by 110 · see citing works
Covinsky, K. E., King, J. T., Quinn, L., Siddique, R. M., Palmer, R. M., Kresevic, D. M., Fortinsky, R. H., Kowal, J., & Landefeld, C. S. (1997) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1997.tb01478.x · Cited by 108 · see citing works
Inpatient Community‐Based Geriatric Assessment Reduces Subsequent Mortality
Thomas, D. R., Brahan, R., & Haywood, B. P. (1993) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1993.tb02040.x · Cited by 105 · see citing works
Winograd, C. H. (1993) · Archives of Internal Medicine · doi:10.1001/archinte.153.17.2017 · Cited by 103 · see citing works
Improving Functional Outcomes in Older Patients: Lessons from an Acute Care for Elders Unit
Covinsky, K. E., Palmer, R. M., Kresevic, D. M., Kahana, E. F., Counsell, S. R., Fortinsky, R. H., & Landefeld, C. S. (1998) · The Joint Commission Journal on Quality Improvement · doi:10.1016/s1070-3241(16)30362-5 · Cited by 86 · see citing works
Rockwood, K. (2004) · Age and Ageing · doi:10.1093/ageing/afh153 · Cited by 82 · see citing works
Harris, R. D., Chalmers, J. P., Henschke, P. J., Tonkin, A., Popplewell, P., Stewart, A., Radford, A. J., O'Brien, K. P., Bond, M. J., Harris, M. G., et al. (1991) · Australian and New Zealand Journal of Medicine · doi:10.1111/j.1445-5994.1991.tb00448.x · Cited by 78 · see citing works
Naughton, B. J., Moran, M., Feinglass, J. M., Falconer, J., & Williams, M. E. (1994) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1994.tb06207.x · Cited by 77 · see citing works
Kircher, T. T. J., Wormstall, H., Müller, P.-F., Schwärzler, F., Buchkremer, G., Wild, K., Hahn, J.-M., & Meisner, C. (2006) · Age and Ageing · doi:10.1093/ageing/afl102 · Cited by 77 · see citing works
Saltvedt, I. T., Spigset, O., Ruths, S., Fayers, P. M., Kaasa, S., & Sletvold, O. (2005) · European Journal of Clinical Pharmacology · doi:10.1007/s00228-005-0046-2 · Cited by 73 · see citing works
Impact of a Geriatric Consultation Team on Discharge Placement and Repeat Hospitalization
Saltz, C. C., McVey, L. J., Becker, P. M., Feussner, J. R., & Cohen, H. J. (1988) · The Gerontologist · doi:10.1093/geront/28.3.344 · Cited by 72 · see citing works
Is stroke unit care portable? A systematic review of the clinical trials
Langhorne, P., Dey, P., Woodman, M., Kalra, L., Wood-Dauphinée, S., Patel, N. M., & Hamrin, E. (2005) · Age and Ageing · doi:10.1093/ageing/afi038 · Cited by 62 · see citing works
Self-citationAcute care delivery for the geriatric patient: an innovative approach.
Collard, A. F., Bachman, S. S., & Beatrice, D. F. (1985) · PubMed · Cited by 57 · see citing works
Saltvedt, I. T., Saltnes, T., Mo, E.-S. O., Fayers, P. M., Kaasa, S., & Sletvold, O. (2004) · Aging Clinical and Experimental Research · doi:10.1007/bf03324555 · Cited by 56 · see citing works
Silliman, R. A., McGarvey, S. T., Raymond, P. M., & Fretwell, M. D. (1990) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1990.tb03546.x · Cited by 43 · see citing works
The Effect of Geriatrics Evaluation and Management on Nursing Home Use and Health Care Costs
Phibbs, C. S., Holty, J.-E. C., Goldstein, M. K., Garber, A. M., Wang, Y., Feussner, J. R., & Cohen, H. J. (2005) · Medical Care · doi:10.1097/01.mlr.0000188981.06522.e0 · Cited by 42 · see citing works
Cameron, I., Handoll, H. H., Finnegan, T., Madhok, R., & Langhorne, P. (2009) · ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) · Cited by 41 · see citing works
Self-citationObserving the process of care: a stroke unit, elderly care unit and general medical ward compared
Pound, P. (1999) · Age and Ageing · doi:10.1093/ageing/28.5.433 · Cited by 40 · see citing works
The Sepulveda GEU Study revisited: Long-term outcomes, use of services, and costs
Rubenstein, L. Z., Josephson, K. R., Harker, J. O., Miller, D. K., & Wieland, D. (1995) · Aging Clinical and Experimental Research · doi:10.1007/bf03324318 · Cited by 38 · see citing works
Randomised Trial of In-Hospital Geriatric Intervention: Impact on Function and Morale
Saltvedt, I. T., Jordhøy, M., Mo, E.-S. O., Fayers, P. M., Kaasa, S., & Sletvold, O. (2006) · Gerontology · doi:10.1159/000093654 · Cited by 36 · see citing works
Effectiveness of an inpatient geriatric service in a university hospital.
White, S. J., Powers, J., Knight, J., Harrell, D., Varnell, L., Vaughn, C., Brawner, D., & Burger, M. C. (1994) · PubMed · Cited by 23 · see citing works
Shamian, J., Clarfield, A. M., & MacLean, J. (1984) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1984.tb06299.x · Cited by 18 · see citing works
Miller, S. T., Applegate, W. B., Elam, J. T., & Graney, M. J. (1994) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1994.tb06066.x · Cited by 18 · see citing works
An innovative approach to geriatric acute care delivery: the Choate-Symmes experience.
Bachman, S. S., Af, C., Jn, G., Fountain, E., Tw, H., Kimball, B., & Melendy, K. (1987) · PubMed · Cited by 12 · see citing works
The Age Study: The Admission of Geriatric Patients Through Emergency
Powell, C., & Montgomery, P. R. (1990) · Age and Ageing · doi:10.1093/ageing/19.suppl_2.p21-d · Cited by 10 · see citing works
Pharmacy Care Programs and Clinical Outcomes—Reply
Taylor, A. J., Lee, J. K., & Grace, K. A. (2007) · JAMA · doi:10.1001/jama.297.16.1772-a · Cited by 9 · see citing works
Development and evaluation of a geriatric assessment unit in a community hospital.
Kay, G., MacTavish, M., Moffatt, C., & Lau, G. (1992) · PubMed · Cited by 8 · see citing works
Flagged first, then by citations
1 of the 59 references couldn’t be matched to a known paper.
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Sorted by citations
Clegg, A., Young, J., Iliffe, S., Rikkert, M. O., & Rockwood, K. (2013) · The Lancet · doi:10.1016/s0140-6736(12)62167-9 · Cited by 9,503 · see citing works
Wildiers, H. P. M. W., Heeren, P., Puts, M. T. E., Topinková, E., Janssen-Heijnen, M. L. G., Extermann, M., Falandry, C., Artz, A. S., Brain, E. G. C., Colloca, G. A., et al. (2014) · Journal of Clinical Oncology · doi:10.1200/jco.2013.54.8347 · Cited by 1,854 · see citing works
The World Health Organization (WHO) approach to healthy ageing
Rudnicka, E., Napierała, P., Podfigurna, A., Męczekalski, B., Smolarczyk, R., & Grymowicz, M. (2020) · Maturitas · doi:10.1016/j.maturitas.2020.05.018 · Cited by 1,750 · see citing works
Screening older cancer patients: first evaluation of the G-8 geriatric screening tool
Bellera, C. A., Rainfray, M., Mathoulin‐Pélissier, S., Mertens, C., Delva, F., Fonck, M., & Soubeyran, P. (2012) · Annals of Oncology · doi:10.1093/annonc/mdr587 · Cited by 1,144 · see citing works
The prevalence and outcomes of frailty in older cancer patients: a systematic review
Handforth, C., Clegg, A., Young, C., Simpkins, S., Seymour, M. T., Selby, P. J., & Young, J. (2015) · Annals of Oncology · doi:10.1093/annonc/mdu540 · Cited by 1,048 · see citing works
Macroeconomic implications of population ageing and selected policy responses
Bloom, D. E., Chatterji, S., Kowal, P., Lloyd-Sherlock, P., McKee, M., Rechel, B., Rosenberg, L., & Smith, J. P. (2015) · The Lancet · doi:10.1016/s0140-6736(14)61464-1 · Cited by 769 · see citing works
Frailty: An Emerging Public Health Priority
Cesari, M., Prince, M. J., Thiyagarajan, J. A., de Carvalho, I. A., Bernabei, R., Chan, P., Gutiérrez‐Robledo, L. M., Michel, J., Morley, J. E., Ong, P., et al. (2016) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2015.12.016 · Cited by 733 · see citing works
Turner, G., & Clegg, A. P. (2014) · Age and Ageing · doi:10.1093/ageing/afu138 · Cited by 677 · see citing works
What is Comprehensive Geriatric Assessment (CGA)? An umbrella review
Parker, S. G., McCue, P., Phelps, K., McCleod, A., Arora, S., Nockels, K., Kennedy, S., Roberts, H. C., & Conroy, S. (2017) · Age and Ageing · doi:10.1093/ageing/afx166 · Cited by 646 · see citing works
Hamaker, M. E., Jonker, J. M., de Rooij, S. E., Vos, A. G., Smorenburg, C. H., & Munster, B. C. V. (2012) · The Lancet Oncology · doi:10.1016/s1470-2045(12)70259-0 · Cited by 644 · see citing works
The Asia-Pacific Clinical Practice Guidelines for the Management of Frailty
Dent, E., Lien, C. T. C., Lim, W. S., Wong, W. C., Wong, C. H., Ng, T. P., Woo, J., Dong, B., de la Vega, S., Poi, P. J. H., et al. (2017) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2017.04.018 · Cited by 633 · see citing works
Prestmo, A., Hagen, G., Sletvold, O., Helbostad, J. L., Thingstad, P., Taraldsen, K., Lydersen, S., Halsteinli, V., Saltnes, T., Lamb, S. E., et al. (2015) · The Lancet · doi:10.1016/s0140-6736(14)62409-0 · Cited by 623 · see citing works
Hewitt, J., Carter, B., Vilches‐Moraga, A., Quinn, T. J., Braude, P., Verduri, A., Pearce, L. E., Stechman, M., Short, R., Price, A., et al. (2020) · The Lancet Public Health · doi:10.1016/s2468-2667(20)30146-8 · Cited by 622 · see citing works
Interventions for preventing delirium in hospitalised non-ICU patients
Siddiqi, N., Harrison, J. K., Clegg, A., Teale, E. A., Young, J., Taylor, J., & Simpkins, S. A. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005563.pub3 · Cited by 619 · see citing works
Towards a comprehensive public health response to population ageing
Beard, J., & Bloom, D. E. (2014) · The Lancet · doi:10.1016/s0140-6736(14)61461-6 · Cited by 578 · see citing works
Pilotto, A., Cella, A., Pilotto, A., Daragjati, J., Veronese, N., Musacchio, C., Mello, A. M., Logroscino, G., Padovani, A., Prete, C., et al. (2017) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2016.11.004 · Cited by 467 · see citing works
Postoperative cognitive dysfunction and dementia: what we need to know and do
Needham, M. J., Webb, C. E., & Bryden, D. C. (2017) · British Journal of Anaesthesia · doi:10.1093/bja/aex354 · Cited by 419 · see citing works
Multidimensional Frailty Score for the Prediction of Postoperative Mortality Risk
Kim, S., Han, H., Jung, H., Kim, K., Hwang, D. W., Kang, S., & Kim, C. (2014) · JAMA Surgery · doi:10.1001/jamasurg.2014.241 · Cited by 418 · see citing works
New horizons in multimorbidity in older adults
Yarnall, A. J., Sayer, A. A., Clegg, A. P., Rockwood, K. J., Parker, S. G., & Hindle, J. V. (2017) · Age and Ageing · doi:10.1093/ageing/afx150 · Cited by 361 · see citing works
Partridge, J. S. L., Harari, D., Martin, F. C., & Dhesi, J. K. (2013) · Anaesthesia · doi:10.1111/anae.12494 · Cited by 352 · see citing works
Use of Geriatric Assessment for Older Adults in the Oncology Setting: A Systematic Review
Puts, M. T. E., Hardt, J., Monette, J., Girre, V., Springall, E., & Alibhai, S. M. H. (2012) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djs285 · Cited by 335 · see citing works
Stortecky, S., Schoenenberger, A. W., Moser, A., Kalesan, B., Jüni, P., Carrel, T., Bischoff, S., Schoenenberger, C.-M., Stuck, A. E., Windecker, S., et al. (2012) · JACC: Cardiovascular Interventions · doi:10.1016/j.jcin.2012.02.012 · Cited by 332 · see citing works
Schoenenberger, A. W., Stortecky, S., Neumann, S., Moser, A., Juni, P., Carrel, T., Huber, C., Gandon, M., Bischoff, S., Schoenenberger, C.-M., et al. (2013) · European Heart Journal · doi:10.1093/eurheartj/ehs304 · Cited by 299 · see citing works
Cunha, A. I. L., Veronese, N., Borges, S. D. M., & Ricci, N. A. (2019) · Ageing Research Reviews · doi:10.1016/j.arr.2019.100960 · Cited by 291 · see citing works
Organizing integrated health-care services to meet older people’s needs
de Carvalho, I. A., Epping‐Jordan, J. E., Pot, A. M., Kelley, E., Toro, N., Thiyagarajan, J. A., & Beard, J. (2017) · Bulletin of the World Health Organization · doi:10.2471/blt.16.187617 · Cited by 284 · see citing works
Payne, R., Abel, G., Guthrie, B., & Mercer, S. W. (2013) · Canadian Medical Association Journal · doi:10.1503/cmaj.121349 · Cited by 282 · see citing works
Standard laboratory tests to identify older adults at increased risk of death
Howlett, S. E., Rockwood, M. R. H., Mitnitski, A., & Rockwood, K. J. (2014) · BMC Medicine · doi:10.1186/s12916-014-0171-9 · Cited by 269 · see citing works
Myles, P. S., Shulman, M. A., Heritier, S. R., Wallace, S. K. A., McIlroy, D. R., McCluskey, S. A., Sillar, I., & Forbes, A. B. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-015828 · Cited by 267 · see citing works
Frailty and Comprehensive Geriatric Assessment
Lee, H., Lee, E., & Jang, I. (2019) · Journal of Korean Medical Science · doi:10.3346/jkms.2020.35.e16 · Cited by 267 · see citing works
Kalsi, T., Babic-Illman, G., Ross, P. J., Maisey, N. R., Hughes, S. R., Fields, P. A., Martin, F. C., Wang, Y., & Harari, D. (2015) · British Journal of Cancer · doi:10.1038/bjc.2015.120 · Cited by 265 · see citing works
Reynish, E. L., Hapca, S. M., Souza, N. D., Cvoro, V., Donnan, P. T., & Guthrie, B. (2017) · BMC Medicine · doi:10.1186/s12916-017-0899-0 · Cited by 252 · see citing works
Hewitt, J., Long, S. J., Carter, B., Bach, S. P., McCarthy, K. L., & Clegg, A. P. (2018) · Age and Ageing · doi:10.1093/ageing/afy110 · Cited by 248 · see citing works
Álvarez-Nebreda, M. L., Bentov, N., Urman, R. D., Setia, S., Huang, J. C.-S., Pfeifer, K. J., Bennett, K. A., Ong, T. D., Richman, D. C., Gollapudi, D., et al. (2018) · Journal of Clinical Anesthesia · doi:10.1016/j.jclinane.2018.02.011 · Cited by 234 · see citing works
Frailty and chronic kidney disease: current evidence and continuing uncertainties
Nixon, A. C., Bampouras, T. M., Pendleton, N., Woywodt, A., Mitra, S., & Dhaygude, A. P. (2017) · Clinical Kidney Journal · doi:10.1093/ckj/sfx134 · Cited by 232 · see citing works
Mangin, D. A., Bahat, G., Golomb, B. A., Mallery, L. H., Moorhouse, P. A., Onder, G., Petrović, M., & Garfinkel, D. (2018) · Drugs & Aging · doi:10.1007/s40266-018-0554-2 · Cited by 228 · see citing works
Evans, S. J., Sayers, M., Mitnitski, A., & Rockwood, K. (2014) · Age and Ageing · doi:10.1093/ageing/aft156 · Cited by 219 · see citing works
Deschodt, M., Flamaing, J., Haentjens, P., Boonen, S., & Milisen, K. (2013) · BMC Medicine · doi:10.1186/1741-7015-11-48 · Cited by 214 · see citing works
Lund, C. M., Vistisen, K. K., Olsen, A. P., Bardal, P., Schultz, M., Dolin, T. G., Rønholt, F., Johansen, J. S., & Nielsen, D. L. (2021) · British Journal of Cancer · doi:10.1038/s41416-021-01367-0 · Cited by 209 · see citing works
Kenny, R. A., Coen, R. F., Frewen, J., Donoghue, O. A., Cronin, H., & Savva, G. M. (2013) · Journal of the American Geriatrics Society · doi:10.1111/jgs.12195 · Cited by 205 · see citing works
Kingston, A., Wohland, P., Wittenberg, R., Robinson, L. A., Brayne, C., Matthews, F. E., Jagger, C., Green, E., Gao, L., Barnes, R., et al. (2017) · The Lancet · doi:10.1016/s0140-6736(17)31575-1 · Cited by 192 · see citing works
Conroy, S., Ansari, K., Williams, M. A., Laithwaite, E., Teasdale, B., Dawson, J., Mason, S. M., & Banerjee, J. (2013) · Age and Ageing · doi:10.1093/ageing/aft087 · Cited by 187 · see citing works
Optimal management of elderly cancer patients: usefulness of the Comprehensive Geriatric Assessment
Paillaud, É., Caillet, P., Laurent, M., Bastuji‐Garin, S., Liuu, É., Lagrange, J., Culine, S., & Canouï‐Poitrine, F. (2014) · Clinical Interventions in Aging · doi:10.2147/cia.s57849 · Cited by 180 · see citing works
Understanding and improving multidisciplinary team working in geriatric medicine
Ellis, G., & Sevdalis, N. (2019) · Age and Ageing · doi:10.1093/ageing/afz021 · Cited by 180 · see citing works
Self-citationLisko, I., Kulmala, J., Annetorp, M., Ngandu, T., Mangialasche, F., & Kivipelto, M. (2020) · Journal of Internal Medicine · doi:10.1111/joim.13227 · Cited by 179 · see citing works
Comprehensive geriatric assessment in primary care: a systematic review
Garrard, J., Cox, N. J., Dodds, R. M., Roberts, H. C., & Sayer, A. A. (2019) · Aging Clinical and Experimental Research · doi:10.1007/s40520-019-01183-w · Cited by 175 · see citing works
Nordström, P., Gustafson, Y., Michaëlsson, K., & Nordström, A. (2015) · BMJ · doi:10.1136/bmj.h696 · Cited by 170 · see citing works
Meta-analyses: heterogeneity and subgroup analysis
Sedgwick, P. M. (2013) · BMJ · doi:10.1136/bmj.f4040 · Cited by 170 · see citing works
Frailty and its quantitative clinical evaluation
Moorhouse, P. A., & Rockwood, K. J. (2012) · The Journal of the Royal College of Physicians of Edinburgh · doi:10.4997/jrcpe.2012.412 · Cited by 168 · see citing works
Comprehensive geriatric assessment in the emergency department
Ellis, G., Marshall, T., & Ritchie, C. (2014) · Clinical Interventions in Aging · doi:10.2147/cia.s29662 · Cited by 166 · see citing works
Self-citationModified Frailty Index Predicts Morbidity and Mortality After Pancreaticoduodenectomy
Mogal, H., Vermilion, S. A., Dodson, R. M., Hsu, F., Howerton, R. M., Shen, P., & Clark, C. J. (2017) · Annals of Surgical Oncology · doi:10.1245/s10434-016-5715-0 · Cited by 165 · see citing works
Goldberg, S. E., Bradshaw, L. E., Kearney, F. C., Russell, C., Whittamore, K. H., Foster, P. E. R., Mamza, J., Gladman, J. R. F., Jones, R. G., Lewis, S. A., et al. (2013) · BMJ · doi:10.1136/bmj.f4132 · Cited by 156 · see citing works
Lems, W. F., Dreinhöfer, K., Bischoff-Ferrari, H. A., Blauth, M., Czerwinski, E. J., da Silva, J. A. P., Herrera, A., Hoffmeyer, P. J., Kvien, T. K., Maalouf, G., et al. (2016) · Annals of the Rheumatic Diseases · doi:10.1136/annrheumdis-2016-210289 · Cited by 154 · see citing works
Bell, M., Eriksson, L. I., Svensson, T., Hallqvist, L., Granath, F. N., Reilly, J. R., & Myles, P. S. (2019) · EClinicalMedicine · doi:10.1016/j.eclinm.2019.04.011 · Cited by 148 · see citing works
Kim, K., Park, K., Koo, K., Han, H., & Kim, C. (2012) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2012.09.002 · Cited by 146 · see citing works
Gregorevic, K. J., Hubbard, R. E., Katz, B., & Lim, W. K. (2016) · BMC Geriatrics · doi:10.1186/s12877-016-0292-4 · Cited by 139 · see citing works
Onder, G., Palmer, K., Navickas, R., Jurevičienė, E., Mammarella, F., Strandzheva, M., Mannucci, P., Pecorelli, S., & Marengoni, A. (2015) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2015.02.020 · Cited by 136 · see citing works
Comprehensive geriatric assessment for older adults
Stuck, A. E., & Iliffe, S. (2011) · BMJ · doi:10.1136/bmj.d6799 · Cited by 136 · see citing works
Strategies to reduce the risk of iatrogenic illness in complex older adults
Onder, G., van der Cammen, T. J. M., Petrović, M., Somers, A., & Rajkumar, C. (2013) · Age and Ageing · doi:10.1093/ageing/aft038 · Cited by 132 · see citing works
Ageing well: a review of sarcopenia and frailty
Keevil, V. L., & Romero‐Ortuño, R. (2015) · Proceedings of The Nutrition Society · doi:10.1017/s0029665115002037 · Cited by 129 · see citing works
Hogan, D. B., Maxwell, C. J., Afilalo, J., Arora, R. C., Bagshaw, S. M., Basran, J., Bergman, H., Bronskill, S. E., Carter, C., Dixon, E., et al. (2017) · Canadian Geriatrics Journal · doi:10.5770/cgj.20.240 · Cited by 129 · see citing works
Fried frailty phenotype assessment components as applied to geriatric inpatients
Szewieczek, J., Bieniek, J., & Wilczyński, K. (2016) · Clinical Interventions in Aging · doi:10.2147/cia.s101369 · Cited by 127 · see citing works
Lowthian, J. A., McGinnes, R., Brand, C. A., Barker, A. L., & Cameron, P. A. (2015) · Age and Ageing · doi:10.1093/ageing/afv102 · Cited by 126 · see citing works
Identification and management of frailty in the primary care setting
Abbasi, M., Rolfson, D. B., Khera, S., Dabravolskaj, J., Dent, E., & Xia, L. (2018) · Canadian Medical Association Journal · doi:10.1503/cmaj.171509 · Cited by 121 · see citing works
Barnes, D. E., Palmer, R. M., Kresevic, D. M., Fortinsky, R. H., Kowal, J., Chren, M., & Landefeld, C. S. (2012) · Health Affairs · doi:10.1377/hlthaff.2012.0142 · Cited by 118 · see citing works
Comparison of Frailty Screening Instruments in the Emergency Department
Ó’Caoimh, R., Costello, M. M., Small, C., Spooner, L., Flannery, A., O’Reilly, L., Heffernan, L., Mannion, E., Maughan, A., Joyce, A., et al. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16193626 · Cited by 117 · see citing works
The predictive properties of frailty-rating scales in the acute medical unit
Wou, F., Gladman, J. R. F., Bradshaw, L. E., Franklin, M. K., Edmans, J., & Conroy, S. (2013) · Age and Ageing · doi:10.1093/ageing/aft055 · Cited by 116 · see citing works
Systematic Review of Interdisciplinary Interventions in Nursing Homes
Nazir, A., Unroe, K. T., Tegeler, M., Khan, B. A., Azar, J., & Boustani, M. A. (2013) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2013.02.005 · Cited by 116 · see citing works
Interventions to Mobilize Elderly Patients and Reduce Length of Hospital Stay
Surkan, M., & Gibson, W. (2018) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2018.04.033 · Cited by 115 · see citing works
Deschodt, M., Devriendt, E., Sabbe, M. B., Knockaert, D. C., Deboutte, P., Boonen, S., Flamaing, J., & Milisen, K. (2015) · BMC Geriatrics · doi:10.1186/s12877-015-0055-7 · Cited by 113 · see citing works
Derivation of a frailty index from the interRAI acute care instrument
Hubbard, R. E., Peel, N. M., Samanta, M., Gray, L., Fries, B. E., Mitnitski, A., & Rockwood, K. J. (2015) · BMC Geriatrics · doi:10.1186/s12877-015-0026-z · Cited by 110 · see citing works
Taraldsen, K., Sletvold, O., Thingstad, P., Saltvedt, I. T., Granat, M. H., Lydersen, S., & Helbostad, J. L. (2013) · The Journals of Gerontology Series A · doi:10.1093/gerona/glt097 · Cited by 108 · see citing works
Hickman, L., Phillips, J. L., Newton, P. J., Halcomb, E., Abed, N. A. A., & Davidson, P. M. (2015) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2015.06.021 · Cited by 106 · see citing works
Sum, G., Nicholas, S. O., Nai, Z. L., Ding, Y. Y., & Tan, W. S. (2022) · BMC Geriatrics · doi:10.1186/s12877-022-03024-4 · Cited by 105 · see citing works
Frailty: understanding the difference between age and ageing
Gordon, E. H., & Hubbard, R. E. (2022) · Age and Ageing · doi:10.1093/ageing/afac185 · Cited by 105 · see citing works
Functional decline in older adults.
Colon-Emeric, C. S., Whitson, H. E., Pavon, J. M., & Hoenig, H. (2013) · PubMed · Cited by 104 · see citing works
Orthogeriatrics in the management of frail older patients with a fragility fracture
Sabharwal, S., & Wilson, H. (2015) · Osteoporosis International · doi:10.1007/s00198-015-3166-2 · Cited by 102 · see citing works
Evans, C., Ison, L., Ellis-Smith, C. I., Nicholson, C. J., Costa, A., Oluyase, A. O., Namisango, E., Bone, A. E., Brighton, L. J., Yi, D., et al. (2019) · Milbank Quarterly · doi:10.1111/1468-0009.12373 · Cited by 101 · see citing works
An examination of factors influencing delayed discharge of older people from hospital
Challis, D., Hughes, J., Xie, C., & Jolley, D. (2014) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.3983 · Cited by 100 · see citing works
Khan, A. A., Slart, R. H. J. A., Ali, D. S., Bock, O., CAREY, J. J., Camacho, P. M., Engelke, K., Erba, P. A., Harvey, N. C., Lems, W. F., et al. (2024) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2024.01.011 · Cited by 98 · see citing works
Olufajo, O. A., Tulebaev, S. R., Javedan, H., Gates, J. D., Wang, J., Duarte, M., Kelly, E., Lilley, E. J., Salim, A., & Cooper, Z. R. (2016) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2015.12.058 · Cited by 94 · see citing works
Comprehensive Geriatric Assessment and Transitional Care in Acutely Hospitalized Patients
Buurman, B. M., Parlevliet, J. L., Allore, H. G., Blok, W. L., van Deelen, B. A. J., van Charante, E. P. M., de Haan, R. J., & de Rooij, S. E. (2016) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2015.8042 · Cited by 92 · see citing works
So many options, where do we start? An overview of the care transitions literature
Kansagara, D. L., Chiovaro, J. C., Kagen, D., Jencks, S. F., Rhyne, K., O'Neil, M. E., Kondo, K. K., Relevo, R., Motu’apuaka, M. L., Freeman, M., et al. (2015) · Journal of Hospital Medicine · doi:10.1002/jhm.2502 · Cited by 86 · see citing works
Management of care transition and hospital discharge
Zurlo, A., & Zuliani, G. (2018) · Aging Clinical and Experimental Research · doi:10.1007/s40520-017-0885-6 · Cited by 85 · see citing works
Chen, Z., Ding, Z., Chen, C., Sun, Y., Jiang, Y., Liu, F., & Wang, S. (2021) · BMC Geriatrics · doi:10.1186/s12877-021-02319-2 · Cited by 84 · see citing works
Frailty in chronic kidney disease: challenges in nephrology practice. A review of current literature
Kennard, A. L., Glasgow, N., Rainsford, S., & Talaulikar, G. S. (2022) · Internal Medicine Journal · doi:10.1111/imj.15759 · Cited by 84 · see citing works
Changing the way “we” view and talk about frailty…
Nicholson, C., Gordon, A. L., & Tinker, A. (2016) · Age and Ageing · doi:10.1093/ageing/afw224 · Cited by 83 · see citing works
The Course of Geriatric Syndromes in Acutely Hospitalized Older Adults: The Hospital-ADL Study
van Seben, R., Reichardt, L. A., Aarden, J. J., van der Schaaf, M., van der Esch, M., Engelbert, R., Twisk, J. W. R., Bosch, J. A., Buurman, B. M., Kuper, I. M. J. A., et al. (2018) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2018.08.003 · Cited by 81 · see citing works
Romero‐Ortuño, R., & Soraghan, C. J. (2014) · BMJ Open · doi:10.1136/bmjopen-2014-006645 · Cited by 81 · see citing works
Edmans, J. A., Bradshaw, L. E., Franklin, M. K., Gladman, J. R. F., & Conroy, S. (2013) · BMJ · doi:10.1136/bmj.f5874 · Cited by 80 · see citing works
Prevalence and clinical impact of frailty in COPD: a systematic review and meta-analysis
Wang, L., Zhang, X., & Liu, X. (2023) · BMC Pulmonary Medicine · doi:10.1186/s12890-023-02454-z · Cited by 77 · see citing works
Frailty in geriatric head and neck cancer: A contemporary review
Noor, A., Gibb, C. L., Boase, S., Hodge, J.-C., Krishnan, S., & Foreman, A. (2018) · The Laryngoscope · doi:10.1002/lary.27339 · Cited by 77 · see citing works
Rosenberg, T. (2012) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2012.03965.x · Cited by 76 · see citing works
Suemoto, C. K., Ueda, P., Beltrán‐Sánchez, H., Lebrão, M. L., Duarte, Y. A. D. O., Wong, R., & Danaei, G. (2016) · The Journals of Gerontology Series A · doi:10.1093/gerona/glw166 · Cited by 76 · see citing works
Liuu, É., Canouï‐Poitrine, F., Tournigand, C., Laurent, M., Caillet, P., Thuaut, A. L., Vincent, H., Culine, S., Audureau, É., Bastuji‐Garin, S., et al. (2013) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2013.08.003 · Cited by 76 · see citing works
How to Implement a Geriatric Assessment in Your Clinical Practice
Sattar, S., Alibhai, S. M. H., Wildiers, H., & Puts, M. T. E. (2014) · The Oncologist · doi:10.1634/theoncologist.2014-0180 · Cited by 75 · see citing works
Nordström, P., Thorngren, K.-G., Hommel, A., Zidén, L., & Anttila, S. (2018) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2018.05.008 · Cited by 75 · see citing works
Decoster, L., Kenis, C., Puyvelde, K. V., Flamaing, J., Conings, G., Grève, J. D., Mets, T. F., Milisen, K., Lobelle, J. P., & Wildiers, H. P. M. W. (2013) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2013.04.010 · Cited by 75 · see citing works
Zou, C., Chen, S., Shen, J., Zheng, X., Wang, L., Guan, L., Liu, Q., & Yang, Y. (2018) · Clinical Interventions in Aging · doi:10.2147/cia.s170346 · Cited by 75 · see citing works
Braude, P., Goodman, A., Elias, T., Babic-Illman, G., Challacombe, B. J., Harari, D., & Dhesi, J. K. (2016) · British Journal of Urology · doi:10.1111/bju.13526 · Cited by 74 · see citing works
Jay, S., Whittaker, P. J., McIntosh, J., & Hadden, N. (2016) · Age and Ageing · doi:10.1093/ageing/afw231 · Cited by 74 · see citing works
- Authors
- Ellis, G., Whitehead, M. A., Robinson, D., O'Neill, D., & Langhorne, P.
- Affiliations
- Monklands Hospital (GB)
- Wishaw General Hospital (GB)
- St. James's Hospital (IE)
- University of Glasgow (GB)
- Corresponding author
- Ellis, G.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2011-10-27
- Volume
- 343
- Issue
- oct27 1
- Pages
- d6553-d6553
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC3203013
- OpenAlex
- W2095649880
- Cited by
- 1,068
- References
- 59
- Citations by year
- 2026: 31 · 2025: 23 · 2024: 55 · 2023: 52 · 2022: 60 · 2021: 77 · 2020: 70 · 2019: 89 · 2018: 101 · 2017: 106 · 2016: 99 · 2015: 89 · 2014: 73 · 2013: 80 · 2012: 59
- FWCI
- 5.70
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- BMJ (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion)
- BIBSYS Brage (BIBSYS (Norway)) (submittedVersion, cc-by-nc)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by-nc)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Keywords
- comprehensive geriatric assessment, older adults, emergency admissions, frailty, living at home, residential care, mortality, cognitive function, geriatric ward, multidisciplinary care, cost reduction, quality of life, functional capacity, long-term follow-up, nursing homes, nursing homes for older adults
- MeSH terms
- Aged, Emergencies, Hospitalization, Humans, Geriatric Assessment, Randomized Controlled Trials as Topic, Treatment Outcome
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