The DOI matches its Crossref record; 58 of the 59 references it cites were found in a registry or an index.
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.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“has been applied successfully beyond elderly care medicine (112, 113).”
From Frailty in elderly people (2013) · cites this paper as [113]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
2 retracted
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
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
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
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
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
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
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 1,161
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
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
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
Flagged first, then by citations
1 of the 59 references couldn’t be matched to a known paper.
Cited by
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
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
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
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
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
Metadata
- 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 › Medicine › Geriatrics and Gerontology › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
