What is Comprehensive Geriatric Assessment (CGA)? An umbrella review
What is Comprehensive Geriatric Assessment (CGA)? An umbrella review
Background: Comprehensive Geriatric Assessment (CGA) is now the accepted gold standard for caring for frail older people in hospital. However, there is uncertainty about identifying and targeting suitable recipients and which patients benefit the most.
Objectives: our objectives were to describe the key elements, principal measures of outcome and the characteristics of the main beneficiaries of inpatient CGA.
Methods: we used the Joanna Briggs Institute umbrella review method. We searched for systematic reviews and meta-analyses describing CGA services for hospital inpatients in the Cochrane Database of Systematic Reviews, Database of Reviews of Effectiveness (DARE), MEDLINE and EMBASE and a range of other sources.
Results: we screened 1,010 titles and evaluated 419 abstracts for eligibility, 143 full articles for relevance and included 24 in a final quality and relevance check. Thirteen reviews, reported in 15 papers, were selected for review. The most widely used definition of CGA was: ‘a multidimensional, multidisciplinary process which identifies medical, social and functional needs, and the development of an integrated/co-ordinated care plan to meet those needs’. Key clinical outcomes included mortality, activities of daily living and dependency. The main beneficiaries were people ≥55 years in receipt of acute care. Frailty in CGA recipients and patient related outcomes were not usually reported.
Conclusions: we confirm a widely used definition of CGA. Key outcomes are death, disability and institutionalisation. The main beneficiaries in hospital are older people with acute illness. The presence of frailty has not been widely examined as a determinant of CGA outcome.
149-155
Parker, S.G.
2e84ded9-be65-47f4-b713-7aafc38af86e
McCue, P.
1b720f58-00e8-44fe-a839-24c7e202ef1b
Phelps, K.
ded097a9-c9ec-4edd-8e18-d0fb5a1777a3
McCleod, A.
ed83cc54-31e4-4e81-abbb-12c7331beea4
Arora, S.
8fc2108f-3766-45f3-ad95-37f15ce9f8e3
Nockels, K.
b164792d-840a-40f7-bcdd-e741586db620
Kennedy, S.
d78526a0-8c23-4c94-b25a-c0fa85025f5c
Roberts, H.
5ea688b1-ef7a-4173-9da0-26290e18f253
Conroy, S.
cf48104a-1618-4499-8e77-edcffdf39353
January 2018
Parker, S.G.
2e84ded9-be65-47f4-b713-7aafc38af86e
McCue, P.
1b720f58-00e8-44fe-a839-24c7e202ef1b
Phelps, K.
ded097a9-c9ec-4edd-8e18-d0fb5a1777a3
McCleod, A.
ed83cc54-31e4-4e81-abbb-12c7331beea4
Arora, S.
8fc2108f-3766-45f3-ad95-37f15ce9f8e3
Nockels, K.
b164792d-840a-40f7-bcdd-e741586db620
Kennedy, S.
d78526a0-8c23-4c94-b25a-c0fa85025f5c
Roberts, H.
5ea688b1-ef7a-4173-9da0-26290e18f253
Conroy, S.
cf48104a-1618-4499-8e77-edcffdf39353
Parker, S.G., McCue, P., Phelps, K., McCleod, A., Arora, S., Nockels, K., Kennedy, S., Roberts, H. and Conroy, S.
(2018)
What is Comprehensive Geriatric Assessment (CGA)? An umbrella review.
Age and Ageing, 47 (1), .
(doi:10.1093/ageing/afx166).
Abstract
Background: Comprehensive Geriatric Assessment (CGA) is now the accepted gold standard for caring for frail older people in hospital. However, there is uncertainty about identifying and targeting suitable recipients and which patients benefit the most.
Objectives: our objectives were to describe the key elements, principal measures of outcome and the characteristics of the main beneficiaries of inpatient CGA.
Methods: we used the Joanna Briggs Institute umbrella review method. We searched for systematic reviews and meta-analyses describing CGA services for hospital inpatients in the Cochrane Database of Systematic Reviews, Database of Reviews of Effectiveness (DARE), MEDLINE and EMBASE and a range of other sources.
Results: we screened 1,010 titles and evaluated 419 abstracts for eligibility, 143 full articles for relevance and included 24 in a final quality and relevance check. Thirteen reviews, reported in 15 papers, were selected for review. The most widely used definition of CGA was: ‘a multidimensional, multidisciplinary process which identifies medical, social and functional needs, and the development of an integrated/co-ordinated care plan to meet those needs’. Key clinical outcomes included mortality, activities of daily living and dependency. The main beneficiaries were people ≥55 years in receipt of acute care. Frailty in CGA recipients and patient related outcomes were not usually reported.
Conclusions: we confirm a widely used definition of CGA. Key outcomes are death, disability and institutionalisation. The main beneficiaries in hospital are older people with acute illness. The presence of frailty has not been widely examined as a determinant of CGA outcome.
Text
Pre print version umbrella review
- Accepted Manuscript
More information
Accepted/In Press date: 1 December 2017
e-pub ahead of print date: 14 December 2017
Published date: January 2018
Identifiers
Local EPrints ID: 416505
URI: http://eprints.soton.ac.uk/id/eprint/416505
ISSN: 0002-0729
PURE UUID: 2a3d8685-30de-4b8e-969e-b46e8cbc2bda
Catalogue record
Date deposited: 20 Dec 2017 17:30
Last modified: 11 May 2024 04:01
Export record
Altmetrics
Contributors
Author:
S.G. Parker
Author:
P. McCue
Author:
K. Phelps
Author:
A. McCleod
Author:
S. Arora
Author:
K. Nockels
Author:
S. Kennedy
Author:
S. Conroy
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics
