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Does comprehensive geriatric assessment (CGA) in an outpatient care setting affect the causes of death and the quality of palliative care? A subanalysis of the age-FIT study

Dahlqvist, Jenny; Ekdahl, Anne LU and Friedrichsen, Maria (2019) In European Geriatric Medicine 10(3). p.455-462
Abstract

Purpose: The purposes of this study were to retrospectively study whether comprehensive geriatric assessment (CGA) given to community-dwelling old patients with high health care usage has effects regarding: (1) the cause of death and (2) the quality of the provided palliative care when compared to patients without CGA-based care. Method: This study includes secondary data from a randomised controlled trial (RCT) with 382 participants that took place in the periods 2011–2013. The present study examines all electronical medical records (EMR) from the deceased patients in the original study regarding cause of death [intervention group (IG) N = 51/control group (CG) N = 66] and quality of palliative care (IG N = 33/CG N = 41). Descriptive... (More)

Purpose: The purposes of this study were to retrospectively study whether comprehensive geriatric assessment (CGA) given to community-dwelling old patients with high health care usage has effects regarding: (1) the cause of death and (2) the quality of the provided palliative care when compared to patients without CGA-based care. Method: This study includes secondary data from a randomised controlled trial (RCT) with 382 participants that took place in the periods 2011–2013. The present study examines all electronical medical records (EMR) from the deceased patients in the original study regarding cause of death [intervention group (IG) N = 51/control group (CG) N = 66] and quality of palliative care (IG N = 33/CG N = 41). Descriptive and comparative statistics were produced and the significance level was set at p < 0.05. Results: The causes of death in both groups were dominated by cardiovascular and cerebrovascular diseases with no statistical difference between the groups. Patients in the intervention group had a higher degree of support from specialised palliative care teams than had the control group (p = 0.01). Conclusion: The present study in an outpatient context cannot prove any effects of CGA on causes of death. The study shows that CGA in outpatient care means a higher rate of specialised palliative care, but the study cannot show any effects on the palliative quality parameters measured. Further studies with statistical power are needed.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cause of death, Comprehensive geriatric assessment, End of life, Mortality, Outpatient geriatric care, Palliative care
in
European Geriatric Medicine
volume
10
issue
3
pages
455 - 462
publisher
Elsevier Masson SAS
external identifiers
  • scopus:85065557057
ISSN
1878-7649
DOI
10.1007/s41999-019-00198-w
language
English
LU publication?
yes
id
e955b96c-c7ee-4a51-80b8-a980f26e0b93
date added to LUP
2019-05-22 20:46:23
date last changed
2019-06-19 04:13:23
@article{e955b96c-c7ee-4a51-80b8-a980f26e0b93,
  abstract     = {<p>Purpose: The purposes of this study were to retrospectively study whether comprehensive geriatric assessment (CGA) given to community-dwelling old patients with high health care usage has effects regarding: (1) the cause of death and (2) the quality of the provided palliative care when compared to patients without CGA-based care. Method: This study includes secondary data from a randomised controlled trial (RCT) with 382 participants that took place in the periods 2011–2013. The present study examines all electronical medical records (EMR) from the deceased patients in the original study regarding cause of death [intervention group (IG) N = 51/control group (CG) N = 66] and quality of palliative care (IG N = 33/CG N = 41). Descriptive and comparative statistics were produced and the significance level was set at p &lt; 0.05. Results: The causes of death in both groups were dominated by cardiovascular and cerebrovascular diseases with no statistical difference between the groups. Patients in the intervention group had a higher degree of support from specialised palliative care teams than had the control group (p = 0.01). Conclusion: The present study in an outpatient context cannot prove any effects of CGA on causes of death. The study shows that CGA in outpatient care means a higher rate of specialised palliative care, but the study cannot show any effects on the palliative quality parameters measured. Further studies with statistical power are needed.</p>},
  author       = {Dahlqvist, Jenny and Ekdahl, Anne and Friedrichsen, Maria},
  issn         = {1878-7649},
  keyword      = {Cause of death,Comprehensive geriatric assessment,End of life,Mortality,Outpatient geriatric care,Palliative care},
  language     = {eng},
  month        = {01},
  number       = {3},
  pages        = {455--462},
  publisher    = {Elsevier Masson SAS},
  series       = {European Geriatric Medicine},
  title        = {Does comprehensive geriatric assessment (CGA) in an outpatient care setting affect the causes of death and the quality of palliative care? A subanalysis of the age-FIT study},
  url          = {http://dx.doi.org/10.1007/s41999-019-00198-w},
  volume       = {10},
  year         = {2019},
}