Evidence map›Paper›PMID 29394887›Full record

ArticleBMC geriatrics2018

Standard set of health outcome measures for older persons.

Asangaedem Akpan, Charlotte Roberts, Karen Bandeen-Roche, Barbara Batty, Claudia Bausewein, Diane Bell, David Bramley, Julie Bynum, Ian D Cameron, Liang-Kung Chen and 21 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

86 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors.

Asangaedem AkpanDepartment of Medicine for the Elderly, Aintree University Hospital NHS Foundation Trust, Lower Lane, Liverpool, L9 7AL, UK. asan.akpan@aintree.nhs.uk.ORCID 0000-0002-1764-8669
Charlotte RobertsInternational Consortium on Health Outcomes Measurement, London, UK.
Karen Bandeen-RocheJohns Hopkins Bloomberg School of Public Health, Johns Hopkins Older Americans Independence Center, Baltimore, USA.
Barbara BattyOxfordshire Clinical Commissioning Group, Oxford, UK.
Claudia BauseweinLMU München, Munich University Hospital, Munich, Germany.
Diane BellCOBIC, London, UK.
David BramleyNHS England, London, UK.
Julie BynumThe Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, USA.
Ian D CameronJohn Walsh Centre for Rehabilitation Research, Sydney Medical School, University of Sydney, Sydney, Australia.
Liang-Kung ChenAgeing and Health Research Center, National Yang Ming University, Taipei, Taiwan.
Anne EkdahlSection of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
Arnold FertigCambridgeshire and Peterborough Clinical Commissioning Group, Cambridge, UK.
Tom GentryAgeUK, London, UK.
Marleen HarkesHavenziekenhuis, Rotterdam, Netherlands.
Donna HaslehurstOlder Person representative, Kingston, Canada.
Jonathon HopeNHS Digital, Leeds, UK.
Diana Rodriguez HurtadoInternal Medicine-Geriatrics, Faculty of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru.
Helen LyndonNHS England, London, UK.
Joanne LynnAltarum Institute, Ann Arbor, USA.
Mike MartinUniversity of Zurich, Zurich, Switzerland.
Ruthe IsdenAgeUK, London, UK.
Francesco Mattace RasoErasmus University Medical Center, Rotterdam, Netherlands.
Sheila ShaibuSigma Theta Tau International Honor Society of Nursing, Indiana, USA.
Jenny ShandUCL Partners, London, UK.
Cathie SherringtonThe George Institute for Global Health, University of Sydney, Sydney, Australia.
Samir SinhaDepartments of Medicine, Family and Community Medicine and the Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Canada.
Gill TurnerBritish Geriatrics Society, London, UK.
Nienke De VriesUniversity Nijmegen Medical Centre, Nijmegen, Netherlands.
George Jia-Chyi YiFamily caregiver, Taipei, Taiwan.
John YoungNHS England, London, UK.
Jay BanerjeeUniversity Hospitals of Leicester NHS Trust, Leicester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe International Consortium for Health Outcomes Measurement (ICHOM) was founded in 2012 to propose consensus-based measurement tools and documentation for different conditions and populations.This article describes how the ICHOM Older Person Working Group followed a consensus-driven modified Delphi technique to develop multiple global outcome measures in older persons. The standard set of outcome measures developed by this group will support the ability of healthcare systems to improve their care pathways and quality of care. An additional benefit will be the opportunity to compare variations in outcomes which encourages and supports learning between different health care systems that drives quality improvement. These outcome measures were not developed for use in research. They are aimed at non researchers in healthcare provision and those who pay for these services.

methodsA modified Delphi technique utilising a value based healthcare framework was applied by an international panel to arrive at consensus decisions.To inform the panel meetings, information was sought from literature reviews, longitudinal ageing surveys and a focus group.

resultsThe outcome measures developed and recommended were participation in decision making, autonomy and control, mood and emotional health, loneliness and isolation, pain, activities of daily living, frailty, time spent in hospital, overall survival, carer burden, polypharmacy, falls and place of death mapped to a three tier value based healthcare framework.

conclusionsThe first global health standard set of outcome measures in older persons has been developed to enable health care systems improve the quality of care provided to older persons.

Indexed as

Activities of Daily LivingDelphi TechniqueMobility LimitationAgedAged, 80 and overConsensusFemaleFocus GroupsHumansMaleOutcome Assessment, Health CareHealth outcomesOlder people

Identifiers

PMID29394887
PMCPMC5797357

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.