Evidence map›Paper›PMID 40377819›Full record

Trial reportAging clinical and experimental research2025

The role of comprehensive geriatric assessment in older patients affected by knee osteoarthritis: an exploratory randomized controlled trial.

Nicola Veronese, Anna Fazzari, Eleonora Santangelo, Candela Iommi, Pinar Soysal, Carlo Custodero, Lena Pickert, Maria Cristina Polidori, Nicoleta Stolniceanu, Helena Michalkova and 3 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Aging clinical and experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05659979 (The Role of Comprehensive Geriatric Assessment in Older Patients Affected by Knee Osteoarthritis), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT05659979 naunknown statusnot on this map

The Role of Comprehensive Geriatric Assessment in Older Patients Affected by Knee Osteoarthritis: an Exploratory Randomized Controlled Trial

TypeinterventionalSponsorUniversity of PalermoRan2023 to 2024Enrolled30ConditionsOsteo Arthritis KneeArmsComprehensive geriatric assessment
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

13 authors.

Nicola VeroneseUnit of Geriatrics, Department of Internal Medicine and Geriatrics, University of Palermo, Palermo, Italy. nicola.veronese@unipa.it.
Anna FazzariUnit of Geriatrics, Department of Internal Medicine and Geriatrics, University of Palermo, Palermo, Italy.
Eleonora SantangeloUnit of Geriatrics, Department of Internal Medicine and Geriatrics, University of Palermo, Palermo, Italy.
Candela IommiUnit of Geriatrics, Department of Internal Medicine and Geriatrics, University of Palermo, Palermo, Italy.
Pinar SoysalDepartment of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Adnan Menderes Bulvarı Vatan Street, 34093, Fatih, Istanbul, Turkey.
Carlo CustoderoDepartment of Precision and Regenerative Medicine and Ionian Area (DiMePrev-J), Clinica Medica "Augusto Murri", University of Bari Aldo Moro, Bari, Italy.
Lena PickertAging Clinical Research, Department II of Internal Medicine, Center for Molecular Medicine Cologne, Faculty of Medicine, University of Cologne, University Hospital Cologne, Cologne, Germany.
Maria Cristina PolidoriAging Clinical Research, Department II of Internal Medicine, Center for Molecular Medicine Cologne, Faculty of Medicine, University of Cologne, University Hospital Cologne, Cologne, Germany.
Nicoleta StolniceanuAging Clinical Research, Department II of Internal Medicine, Center for Molecular Medicine Cologne, Faculty of Medicine, University of Cologne, University Hospital Cologne, Cologne, Germany.
Helena MichalkovaDepartment of Geriatrics and Internal Medicine, First Faculty of Medicine, Charles University, Prague, Czech Republic.
Eva TopinkovaDepartment of Geriatrics and Internal Medicine, First Faculty of Medicine, Charles University, Prague, Czech Republic.
Alberto PilottoDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", Bari, Italy.
Mario BarbagalloUnit of Geriatrics, Department of Internal Medicine and Geriatrics, University of Palermo, Palermo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to assess the effectiveness of Comprehensive Geriatric Assessment (CGA) compared to standard of care in improving pain, physical function, and stiffness in older adults with knee osteoarthritis (OA) over six months. Secondary outcomes included multidimensional frailty and quality of life.

designAn exploratory, multicentre, randomized controlled trial (RCT).

settingFive European geriatric centres in Italy, Germany, Turkiye and the Czech Republic.

participantsSeventy older adults (mean age 76.1 ± 6.8 years; 80% female) with knee OA (Kellgren-Lawrence Grades 1-2) were randomized into two groups: CGA (n = 35) or standard of care (n = 35).

interventionThe CGA group underwent a multidimensional geriatric assessment and intervention, identifying impairments and tailoring interventions accordingly, while the control group received standard of care.

main outcome measuresThe primary endpoint was improvement in pain, stiffness, and functional limitations measured using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) over six months. Secondary outcomes included changes in multidimensional frailty (Multidimensional Prognostic Index, MPI), quality of life (SF-36), and adherence to interventions.

resultsThe CGA group showed a non-significant improvement in total WOMAC scores (-4.49 ± 3.40, p = 0.19), with slight reductions in pain (-1.12 ± 0.96) and functional limitations (-3.26 ± 2.21). MPI slightly improved (-0.02 ± 0.04, p = 0.69), but no significant changes were observed in SF-36 scores. No falls, hospitalizations, or severe adverse events were reported.

conclusionsCGA may offer potential benefits for managing knee OA in older adults, particularly for pain and function, though statistical significance was not achieved. Larger studies with longer follow-up are warranted to confirm these findings.

trial registrationClinicalTrials.gov Identifier: NCT05659979.

Indexed as

Geriatric AssessmentOsteoarthritis, KneeAgedAged, 80 and overFemaleHumansMaleQuality of LifeComprehensive geriatric assessmentDisabilityMultidimensionalOsteoarthritisPain

Identifiers

PMID40377819
PMCPMC12084167

What Socratic holds

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Registered trials

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.