SynthesisFrontiers in public health2026
Economic evidence related to the use of community assets in the management of frailty: a systematic review.
Synthesis in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Frailty is characterized by multisystem dysregulations leading to reduced physiological reserve with greater vulnerability to morbidity and mortality. Community asset interventions have emerged as multidimensional approaches to supporting people with frailty that improve quality of life, strengthen social bonds, and promote wellbeing. While community participation is associated with a higher quality of life, robust evidence on the economic effectiveness of these approaches in populations with or at risk of frailty remains scarce. Methods: A systematic review was conducted following PRISMA 2020 guidelines and registered on PROSPERO. Five databases were searched from January 2000 to August 2025. Two reviewers screened titles, abstracts, and full texts using the Covidence systematic review management software. A narrative synthesis was conducted following Synthesis without Meta-analysis (SWiM) guidelines. Results: Twelve studies were included in the review. Five studies were cost-effectiveness analyses (CEA), three applied cost-consequence analyses (CCA), three investigated healthcare resource utilization (HRU)/modeling, and one applied cost-benefit analysis (CBA). Results varied according to methodology, outcome measures, and follow-up periods. In the CEA studies, four interventions were reported as dominant (less costly and more effective than usual care). CCA and HRU/modeling evidence reported inconsistent findings but indicated cost reductions through fewer hospitalizations and delayed transitions to long-term care. A modeling study predicted cost neutrality within 5-7 months and substantial 5-year savings. CBA evidence was limited, as only one study was included. Conclusion: While multi-component community assets offer potential economic benefits over usual care for frailty management, weak evidence and methodological inconsistencies preclude definitive conclusions. High-quality, future research utilizing standardized economic frameworks and, population-specific outcome tools are needed to inform policy and resource allocation decisions. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251018547, CRD420251018547.
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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.