Geriatric consultation
Geriatric consultation has been studied in 4 papers since 2021: 1 trial and 3 observational studies in people. The newest paper, Sep 9, 2024: “The impact of an integrative healthcare system on longevity in a nonagenarian population in Northern Mexico: an observational study”.
4 papers study it10 findingsUpdated
See all 4 papers on geriatric consultation
At a glance
The findings reach people, from one lab or study. 3 independent labs in 3 countries.
“Consultation did not improve survival at 1 year compared to standard care (difference: 2.9%, 95% confidence interval: -9.5% to 15.2%, P=0.65)”
None of its findings points the other way.
- 3 independent labs in 3 countries
- Funders: CSRD VA and others
- Human trial1
- Humans3
Studies in people
1 study gave geriatric consultation to people and measured what changed.
| What changed | Design | People | Source |
|---|---|---|---|
no change: Has no effect on overall survivaldifference: 2.9%, 95% CI: -9.5% to 15.2% no change: Has no effect on unplanned care utilizationIRR = 0.91, 95% CI: 0.30 to 2.71 up: Increases end-of-life goals-of-care discussionsodds ratio = 3.12, 95% CI: 1.03 to 9.41 | Randomized trial1 year | 160 peoplemedian age 80.4 years (SD = 4.2)Pre-frail/frail older patients with hematologic malignancies | Haematologica, Sep 24, 2021 |
What did studies of geriatric consultation find?
6Studies of geriatric consultation measured 6 outcomes, among them end-of-life goals-of-care discussions, unplanned care utilization and overall survival.
End-of-life goals-of-care discussions
upin humans1OR 3.12
1 study
End-of-life goals-of-care discussions
upin humans1OR 3.12
Geriatric consultation increases end-of-life goals-of-care discussions in humans (odds ratio = 3.12, 95% CI: 1.03 to 9.41).
“In comparison with patients who received standard oncologic care, patients who received geriatric consultation had an over three-fold higher odds of a documented goals-of-care discussion (odds ratio = 3.12, 95% CI: 1.03 to 9.41).”
Human trial1 year
Haematologica
Geriatric consultation increases end-of-life goals-of-care discussions in humans (pre-frail and frail older adults with hematologic malignancies) (OR 3.12, 95% CI 1.03 to 9.41).
“Consultation did improve the odds of having EOL goals-of-care discussions (odds ratio = 3.12, 95% confidence interval: 1.03 to 9.41)”
Human trialpre-frail and frail older adults with hematologic malignanciesn = 160
Haematologica
Unplanned care utilization
no changein humans1
1 study
Unplanned care utilization
no changein humans1
Geriatric consultation showed no clear effect on unplanned care utilization in humans (IRR = 0.91, 95% CI: 0.30 to 2.71).
“patients who received geriatric consultation did not have a significantly lower incidence of emergency department visits (incident rate ratio [IRR] = 0.89, 95% CI: 0.33 to 2.42), hospitalizations (IRR = 0.91, 95% CI: 0.30 to 2.71), or days spent in hospital”
Human trial1 year
Haematologica
Geriatric consultation showed no clear effect on unplanned care utilization in humans (pre-frail and frail older adults with hematologic malignancies).
“did not significantly reduce the incidence of emergency department visits, hospital admissions, or days in hospital”
Human trialpre-frail and frail older adults with hematologic malignancies6 monthsn = 160
Haematologica
Overall survival
no changein humans1
1 study
Overall survival
no changein humans1
Geriatric consultation showed no clear effect on overall survival in humans (difference: 2.9%, 95% CI: -9.5% to 15.2%).
“Overall survival at 1 year was not significantly higher in patients receiving geriatric consultation (81.7%, 95% CI: 71.0% to 90.2%) in comparison with patients receiving standard care (78.8%, 95% CI: 69.7% to 85.7%; difference: 2.9%, 95% CI: -9.5% to 15.2%, P=0.65).”
Human trial1 year
Haematologica
Geriatric consultation showed no clear effect on overall survival in humans (pre-frail and frail older adults with hematologic malignancies) (difference 2.9%, 95% CI -9.5% to 15.2%, P=0.65).
“Consultation did not improve survival at 1 year compared to standard care (difference: 2.9%, 95% confidence interval: -9.5% to 15.2%, P=0.65)”
Human trialpre-frail and frail older adults with hematologic malignancies1 yearn = 160
Haematologica
Intensive care unit admission
downin humans1
1 study
Intensive care unit admission
downin humans1
Geriatric consultation is linked with lower intensive care unit admission in humans (frail patients admitted to internal medicine).
“The support of the geriatric physician in the in-hospital medical management of the frail elderly patient is significantly associated with a reduction in the length of in-hospital stay and rate of critical care unit admissions.”
Humansfrail patients admitted to internal medicine
Research SquarePreprint
In-hospital mortality
no changein humans1
1 study
In-hospital mortality
no changein humans1
Geriatric consultation was not clearly linked with in-hospital mortality in humans (frail patients admitted to internal medicine) (47.4% vs 52.6%, P=0.521).
“The mortality in patients consulted by geriatrics was lower, however this association was not statistically significant (47.4% vs 52.6%, P=0.521).”
Humansfrail patients admitted to internal medicinen = 111
Research SquarePreprint
Length of hospital stay
downin humans1
1 study
Length of hospital stay
downin humans1
Geriatric consultation is linked with lower length of hospital stay in humans (frail patients admitted to internal medicine) (13.4 vs 5.8 days, P=<0.0001).
“There was an association between monodisciplinary management and longer in-hospital stay, compared to the patients who received medical management along with Geriatrics (13.4 vs 5.8 days, P=<0.0001).”
Humansfrail patients admitted to internal medicinen = 111
Research SquarePreprint
What acts on geriatric consultation?
1Studies name fTRST as acting on geriatric consultation.
fTRST
no changein humans1
1 study
fTRST
no changein humans1
fTRST was not clearly linked with geriatric consultation in humans (patients on cardiac care wards) (x2 = 0.57; p = 0.45).
“A positive fTRST was not significantly related to geriatric consultations (x2 = 0.57; p = 0.45).”
Humanspatients on cardiac care wardsn = 189
Acta clinica Belgica