Cochrane · systematic review · CD013088
Case management for integrated care of older people with frailty in community settings
Sadler, E, Khadjesari, Z, Ziemann, A, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 71.4%Moderate 2 · 28.6%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Case management for integrated care compared to usual care of older people living with frailty in community settings
Population: people aged 65 years and older living with frailty
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Case management for integrated care vs usual care of older people living with frailty | RR 0.98 [0.84, 1.15] | 14 studies · 9924 participants | Low Downgraded: risk of bias, inconsistency, indirectness |
Change in place of residence to a nursing or residential home Case management for integrated care vs usual care of older people living with frailty | RR 0.73 [0.53, 1.01] | 4 studies · 1108 participants | Low Downgraded: inconsistency, indirectness |
Quality of life Case management for integrated care vs usual care of older people living with frailty | no estimate extracted | 11 studies · 9284 participants | Low Downgraded: risk of bias, indirectness |
Serious adverse effects Case management for integrated care vs usual care of older people living with frailty | no estimate extracted | 2 studies · 592 participants | Low Downgraded: imprecision, indirectness |
Change in physical function Case management for integrated care vs usual care of older people living with frailty | no estimate extracted | 16 studies · 10652 participants | Low Downgraded: inconsistency, indirectness |
Change in healthcare utilisation (hospital admissions) Case management for integrated care vs usual care of older people living with frailty | RR 0.91 [0.79, 1.05] | 5 studies · 2424 participants | Moderate Downgraded: indirectness |
Change in costs Case management for integrated care vs usual care of older people living with frailty | no estimate extracted | 14 studies · 8486 participants | Moderate Downgraded: indirectness |