The effect of geriatrics evaluation and management on nursing home use and health care costs: Results from a randomized trial

Medical Care

Volumn 44, Issue 1, 2006, Pages 91-95

  Phibbs, Ciaran S ^a,b,f   Holty, Jon Erik C ^a,b   Goldstein, Mary K ^a,b   Garber, Alan M ^a,b   Wang, Yajie ^a   Feussner, John R ^c   Cohen, Harvey J ^d,e  

^a VA PALO ALTO HEALTH CARE SYSTEM   (United States)

^b STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c MEDICAL UNIVERSITY OF SOUTH CAROLINA   (United States)

^d DURHAM VA MEDICAL CENTER   (United States)

^e DUKE UNIVERSITY MEDICAL CENTER   (United States)

^f VETERANS AFFAIRS MEDICAL CENTER   (United States)

Author keywords

Costs; Geriatric assessment; Nursing homes; Randomized controlled trial

Indexed keywords

AGED; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; COST BENEFIT ANALYSIS; GERIATRIC ASSESSMENT; GOVERNMENT; HEALTH CARE COST; HUMAN; NURSING HOME; OUTCOME ASSESSMENT; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; UNITED STATES; UTILIZATION REVIEW;

AGED; COST-BENEFIT ANALYSIS; GERIATRIC ASSESSMENT; HEALTH CARE COSTS; HUMANS; NURSING HOMES; OUTCOME ASSESSMENT (HEALTH CARE); PROSPECTIVE STUDIES; UNITED STATES; UNITED STATES DEPARTMENT OF VETERANS AFFAIRS;

EID: 33644815781     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.mlr.0000188981.06522.e0     Document Type: Article

References (27)

1. Rubenstein LZ, Josephson KR, Wieland GD, et al. Effectiveness of a geriatric evaluation unit. A randomized clinical trial. N Engl J Med. 1984;311:1664-1670.
2. Stuck AE, Siu AL, Wieland GD, et al. Comprehensive geriatric assessment: a meta-analysis of controlled trials. Lancet. 1993;342:1032-1036.
3. Epstein AM, Hall JA, Fretwell M, et al. Consultative geriatric assessment for ambulatory patients. A randomized trial in a health maintenance organization. JAMA. 1990;263:538-544.
4. Silverman M, Musa D, Martin DC, et al. Evaluation of outpatient geriatric assessment: a randomized multi-site trial. J Am Geriatr Soc. 1995;43:733-740.
5. Engelhardt JB, Toseland RW, O'Donnell JC, et al. The effectiveness and efficiency of outpatient geriatric evaluation and management. J Am Geriatr Soc. 1996;44:847-856.
6. Burns R, Nichols LO, Martindale-Adams J, et al. Interdisciplinary geriatric primary care evaluation and management: two-year outcomes. J Am Geriatr Soc. 2000;48:8-13.
7. Boult C, Boult LB, Morishita L, et al. A randomized clinical trial of outpatient geriatric evaluation and management. J Am Geriatr Soc. 2001;49:351-359.
8. Rubenstein LZ. Comprehensive geriatric assessment: from miracle to reality. J Gerontol. 2004;59A:473-477.
9. Tousignant M, Hebert R, Desrosiers J, et al. Economic evaluation of a geriatric day hospital: cost-benefit analysis based on functional autonomy changes. Age Ageing. 2003;32:53-59.
10. Stewart M, Suchak N, Scheve A, et al. The impact of a geriatrics evaluation and management unit compared to standard care in a community teaching hospital. Maryland Med J. 1999;48:62-67.
11. Farrington JF. Cost-effectiveness in geriatric care. Minnesota Med. 1982;65:634-635.
12. Doherty N, Hicks B. Cost-effectiveness analysis and alternative health care programs for the elderly. Health Services Res. 1977;12:190-203.
13. Applegate W, Deyo R, Kramer A, et al. Geriatric evaluation and management: current status and future research directions. J Am Geriatr Soc. 1991;39:2S-7S.
14. Cohen HJ, Feussner JR, Weinberger M, et al. A controlled trial of inpatient and outpatient geriatric evaluation and management. N Engl J Med. 2002;346:905-912.
15. McHorney CA, Ware JE Jr, Rogers W, et al. The validity and relative precision of MOS short- and long-form health status scales and Dartmouth COOP charts. Results from the Medical Outcomes Study. Med Care. 1992;30(5 Suppl):MS253-MS265.
16. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473-483.
17. McHorney CA, Ware JE Jr, Raczek AE. The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Medl Care. 1993;31:247-263.
18. Drummond MF, O'Brien BJ, Stoddart GL, et al. Methods for the Economic Evaluation of Health Care Programmes. New York; Oxford: Oxford University Press; 1997.
19. O'Brien BJ, Drummond MF, Labelle RJ, et al. In search of power and significance: issues in the design and analysis of stochastic cost-effectiveness studies in health care. Med Care. 1994;32:150-163.
20. Chaudhary MA, Stearns SC. Estimating confidence intervals for cost-effectiveness ratios: an example from a randomized trial. Stat Med. 1996;15:1447-1458.
21. Efron B, Tibshirani RJ. Bootstrap methods for standard errors, confidence intervals, and other measures of statistical accuracy. Stat Sci. 1986;1:54-77.
22. Bayer H, Harper L. Fixing to Stay A National Survey of Housing and Home Modification Issues. Washington, DC: AARP; 2000.
23. Kane RL. The long and the short of long-term care. In: Cassel CK, ed. Geriatric Medicine: An Evidence-Based Approach. 4th ed. New York: Springer; 2002:99-111.
24. Leff B. Community-based long-term care and home care. In: Hazzard WR, Halter JB, Ouslander JG, et al., eds. Principles of Geriatric Medicine and Gerontology. 5th ed. New York: McGraw-Hill; 2003:211-217.
25. Teasdale TA, Shuman L, Snow E, et al. A comparison of placement outcomes of geriatric cohorts receiving care in a geriatric assessment unit and on general medicine floors. J Am Geriatr Soc. 1983;31:529-534.
26. Hendriksen C, Lund E, Stromgard E. Consequences of assessment and intervention amoung elderlt people: three-year randomized controlled trial. Br Med J. 1984;289:1522-1524.
27. Toseland RW, O'Donnell JC, Engelhardt JB, et al. Outpatient geriatric evaluation and management: is there an investment effect? Gerontologist. 1997;37:324-332.