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Compared Efficacy of Nurse-led and GP-led Geriatric Assessment in PrImary Care

Not Applicable
Completed
Conditions
Geriatric Assessment
Multimorbidity
Interventions
Other: health care organization
Registration Number
NCT02664454
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Brief Summary

Older patients account for around 10% of the population, of which 57% have a long-term illness, and 33% were admitted in the past year.

Geriatric assessment (GA) is a multidimensional assessment of general health status that can help identifying deficiencies and followed by a personalized care plan.

Assessment and management of elderly patients is a daily concern for the general practitioner (GP) but conflicting results have been reported so far relating to the clinical impact of GA when applied in the primary care setting.

This study protocol aims to assess the effect on morbi-mortality of a complex intervention in patients aged ≥70 years with chronic conditions in primary care. It aims to demonstrate that a GA adapted to primary care, followed by a personalized care plan and combined with successful interprofessional collaboration can improve clinically relevant outcomes in elderly patients with chronic conditions such as one-year overall mortality, unplanned hospital admission, emergency visits, or institutionalization.

The CEPIA study will also help addressing the issue of whether an improved benefit could be achieved from a systematic nurse-led or a case-by-case GP-led GA.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
750
Inclusion Criteria
  • Patients aged≥70 years with a long-term illness scheme or hospital admission the past 3 months
  • Visiting their preferred general practioner (GP) or another GP in the same practice
  • patient oral non opposition
Exclusion Criteria
  • Patient who does not speak French
  • Severe disease with a life expectancy <12 months
  • Institutionalized patients
  • Patient insured under the French national health insurance system

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Systematic nurse-led GAhealth care organizationInteractive educational seminar for GPs and nurses, and focused on geriatric assessment in primary care combined with Systematic nurse-led GA and dedicated hotline for GPs seeking geriatric advice
GP-led GA on a case-by-case basis, as decided by the GPhealth care organizationInteractive educational seminar for GPs, and focused on Geriatric assessment in primary care combined with a GP-led GA on a case-by-case basis, as decided by the GP, and a dedicated hotline for GPs seeking geriatric advice
Primary Outcome Measures
NameTimeMethod
Primary composite endpoint combined with: - Percentage of all-cause mortality - Percentage of Unplanned hospital admission - Percentage of Emergency visits. - Percentage of InstitutionalizationAt 12 months
Secondary Outcome Measures
NameTimeMethod
Percentage of Geriatric assessment performedUp to 12 months
Percentage of personalized care plan performedUp to 12 months
Number of medication prescription (polypharmacy)Up to 12 months
Percentage of all-cause mortalityAt 12 months
Percentage of Emergency visitsAt 12 months
Quality of life (Duke profile score)At Day 0 and 12 months
Autonomy by KATZ ALD scoreAt Day 0 and 12 months
Percentage of geriatric phone advices requested by GPsUp to 12 months
Percentage of health care actions plannedUp to 12 months
Percentage of Unplanned hospital admissionAt 12 months
Percentage of InstitutionalizationAt 12 months
Satisfaction of general practitioners and nurses after completion of intervention12 months after the beginning of the study

interview of general practionners and nurses by independant investigator

Percentage of satisfied general practitioner with the intervention27months after the beginning of the study

self-assessment

Trial Locations

Locations (1)

Faculté de Médecine, Université Paris Est Créteil (UPEC)

🇫🇷

Creteil, France

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