NCT02084108

Efficacy of Integrated Care to Decrease Hospitalization and Institutionalization in Community Dwelling Frail Elderly, With Care Coordination Between Physicians, Home Nursing Services and a Community Geriatrics Unit.

Extracted Fields (from Registry)
Protocol IDNCT02084108
Registration Date2014-03-11
Statuscompleted
SponsorUniversity Hospital, Geneva
CountrySwitzerland
Industrynot industry
Blindingunblinded
Center Typesingel-center RCT
Scopenational RCT
First Patient In2009-07-01
Last Patient Out2012-12-01
Publicationn
Gender %ALL
Mean Age60 Years -
LLM Classifications (Side-by-Side)
Field GLM
glm-5.1
11976ms / 11637 tok
CLAUDE
claude-sonnet-4-20250514
Thinking: claude-opus-4-20250514
8250ms / 13176 tok
OPENAI
gpt-4o
Thinking: o3
3310ms / 11512 tok
Review
rct_type Cluster RCT Cluster RCT Cluster RCT OK
cancer_status non-cancer non-cancer non-cancer OK
non_cancer_spec N/A N/A → N/A
shaky reasoning
✓ Unanimous Initial: N/A Requery: N/A — The trial targets a general, mixed population of frail elderly with various chronic conditions rather than focusing on a specific non-cancer disease category.
N/A early palliative care → N/A → N/A
shaky reasoning
✓ Unanimous Initial: early palliative care Requery: N/A — The study targets frail elderly with multiple chronic conditions, which is too general and mixed to fit into any specific disease category. Thinking: N/A — Study targets frail elderly with mixed chronic conditions defined by multiple frailty indicators, not focused on any specific disease category.
N/A early palliative care → early palliative care → N/A
shaky reasoning
✓ Unanimous Initial: early palliative care Requery: early palliative care — The trial targets frail elderly with complex needs, focusing on integrated care and not specific to one disease, aligning with early palliative care. Thinking: N/A — The trial involves a mixed, frail elderly population with various chronic illnesses rather than any single qualifying disease category or explicit early palliative-care focus.
OK
setting_patient outpatient outpatient → outpatient
shaky reasoning
✓ Unanimous Initial: outpatient Requery: outpatient — The study focuses on community-dwelling frail elderly living at home, with the intervention delivered via home nursing services, in-home assessments, and a call service, explicitly aiming to reduce hospitalizations and institutionalizations.
outpatient mixed → outpatient
shaky reasoning
✓ Unanimous Initial: mixed Requery: outpatient — The intervention consists of in-home multidimensional geriatric assessment, 24/7 call service, and coordinated care for community-dwelling elderly patients who remain in their homes throughout the study period.
outpatient outpatient → outpatient
shaky reasoning
✓ Unanimous Initial: outpatient Requery: outpatient — The intervention involves in-home assessments and care coordination for community-dwelling elderly, meaning patients remain at home and are not admitted or hospitalized during the intervention.
OK
setting_place home care home care home care OK
feasibility fully powered RCT fully powered RCT fully powered RCT OK
intervention_pharmacologic no no no OK
intervention_chemo_immuno_radio no no no OK
intervention_complementary no no no OK
intervention_device no no no OK
intervention_psychological no no no OK
intervention_complex yes yes yes OK
intervention_acp no no no OK
intervention_music no no no OK
intervention_screening no no no OK
intervention_palliative no no → no
shaky reasoning
✓ Unanimous Initial: no Requery: no — The study tests an integrated care coordination and geriatric assessment program for frail elderly patients, which is a geriatrics/health services intervention rather than a direct palliative care service.
no yes → no
shaky reasoning
✓ Unanimous Initial: yes Requery: no — This is a health services research study testing integrated care coordination between existing structures (physicians, home nursing services, and geriatric unit), not a palliative care intervention itself.
no no → no
shaky reasoning
✓ Unanimous Initial: no Requery: no — The study tests an integrated care model for frail elderly patients, not a palliative care intervention.
OK
intervention_education no no no OK
intervention_digital no no no OK
intervention_other yes yes
shaky reasoning
✓ Unanimous Initial: yes
yes no → yes
shaky reasoning
✓ Unanimous Initial: no Requery: yes — The intervention is an organizational/care coordination model integrating existing healthcare services, which is an organizational change that doesn't fit any of the specified categories.
yes yes → yes
shaky reasoning
✓ Unanimous Initial: yes Requery: yes — The trial evaluates the effect of an organized care coordination system, which involves coordinating existing healthcare services but does not fit into the categories of pharmacologic, device, or other specified interventions.
OK
outcome_symptom no no no OK
outcome_qol no no no OK
outcome_dignity no no no OK
outcome_cost yes yes yes OK
outcome_other yes yes yes OK
pharmacologic_sub N/A N/A N/A OK
Back to Studies