| Protocol ID | NCT02084108 |
| Registration Date | 2014-03-11 |
| Status | completed |
| Sponsor | University Hospital, Geneva |
| Country | Switzerland |
| Industry | not industry |
| Blinding | unblinded |
| Center Type | singel-center RCT |
| Scope | national RCT |
| First Patient In | 2009-07-01 |
| Last Patient Out | 2012-12-01 |
| Publication | n |
| Gender % | ALL |
| Mean Age | 60 Years - |
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.
| 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 |