Multidimensional geriatric assessment: back to the future.

Cycling of events, modes, and cultural movements pervades history and art. Almost every time a new idea emerges, we are prompt to spot the roots of its inspiration in the past. Theories and practices once widely popular fade for decades until they are rediscovered, almost always with a different flavor or viewed from a different angle. Of course, because of improved experience, knowledge, and technology, the old and pale idea often turns into a modern and glamorous motif. Geriatric medicine is no exception: We can trace the origin of Comprehensive Geriatric Assessment (CGA) to the experience of the Sepulveda Geriatric Evaluation Unit (1), perhaps the single most important experiment in modern geriatrics conducted well over two decades ago.

[1]  Chad Boult,et al.  Early effects of "Guided Care" on the quality of health care for multimorbid older persons: a cluster-randomized controlled trial. , 2008, The journals of gerontology. Series A, Biological sciences and medical sciences.

[2]  S. Iliffe,et al.  Preclinical disability as a risk factor for falls in community-dwelling older adults. , 2008, The journals of gerontology. Series A, Biological sciences and medical sciences.

[3]  P. Knipschild,et al.  Effects on health care use and associated cost of a home visiting program for older people with poor health status: a randomized clinical trial in the Netherlands. , 2008, The journals of gerontology. Series A, Biological sciences and medical sciences.

[4]  R. Melis,et al.  Cost-effectiveness of a multidisciplinary intervention model for community-dwelling frail older people. , 2008, The journals of gerontology. Series A, Biological sciences and medical sciences.

[5]  Graziano Onder,et al.  Multidimensional Geriatric Assessment: Back to the Future Second and Third Generation Assessment Instruments: The Birth of Standardization in Geriatric Care , 2008 .

[6]  M. Egger,et al.  Multidimensional preventive home visit programs for community-dwelling older adults: a systematic review and meta-analysis of randomized controlled trials. , 2008, The journals of gerontology. Series A, Biological sciences and medical sciences.

[7]  R. Melis,et al.  A randomized study of a multidisciplinary program to intervene on geriatric syndromes in vulnerable older people who live at home (Dutch EASYcare Study). , 2008, The journals of gerontology. Series A, Biological sciences and medical sciences.

[8]  B. Leff,et al.  A Pilot Test of the Effect of Guided Care on the Quality of Primary Care Experiences for Multimorbid Older Adults , 2008, Journal of General Internal Medicine.

[9]  C. Hawes,et al.  Prospects and pitfalls: use of the RAI-HC assessment by the Department of Veterans Affairs for home care clients. , 2007, The Gerontologist.

[10]  H. Cohen,et al.  Report of the national institute on aging task force on comorbidity. , 2007, The journals of gerontology. Series A, Biological sciences and medical sciences.

[11]  Patrick Royston,et al.  Multiple Imputation of Missing Values: Update of Ice , 2005 .

[12]  Gerard F Anderson,et al.  Medicare and chronic conditions. , 2005, The New England journal of medicine.

[13]  Sarah M. Greene,et al.  Development and Validation of the Patient Assessment of Chronic Illness Care (PACIC) , 2005, Medical care.

[14]  D. Scharfstein,et al.  The effect of guided care on quality of care. , 2005 .

[15]  M. Schroll,et al.  Community care in Europe. The Aged in HOme Care project (AdHOC) , 2004, Aging clinical and experimental research.

[16]  L. Rubenstein Comprehensive Geriatric Assessment : From Miracle to Reality , 2004 .

[17]  D. Wieland The effectiveness and costs of comprehensive geriatric evaluation and management. , 2003, Critical reviews in oncology/hematology.

[18]  P. Shekelle,et al.  Quality of Care for Older Persons at the Dawn of the Third Millennium , 2003, Journal of the American Geriatrics Society.

[19]  Thomas Bodenheimer,et al.  Improving primary care for patients with chronic illness. , 2002, JAMA.

[20]  J. Morris,et al.  A screening system for Michigan's home- and community-based long-term care programs. , 2002, The Gerontologist.

[21]  P. Lavori,et al.  A controlled trial of inpatient and outpatient geriatric evaluation and management. , 2002, The New England journal of medicine.

[22]  M. Cesari,et al.  A new model of integrated home care for the elderly: impact on hospital use. , 2001, Journal of clinical epidemiology.

[23]  Douglas G Altman,et al.  Systematic reviews in health care: Assessing the quality of controlled clinical trials. , 2001, BMJ.

[24]  C. Gatsonis,et al.  Characteristics of the SAGE database: a new resource for research on outcomes in long-term care. SAGE (Systematic Assessment of Geriatric drug use via Epidemiology) Study Group. , 1999, The journals of gerontology. Series A, Biological sciences and medical sciences.

[25]  L. Rubenstein,et al.  Randomised trial of impact of model of integrated care and case management for older people living in the community , 1998, BMJ.

[26]  R L Kane,et al.  Effectiveness of a geriatric evaluation unit. A randomized clinical trial. , 1984, The New England journal of medicine.