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Completed

NCT Number: NCT02664454

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

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.

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Key information

Conditions

Multimorbidity Geriatric Assessment

Age range

70 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculté de Médecine, Université Paris Est Créteil (UPEC)

Créteil, 94010, France

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

health care organization

Other

Nurse-led or GP-led Geriatric assessment combined with an educational seminar focused on GA and personalized care-plan as well as a dedicated hotline for general practitioners seeking a geriatric advice

Interactive educational seminar Primary care

Other names: Nurse-led or GP-led Geriatric assessment combined with an educational seminar

Primary outcomes

  1. Primary composite endpoint combined with: - Percentage of all-cause mortality - Percentage of Unplanned hospital admission - Percentage of Emergency visits. - Percentage of Institutionalization

    Time frame: At 12 months

Secondary outcomes

  1. Percentage of all-cause mortality

    Time frame: At 12 months

  2. Percentage of Unplanned hospital admission

    Time frame: At 12 months

  3. Percentage of Emergency visits

    Time frame: At 12 months

  4. Percentage of Institutionalization

    Time frame: At 12 months

  5. Quality of life (Duke profile score)

    Time frame: At Day 0 and 12 months

  6. Autonomy by KATZ ALD score

    Time frame: At Day 0 and 12 months

  7. Number of medication prescription (polypharmacy)

    Time frame: Up to 12 months

  8. Percentage of Geriatric assessment performed

    Time frame: Up to 12 months

  9. Percentage of personalized care plan performed

    Time frame: Up to 12 months

  10. Percentage of geriatric phone advices requested by GPs

    Time frame: Up to 12 months

  11. Percentage of health care actions planned

    Time frame: Up to 12 months

  12. Percentage of satisfied general practitioner with the intervention

    Time frame: 27months after the beginning of the study

    self-assessment

  13. Satisfaction of general practitioners and nurses after completion of intervention

    Time frame: 12 months after the beginning of the study

    interview of general practionners and nurses by independant investigator

Sponsors and collaborators

Lead sponsor

Assistance Publique - Hôpitaux de Paris

Other

Registry information

Official study title

Compared Efficacy of Nurse-led and GP-led Geriatric Assessment in PrImary Care: A Pragmatic Three-arm Cluster Randomized Controlled Trial

Acronym: CEPIA

Important dates

Study start
2016
Primary completion
2018
Study completion
2018
First posted
Jan 27, 2016
Registry last updated
May 16, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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