Cost-effectiveness of comprehensive geriatric assessment: systematic review of economic evaluations.
Background Comprehensive geriatric assessment (CGA) can be resource-intensive as its delivery involves multidisciplinary personnel, multidimensional assessment, care planning and follow-up. The aim of this systematic review is to appraise and synthesise evidence on the cost-effectiveness of CGA acro...
| Published in: | Age & Ageing Vol. 55; no. 7; pp. 1 - 12 |
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| Main Authors: | , , , |
| Format: | Article |
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Oxford University Press / USA
Jul2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195867358&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195867358 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jul2026 vid: 55 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195867358 10.1093/ageing/afag203 ppf: 1 ppct: 11 formats: tig: atl: Cost-effectiveness of comprehensive geriatric assessment: systematic review of economic evaluations. aug: au: Yigezu, Amanuel Lulu Hayes, Christina Galvin, Rose Trépel, Dominic affil: School of Medicine, Trinity College Dublin, Dublin, Leinster, Ireland School of Medicine, School of Allied Health, Faculty of Education and Health Sciences, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland School of Allied Health, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland School of Medicine, Trinity College Dublin, Dublin, Leinster, IrelandTrinity College Institute for Neuroscience, Trinity College Dublin, Dublin, Ireland su: Australia Finland Indonesia Scotland Germany United States United Kingdom Netherlands Sweden Quality-adjusted life years Community health services Home care services Cost effectiveness Hospitals Old age Medical information storage & retrieval systems Independent living Research funding CINAHL database Hospital emergency services Systematic reviews MEDLINE Geriatric assessment sug: subj: Quality-adjusted life years Community health services Home care services Cost effectiveness Hospitals Old age Australia Finland Indonesia Scotland Germany United States United Kingdom Netherlands Sweden All Other Outpatient Care Centers Other Individual and Family Services Other local, municipal and regional public administration Residential Mental Health and Substance Abuse Facilities Community health centres Services for the Elderly and Persons with Disabilities Home Health Care Services Offices of all other health practitioners Offices of All Other Miscellaneous Health Practitioners General Medical and Surgical Hospitals General (except paediatric) hospitals Medical information storage & retrieval systems Independent living Research funding CINAHL database Hospital emergency services Systematic reviews MEDLINE Geriatric assessment keyword: aged community comprehensive geriatric assessment copyrightHolder:British Geriatrics Society copyrightYear:2026 cost effectiveness economic evaluation economics frailty https://dx.doi.org/10.1093/ageing/afag203 inLanguage:en older people performance reporting publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42437530/ systematic review aged community comprehensive geriatric assessment copyrightHolder:British Geriatrics Society copyrightYear:2026 cost effectiveness economic evaluation economics frailty https://dx.doi.org/10.1093/ageing/afag203 inLanguage:en older people performance reporting publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42437530/ systematic review ab: Background Comprehensive geriatric assessment (CGA) can be resource-intensive as its delivery involves multidisciplinary personnel, multidimensional assessment, care planning and follow-up. The aim of this systematic review is to appraise and synthesise evidence on the cost-effectiveness of CGA across settings. Methods Full economic evaluation studies examining CGA were searched across five databases. We included studies involving adults aged ≥65 years who were identified as living with frailty or at risk of adverse outcomes. Two independent reviewers screened studies against eligibility criteria and extracted data using a pretested extraction form. Reporting quality was assessed using the Consolidated Health Economic Evaluation Reporting Standards framework. We reported the results through narrative summaries, tables and figures. Results A total of 4864 studies were identified, of which 17 were included across 7 settings (11 community, 6 hospital). Of 13 cost-utility analysis studies, incremental quality-adjusted life years ranged from −0.06 to 0.54 and incremental costs ranged from €−12 744 to €29 785. The probability CGA was cost-effective ranged from 0% to 98.9% across stated willingness-to-pay thresholds (cost-effective in 5/13, not cost-effective in 7/13, 50% chance in 1/13). Two studies showed that cost-effectiveness can vary by frailty severity and residential status. The resource intensity of CGA varied, ranging from 25% (case management protocol) to 81% (comprehensive assessment). Only five studies accounted for informal caregiver costs. The reporting quality ranged from 38% to 90%. Conclusion The cost-effectiveness of CGA remains uncertain. Variations in resource intensity of CGA, frailty severity, residential status of older adults and setting may explain this heterogeneity. PROSPERO registration no CRD42023492586. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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