Population-based multidimensional assessment of older people in UK general practice: a cluster-randomised factorial trial

Community care of vulnerable older people: cause for concern

“…Health was not significantly improved. The MRC study, 11 reporting in 2004, did not use time spent in institutional care as an indicator of outcome. Instead it used hospital admissions, and not bed days, as an outcome measure and these were reduced but not significantly.…”

Frailty: an emerging concept for general practice

“…The case for routine comprehensive screening for unmet health needs in the older population has collapsed following the Medical Research Council (MRC) trial's demonstration that there are few or no benefits to quality of life or health outcomes for older people. 4 The evidence of benefit from such whole-population screening had always been thin, and the UK's '75 and over checks' had stalled long before they disappeared quietly from the GP contract in 2004. 5 More targeted approaches, using senior nurses as 'community matrons' (in effect, case managers) who work intensely with older people with a history of repeated admission to hospital, or who have multiple comorbidities and polypharmacy, have also failed to show much reduction in emergency admission of older people.…”

The conceptualization and measurement of quality of life in older adults: a review of empirical studies published during 1994–2006

“…Unacceptable reliability coefficients with Cronbach's alpha below 0.70 were reported in Berlowitz (1995) and Brazier et al (1996) Brazier (1996) with Spearman for the EuroQol (r = 0.53) and partly for the SF 36 (r = 0.28-0.70). Responsiveness to change (effect size) was reported for the SF-36 (Berkman 1999;Brazier et al 1996;Byles et al 2006Byles et al , 2004Hanlon et al 1996), EuroQol (Brazier et al 1996), SIP (Fletcher et al 2004), and the QUAL-EFFO (Liu-Ambrose et al 2005). Floor effects were reported for SF-36, EuroQol, and the control autonomy pleasure self realization (CASP) (Berkman 1999;Brazier et al 1996;Higgs et al 2003).…”

“…The words QoL and HRQoL were also used interchangeably in the same article. Various studies reported that HRQoL was measured, but described results as QoL (Fletcher et al 2004;Kumar et al 1995;MacRae et al 1996;Pfisterer et al 2003). These results support earlier reviews.…”