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January 8, 1996

Comprehensive Geriatric Assessment: Where Do We Go From Here?

Author Affiliations

Department of Medicine University of North Carolina School of Medicine CB 7005 3029 Old Clinic Bldg, 226H Chapel Hill, NC 27599-7005

Arch Intern Med. 1996;156(1):15-17. doi:10.1001/archinte.1996.00440010017003

IN THIS ISSUE of the Archives Siu et al1 present a study on the impact of an inpatient geriatric assessment intervention on health care outcomes in the frail elderly population. The authors used a relatively limited intervention, but one that is both practical and affordable and therefore, if proved efficacious, is likely to be attractive to policymakers. As has been the case for a number of previously evaluated limited interventions, efficacy was not demonstrated and readers are left wondering how best to care for these challenging patients. What does this mean for the future of comprehensive geriatric assessment?

The answer is not a simple one and must be considered in the context of a relatively new discipline whose members feel the need to prove their effectiveness as consultants. Few specialties have gone to such lengths to document the efficacy of their cognitive services, even under increased pressure from managed care

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