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Volume 347:371-373 August 1, 2002 Number 5
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A Controlled Trial of Geriatric Evaluation

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 by Cohen, H. J.
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To the Editor: On the basis of a trial that showed little effect of geriatric evaluation and management, Cohen et al. (March 21 issue)1 conclude that earlier studies might have overestimated the benefits of this type of geriatric care.2 This conclusion is premature. The blinding of geriatric teams meant that inpatient care and outpatient care were artificially separated, rather than integrated. The outpatient component was of low intensity and could have consisted of a single follow-up visit. The population was selected on the grounds of frailty, rather than on the basis of the presence of modifiable risk factors, and most . . . [Full Text of this Article]




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