Email updates

Keep up to date with the latest news and content from BMC Medicine and BioMed Central.

Journal App

google play app store
Open Access Open Badges Commentary

Geriatric consultation services-are wards more effective than teams?

Ian D Cameron12* and Susan Kurrle12

Author affiliations

1 Rehabilitation Studies Unit, Sydney Medical School Northern, University of Sydney, Ryde, NSW, Australia

2 Curran Chair in Healthcare of Older People, Sydney Medical School Northern, University of Sydney, Hornsby, NSW, Australia

For all author emails, please log on.

Citation and License

BMC Medicine 2013, 11:49  doi:10.1186/1741-7015-11-49

Please see related research article here

Published: 22 February 2013


Geriatric consultation teams are one of the models for bringing comprehensive geriatric assessment to vulnerable and frail older people in the acute care hospital setting. While ward-based comprehensive geriatric assessment has been established as effective with reference to improving functional status and other outcomes, the team-based variant remains unproven for outcomes other than mortality in the medium term, as shown in a recent study published in BMC Medicine by Deschodt and colleagues. Further research might establish the effectiveness of the team-based model but, for current clinical practice, the emphasis should be on streaming older people with complex problems needing multidisciplinary assessment and treatment to ward-based models of comprehensive geriatric assessment.

Acute care; functional status; geriatric consultation; multidisciplinary assessment