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New research · Geriatrics
Kidney international · 1d
Randomized trialKidney international · 2026

A cluster randomized controlled trial (GOAL trial) evaluated a comprehensive geriatric assessment for frail older people with chronic kidney disease.

Benignus Logan, Andrea K Viecelli, David W Johnson … GOAL Trial Investigators
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GeriatricsRandomized trial

Outpatient comprehensive geriatric assessment did not improve goal attainment.

A cluster randomized controlled trial (GOAL trial) evaluated a comprehensive geriatric assessment for frail older people with chronic kidney disease.

Benignus Logan et al. · Kidney international · 2026
Background

Frail older adults with chronic kidney disease (CKD) often experience complex care needs that may benefit from a comprehensive geriatric assessment (CGA).

Methods

Were aged 65 years and older (55 years and older for First Nations peoples) with moderate to severe CKD (eGFR 59 mL/min per 1.73 m 2 and under) and frail (Frailty Index over 0.25).

Results
Average difference in goal attainment scores was 1.54, not statistically significant.
More results

No significant differences were found across secondary outcomes.

A non-statistically significant reduction of 2.5 days in total hospital stay was observed in the intervention group.

“
Conclusion · 1 of 2

Outpatient CGA did not improve goal attainment or clinical outcomes in frail older adults with CKD.

Conclusion · 2 of 2

These findings do not support routine implementation of single-episode outpatient CGA in this setting and suggest a need for alternative, integrated models of person-centered care.

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