Dear Monica,
Thank you for sharing this--I think you definitely highlighted a significant gap regarding the evidence-based CGA for older people with fragility.
It is especially interesting that evidence emerged as early as 1993 yet this gap still exists. I was wondering, have you had the chance to look for/or did you find any more recent meta-analyses or systematic reviews with an update on the utilization of CGA?
You mentioned a very critical question regarding the adaptation of this assessment in primary care settings. Unfortunately, evaluating the efficacy of any intervention is only one step towards its actual implementation, and challenges in various fields revolve around identifying ways or mechanisms to adopt evidence-based interventions. In the field of psychology, there have been some efforts to promote translational science/implementation science as an actual occupation because actually implementing evidence-based practice is a beast by itself that requires a lot of time and effort. Thus, implementation or translational scientists often create manuals/guidelines and simultaneously go into clinical settings to aid in the adoption of evidence-based practice. I was curious...is there some sort of implementation of CGA manual/guideline? Are there people willing to intervene in primary care contexts?