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November 14, 2025Journal of General and Family MedicineOpen Access

Improvement in Activities of Daily Living Among Older Adults With Physician‐Led Home Visits: A Multicenter Retrospective Cohort Study in Japan

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Authors

YHYuki HinataMMMasato MatsushimaTATakuya Aoki

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Overview

Retrospective cohort study shows 27% of older adults improve ADLs after physician-led home visits, indicating enhanced home care benefits.

Key Points

  • To determine the incidence of activities of daily living (ADL) improvement in older adults receiving physician-led home care and identify factors associated with this improvement.
  • Retrospective cohort study design
  • Included patients aged 65 or older with Barthel Index scores of 90 or less
  • Analyzed cumulative incidence of ADL improvement and used cause-specific Cox regression for factor analysis
  • Median follow-up period of 308 days
  • 660 patients analyzed
  • One-year cumulative incidence of ADL improvement was 27.1%
  • Improvement less likely in patients with severe cognitive impairment (MMSE‐J scores <14)
  • Higher likelihood of improvement in patients transitioning from hospital to home care

Cite This Study

Hinata et al. (2025) studied this question.

synapsesocial.com/papers/692519a7c0ce034ddc353ff6https://doi.org/10.1002/jgf2.70082
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Regional Differences in Characteristics, Service Utilization, and Outcome of Patients Receiving Physician‐Led Home Visit Care in Japan: A Nationwide Study2025 · 2 citations
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  3. 3Changes in the Activities of Daily Living and Associated Factors of Older Adults After Home‐Based Rehabilitation: A Multicenter Prospective 6‐Month Follow‐Up Study2026
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  5. 5Effect of home-based rehabilitation on activities of daily living and gait in older adults with heart failure at risk for falling: A retrospective cohort study2017 · 13 citations