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

Q: What does this research mean for the field?

A single-episode outpatient comprehensive geriatric assessment does not improve patient-centered goal attainment or clinical outcomes in frail older adults with chronic kidney disease. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Benignus Logan; Andrea K. Viecelli; David W. Johnson; Tracy Comans; Emily H. Gordon; L Gray; Carmel M. Hawley MMedSci; Laura E. Hickey; Monika Janda; Allison Jaure; Matthew D. Jose; Charani Kiriwandeniya PGDip; Misa Matsuyama; Gabor Mihala; Kim‐Huong Nguyen; Elaine M. Pascoe MBiostats; Peta-Anne Paul-Brent; Jason D. Pole; Kevan R. Polkinghorne; Constance D. Pond; Rajesh Raj; Donna Reidlinger; Nicole Scholes-Robertson; Andrea Valks; Germaine Wong; Ruth E. Hubbard; Deanna Nisha Antony; Ricky Arenson; Gary James Braddock; Sally Broers; Graham Buckle; Sreenath Bukkapatnam; Elissa Campbell; Joanne Cerni; Doris Chan; Michael G. Collins; Amanda Elms; John Fanning; Karen Fischer; Leon Flicker; Chloe Furst; Natalie Grainer; Stella Green; Chandana Guha; Leny Hidayati; Bronwyn Hockley; Rachael Irvine; Ibrahim Ismail; Shilpanjali Jesudason; George Kan; Ya-Yu Kang; Leonie Kelly; D. Kennedy; Khadija Khatry; V. Khelgi; Anoushka Krishnan; Heather Lane; Janelle Leadbitter; Diana Rose Leary; Andrea N. Lees; Benilda Maria Lobo Brites; Claire Long; Angela Makris; Khalilah Katherine Mallo Marquez; Amanda McGrath; David McIntyre; Karina Murphy; Danielle Ní Chróinín; Xiaodan Qiu; Madeleine Rapisardi; Matthew A. Roberts; Shailly Saxena; Shaundeep Sen; Edward Strivens; Ganesamoorthy Subakumar; Paul Varghese; Liza Vergara; Louise M. Waite; Daniel Wong; Scott Wrigley; Paul Yates; Belinda Yip; Andreea Zaharia

doi:10.1016/j.kint.2026.05.015

June 1, 2026Kidney InternationalOpen Access

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

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Key Points

This trial aimed to assess whether outpatient comprehensive geriatric assessment could enhance goal attainment and clinical outcomes in frail older adults with CKD.
Cluster randomized controlled trial with 240 enrolled participants (mean age 76.9 years) who underwent a one-off CGA.
Primary outcome was goal attainment at three months, measured using Goal Attainment Scaling, analyzed via mixed-effects linear regression.
Follow-up included secondary outcomes of quality of life, frailty status, and hospitalization metrics.
At three months, mean GAS scores were 45.2 in the intervention group and 43.7 in the control group (mean difference 1.54, 95% CI -3.13 to 6.20; p not significant).
No significant differences were observed in secondary outcomes including quality of life and hospitalizations.
A non-significant reduction of 2.5 days in total hospital stay was noted in the intervention group.

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Implication

Randomized trial evaluates outpatient comprehensive geriatric assessment for improving outcomes in frail older adults with chronic kidney disease, highlighting limited benefits.

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Cite This Study

Logan et al. (2026) studied this question.

synapsesocial.com/papers/6a377f3a24f042ddf4c59e74 https://doi.org/10.1016/j.kint.2026.05.015

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

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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