Evid Based Nurs doi:10.1136/ebn.2011.100119
  • Care of the older person
  • Systematic review

Further research is required to provide evidence of the effectiveness and feasibility of the nurse-led, case management approach to the care of older adults with chronic comorbid conditions

  1. Marianne Wallis
  1. School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia
  1. Correspondence to: Marianne Wallis
    School of Nursing and Midwifery, Griffith University, G16_2.69 Gold Coast Campus, Gold Coast, QLD 4222, Australia; m.wallis{at}

Commentary on:

Implications for practice

  • There is evidence that a nurse-led, case management approach is acceptable to patients with chronic comorbid conditions.

  • There is no evidence from robust clinical trials that a nurse-led, case management approach results in more effective or more cost effective care.

Implications for research

  • More robust studies, focusing on the effectiveness, cost-effectiveness and acceptability of different models of health service delivery, including nurse-led models, need to be undertaken to inform future health service provision for the growing number of older adults with chronic, comorbid conditions.


The global population is ageing as the number of older persons increases and birth rates decline. A consequence of this ageing of the population is an increased prevalence …

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