Evidence map›Paper›PMID 16945128›Full record

ArticleBMC public health2006

Preventive home visits postpone mortality--a controlled trial with time-limited results.

Klas-Göran Sahlen, Lars Dahlgren, Britt Mari Hellner, Hans Stenlund, Lars Lindholm

Abstract readControlled Clinical Trial
In one paragraph

Article in BMC public health, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Klas-Göran SahlenEpidemiology and Public Health, Umeå University, S-901 85 Umeå, Sweden. klasse.sahlen@epiph.umu.se
Lars Dahlgren
Britt Mari Hellner
Hans Stenlund
Lars Lindholm

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a debate on whether preventive home visits to older people have any impact. This study was undertaken to investigate whether preventive home visits by professional health workers to older persons can postpone mortality in a Swedish context.

methodA controlled trial in a small community in the north of Sweden. Participants are healthy pensioners aged 75 years and over. 196 pensioners were selected as the intervention group and 346 as the control group. The intervention, two visits per year, lasted two years.

resultsDuring the intervention, mortality was 27 per 1000 in the intervention group and 48 per 1000 in the control group. The incidence rate ratio for the control group IR2000-2001 was 1.79 (95% CI = 0.94-3.40). Analysing the data with an "on treatment approach" gave a significant result, 2.31 (95% CI = 1.07-5.02) After the trial the difference between the groups disappeared.

conclusionPreventive home visits in a healthy older population can postpone mortality in a Swedish context if they are carried out by professional health-workers in a structured way. When the home visit programme ended the effect on mortality disappeared. These findings are dependent on contextual factors that make it difficult to form general policy recommendations.

Indexed as

MortalityAgedAged, 80 and overChronic DiseaseFemaleHealth Services for the AgedHome Care ServicesHumansMaleNational Health ProgramsPreventive Health ServicesRural Health ServicesSurvival AnalysisSweden

Identifiers

PMID16945128
PMCPMC1584405

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.