Evidence map›Paper›PMID 17196907›Full record

ArticleJournal of pain and symptom management2007

The association of symptoms with health outcomes in chronically ill adults.

Lisa M Walke, Amy L Byers, William T Gallo, Jérôme Endrass, Terri R Fried

Open access · bronzeAbstract read
In one paragraph

Article in Journal of pain and symptom management, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% of its field
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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. A literature synthesis of symptom prevalence and severity in persons receiving active cancer treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2013
    Pooled it
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  16. The prevalence of cardiopulmonary symptoms among Chinese older adults in the Greater Chicago area.The journals of gerontology. Series A, Biological sciences and medical sciences · 2014
    Article
  17. Article
  18. Symptom burden predicts nursing home admissions among older adults.Journal of pain and symptom management · 2013
    Article
  19. Symptom burden in chronically ill homebound individuals.Journal of the American Geriatrics Society · 2013
    Article
  20. Article
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 at 3 institutions in 2 countries.

Lisa M WalkeDepartment of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06504, USA. lisa.walke@yale.edu
Amy L Byers
William T Gallo
Jérôme Endrass
Terri R Fried
Yale University · USCornell University · USVA Connecticut Healthcare System · US

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Albert C Shaw · 2002 to 2026
$37.9M
RESEARCH TRAINING IN GERIATRIC MOOD DISORDERST32MH019132 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI GUNNING, FAITH M · 1990 to 2025
$3.4M
Treatment Goals at the End of LifeR01AG019769 · NIA · YALE UNIVERSITY · PI FRIED, TERRI R. · 2002 to 2008
$2.4M
Health Effects of Involuntary Job Loss in Older WorkersK01AG021983 · NIA · YALE UNIVERSITY · PI GALLO, WILLIAM T · 2003 to 2007
$624k
Treatment goals at the end of lifeK02AG020113 · NIA · YALE UNIVERSITY · PI FRIED, TERRI R. · 2002 to 2006
$524k
NIA NIH HHS K01 AG021983NIA NIH HHS K01 AG 21983NIA NIH HHS K02 AG020113NIA NIH HHS K02 AG20113NIA NIH HHS P30 AG021342NIA NIH HHS P30 AG21342NIA NIH HHS R01 AG019769NIA NIH HHS R01 AG19769NIMH NIH HHS T32 MH019132NIMH NIH HHS T32 MH19132
6 · The paper itself

Abstract

Persons with chronic disease experience multiple symptoms. Understanding the association between these symptoms and health outcomes would facilitate a targeted approach to symptom assessment and treatment. Our objectives were to determine the association of a range of symptoms with quality of life, self-rated health, and functional status among chronically ill adults, and to assess methods for evaluating the independent associations of symptoms that may be interrelated. We consecutively enrolled 226 cognitively intact, community-dwelling adults, aged 60 years or older with chronic obstructive pulmonary disease, heart failure, or cancer. Seven symptoms (physical discomfort, pain, fatigue, problems with appetite, feelings of depression, anxiety, and shortness of breath) assessed using the Edmonton Symptom Assessment Scale were examined for their association with self-rated quality of life, self-rated health, and functional status. Principal component analysis and logistic regression revealed similar results. The latter demonstrated that physical discomfort was associated with lower self-rated health (adjusted odds ratio [OR] 1.9; 95% confidence interval 1.2-2.9) and functional disability (adjusted OR 1.8; 95% confidence interval 1.2-2.7). Feelings of depression were associated with poorer quality of life (adjusted OR 1.7; 95% confidence interval 1.1-2.6), and shortness of breath was associated with lower self-rated health (adjusted OR 1.5; 95% confidence interval 1.1-2.0). The association between a range of symptoms and quality of life, self-rated health, and functional status differed across outcomes, but only three symptoms-physical discomfort, feelings of depression, and shortness of breath-maintained their associations when multiple symptoms were examined concurrently. These findings suggest that interventions targeting these symptoms could improve several health-related outcomes.

Indexed as

AdultAgedAged, 80 and overChronic DiseaseFemaleHealth StatusHeart FailureHumansMaleNeoplasmsPulmonary Disease, Chronic ObstructiveQuality of LifeSelf-AssessmentTreatment Outcome

Identifiers

PMID17196907
PMCPMC1948074
OpenAlexW2170375166

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.