Evidence map›Paper›PMID 18266842›Full record

ArticleJournal of the American Geriatrics Society2008

Development of a tool for eliciting patient priority from among competing cardiovascular disease, medication-symptoms, and fall injury outcomes.

Mary E Tinetti, Gail J McAvay, Terri R Fried, JoAnne M Foody, Luann Bianco, Sandra Ginter, Liana Fraenkel

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of the American Geriatrics Society, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. 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

7 authors.

Mary E TinettiDepartment of Medicine, Section of Geriatrics, New Haven, Connecticut 06520-8025, USA. mary.tinetti@yale.edu
Gail J McAvay
Terri R Fried
JoAnne M Foody
Luann Bianco
Sandra Ginter
Liana Fraenkel

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
Expanding Treatment Options for Older PersonsK24AG028443 · NIA · YALE UNIVERSITY · PI FRIED, TERRI R. · 2007 to 2011
$914k
Eliciting Patient Treatment Preferences for OsteoporosisK23AR048826 · NIAMS · YALE UNIVERSITY · PI FRAENKEL, LIANA · 2004 to 2008
$659k
Treatment goals at the end of lifeK02AG020113 · NIA · YALE UNIVERSITY · PI FRIED, TERRI R. · 2002 to 2006
$524k
Lipid Testing /Treatment in Older MI PatientsK08AG020623 · NIA · YALE UNIVERSITY · PI FOODY, JOANNE M · 2002 to 2005
$500k
Need for tailored clinical trials: hypertension and fall riskR21AG027078 · NIA · YALE UNIVERSITY · PI TINETTI, MARY E · 2005 to 2006
$363k
NIAMS NIH HHS K23 AR048826NIA NIH HHS K02 AG020113NIA NIH HHS K02 AG20113NIA NIH HHS K08 AG020623NIA NIH HHS K08-AG20623-01NIA NIH HHS K24 AG028443NIA NIH HHS P30 AG021342NIA NIH HHS P30AG21342NIA NIH HHS R21 AG027078
6 · The paper itself

Abstract

objectivesTo develop a choice task for eliciting priorities in the face of competing cardiovascular disease (CVD) outcomes, medication-related symptoms, and fall injuries.

designConjoint analysis.

settingSenior housing site.

participantsConvenience sample of 15 senior housing residents for the pretest, 13 residents for the pilot test. MEASUREMENTS: The final task included 11 sets of choices. In each, one option optimized the risk of one or two of the three outcomes at the expense of the other(s); the second option did the reverse. Relative importance scores for CVD, fall injury, and medication-symptom outcomes were calculated. Reliability was assessed for two administrations using intraclass correlations (ICCs). Wilcoxon rank sum tests were used to evaluate order effects.

resultsThe ICCs between choice task administrations were 0.70 for fall injuries, 0.73 for medication symptoms, and 0.56 for CVD outcomes. The ICCs with removal of two outliers were 0.84, 0.72, and 0.84, respectively. Whether CVD or fall injuries appeared first had no effect on scores.

conclusionPreliminary evidence of comprehensibility and reliability supports using the choice task to determine whether individuals' priorities differ in the face of competing outcomes.

Indexed as

Long-Term CareAccidental FallsAgedAged, 80 and overCardiovascular AgentsCardiovascular DiseasesDisability EvaluationFemaleFollow-Up StudiesGaitHealth PrioritiesHumansIncidenceMalePilot ProjectsPrognosisCardiovascular Agents

Identifiers

PMID18266842
PMCPMC3703614

What OpenQuestion holds

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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.