Trial reportJournal of general internal medicine2009
Index to predict 5-year mortality of community-dwelling adults aged 65 and older using data from the National Health Interview Survey.
Trial report in Journal of general internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers, 7 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
118 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Systemic Cancer Therapy: ASCO Guideline Update.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023Guideline
- Behavioral Lifestyles and Survival: A Meta-Analysis.Frontiers in psychology · 2021Pooled it
- Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy: ASCO Guideline for Geriatric Oncology.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018Guideline
- Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy: ASCO Guideline for Geriatric Oncology Summary.Journal of oncology practice · 2018Guideline
- Guideline
- Guiding principles for the care of older adults with multimorbidity: an approach for clinicians: American Geriatrics Society Expert Panel on the Care of Older Adults with Multimorbidity.Journal of the American Geriatrics Society · 2012Guideline
- Pooled it
- Mortality predictive indexes for the community-dwelling elderly US population.Journal of general internal medicine · 2012Trial
- Evaluation of Surgeon Attitudes Toward Frailty Screening in Breast Oncology Patients.Annals of surgical oncology · 2026Article
- Translating Mortality Hazard Ratios into Remaining-Lifespan Measures in Older Adults Using Japanese Complete Life Tables: A Deterministic Reference-Table Study.Geriatrics (Basel, Switzerland) · 2026Article
- Primary Care Associated with Improved Life Expectancy in Older US Adults: A Retrospective Cohort Study of National Survey Data.Journal of general internal medicine · 2026Article
- Mortality risk estimation for autistic older adults: comparing novel machine-learning derived weights versus standard weights for the Charlson Comorbidity Index.Journal of comparative effectiveness research · 2026Article
- Clinical outcomes in older adults with advanced thyroid cancer.The oncologist · 2026Article
- External validation of a prognostic model in routine practice for short- and long-term survival in peritoneal dialysis.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis · 2026Article
- Geriatric-specific considerations in treatment conversations with older adults with early-stage hormone receptor-positive breast cancer.Journal of geriatric oncology · 2026Article
- Precision medicine for older adults with multimorbidity through a whole-person and palliative care approach.Frontiers in medicine · 2026Article
- Profile and predictors of mortality among free-living elderly subjects: a community-based prospective cohort study from Kerala, India.BMJ public health · 2026Article
- Balancing safety and effectiveness in colonoscopy for older adults: a narrative review.Intestinal research · 2025Review
- External validation of a proprietary risk model for 1-year mortality in community-dwelling adults aged 65 years or older.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Laboratory Test Use and Values in the Last Year of Life-a Matched Cohort Design.Canadian geriatrics journal : CGJ · 2025Article
58 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundPrognostic information is becoming increasingly important for clinical decision-making.
objectiveTo develop and validate an index to predict 5-year mortality among community-dwelling older adults. DESIGN AND
participantsA total of 24,115 individuals aged >65 who responded to the 1997-2000 National Health Interview Survey (NHIS) with follow-up through 31 December 2002 from the National Death Index; 16,077 were randomly selected for the development cohort and 8,038 for the validation cohort. MEASUREMENTS: 39 risk factors (functional measures, illnesses, behaviors, demographics) were included in a multivariable Cox proportional hazards model to determine factors independently associated with mortality. Risk scores were calculated for participants using points derived from the final model's beta coefficients. To evaluate external validity, we compared survival by quintile of risk between the development and validation cohorts.
resultsSeventeen percent of participants had died by the end of the study. The final model included 11 variables: age (1 point for 70-74 up to 7 points for >85); male: 3 points; BMI <25: 2 points; perceived health (good: 1 point, fair/poor: 2 points); emphysema: 2 points; cancer: 2 points; diabetes: 2 points; dependent in instrumental activities of daily living: 2 points; difficulty walking: 3 points; smoker-former: 1 point, smoker-current: 3 points; past year hospitalizations-one: 1 point, >2: 3 points. We observed close agreement between 5-year mortality in the two cohorts; which ranged from 5% in the lowest risk quintile to 50% in the highest risk quintile in the validation cohort.
conclusionsThis validated mortality index can be used to account for participant life expectancy in analyses using NHIS data.
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Registered trials
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.