Evidence map›Paper›PMID 20040557›Full record

ArticleJAMA2009

Medical care for the final years of life: "When you're 83, it's not going to be 20 years".

David B Reuben

Open access · greenAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in JAMA, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
11.4field-weighted citation impact, top 1% 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

46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 109 citations in OpenAlex.

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  16. A three-goal model for patients with multimorbidity: A qualitative approach.Health expectations : an international journal of public participation in health care and health policy · 2018
    Article
  17. Self-rated health as a predictor of mid-term and long-term mortality in older Afro-Caribbeans hospitalised via the emergency department.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
    Article
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  20. Is self-rated health an independent prognostic factor of six-week mortality in older patients hospitalized for an acute condition?Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2016
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

David B ReubenDavid Geffen School of Medicine at UCLA, Department of Medicine, Division of Geriatrics, 10945 Le Conte Ave, Ste 2339, Los Angeles, CA 90095-1687, USA. dreuben@mednet.ucla.edu
University of California, Los Angeles · US

Funding

UCLA OLDER AMERICANS INDEPENDENCE CENTERP30AG028748 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI IRWIN, MICHAEL R · 2006 to 2017
$9.8M
NIA NIH HHS P30 AG028748NIA NIH HHS P30-AG028748
6 · The paper itself

Abstract

The case of an 83-year-old man who has had a fall-related injury and continues to be the sole caregiver for his wife who has dementia exemplifies a common situation that clinicians face--planning for the final years of an elderly individual's life. To appropriately focus on the patient's most pressing issues, the approach should begin with an assessment of life expectancy and incorporation of evidence-based care whenever possible. Short-term issues are focused on efforts to restore the patient to his previous state of health. Mid-range issues address providing preventive care, identifying geriatric syndromes, and helping him cope with the psychosocial needs of being a caregiver. Long-term issues relate to planning for his eventual decline and meeting his goals for the end of life. Unfortunately, the workload and inefficiencies of primary care practice present barriers to providing optimal care for older patients. Systematic approaches, including team care, are needed to adequately manage chronic diseases and coordinate care.

Indexed as

Evidence-Based PracticeGeriatricsHealth Services for the AgedLife ExpectancyPatient Care TeamAged, 80 and overCaregiversChronic DiseaseComorbidityFamily PracticeHealth PromotionHumansMalePatient PreferencePrognosis

Identifiers

PMID20040557
PMCPMC2822435
OpenAlexW2015563524

What OpenQuestion holds

Textmetadata
LicenceTDM
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.