Evidence map›Paper›PMID 20377757›Full record

ReviewThe Milbank quarterly2010

A healthy bottom line: healthy life expectancy as an outcome measure for health improvement efforts.

Matthew C Stiefel, Rocco J Perla, Bonnie L Zell

Abstract readReview
In one paragraph

Review in The Milbank quarterly, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing 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

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

  1. Pooled it
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  6. Do institutions matter for citizens' health status? Empirical evidence from Italy.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
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  19. Does the global activity limitation indicator measure participation restriction? Data from the European Health and Social Integration Survey in Spain.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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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

3 authors.

Matthew C StiefelKaiser Permanente, One Kaiser Plaza, 18th Floor, Oakland, CA 94612, USA. matt.stiefel@kp.org
Rocco J Perla
Bonnie L Zell

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextGood health is the most important outcome of health care, and healthy life expectancy (HLE), an intuitive and meaningful summary measure combining the length and quality of life, has become a standard in the world for measuring population health.

methodsThis article critically reviews the literature and practices around the world for measuring and improving HLE and synthesizes that information as a basis for recommendations for the adoption and adaptation of HLE as an outcome measure in the United States.

findingsThis article makes the case for adoption of HLE as an outcome measure at the national, state, community, and health care system levels in the United States to compare the effectiveness of alternative practices, evaluate disparities, and guide resource allocation.

conclusionsHLE is a clear, consistent, and important population health outcome measure that can enable informed judgments about value for investments in health care.

Indexed as

Health StatusHealth Status IndicatorsAttitude to HealthDatabases as TopicDatabases, FactualHealth BehaviorHealth PromotionHealth Status DisparitiesHumansLife ExpectancyMedical Record LinkageMortalitySocioeconomic FactorsUnited States

Identifiers

PMID20377757
PMCPMC2888015

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.