Evidence map›Paper›PMID 20561853›Full record

ArticleHeart & lung : the journal of critical care

Rurality and event-free survival in patients with heart failure.

Jia-Rong Wu, Debra K Moser, Mary Kay Rayens, Marla J De Jong, Misook L Chung, Barbara Riegel, Terry A Lennie

Abstract readComparative Study
In one paragraph

Article in Heart & lung : the journal of critical care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Rural Versus Urban Comparison: Physical Activity and Functioning Following Coronary Artery Bypass Surgery.Online journal of rural nursing and health care : the official journal of the Rural Nurse Organization · 2012
    Article
  7. Article
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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

7 authors.

Jia-Rong WuSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7460, USA. jiarongw@email.unc.edu
Debra K Moser
Mary Kay Rayens
Marla J De Jong
Misook L Chung
Barbara Riegel
Terry A Lennie

Funding

XENOBIOTIC TRANSFER INTO MILK NITROFURANTOINM01RR002602 · NCRR · UNIVERSITY OF KENTUCKY · PI MOSER, DEBRA KAY · 1985 to 2007
$12.1M
Biobehavioral Intervention in Heart FailureR01NR008567 · NINR · UNIVERSITY OF KENTUCKY · PI MOSER, DEBRA KAY · 2004 to 2008
$1.5M
Self-Management Pilot/Feasibility and Biobehavioral Outcomes CoreP20NR010679 · NINR · UNIVERSITY OF KENTUCKY · PI MOSER, DEBRA KAY · 2007 to 2011
$1.2M
NCRR NIH HHS M01 RR002602NCRR NIH HHS M01RR02602NINR NIH HHS 1P20NR010679NINR NIH HHS P20 NR010679NINR NIH HHS R01 NR008567NINR NIH HHS R01NR008567
6 · The paper itself

Abstract

backgroundEvidence of health disparities between urban and rural populations usually favors urban dwellers. The impact of rurality on heart failure (HF) outcomes is unknown.

objectiveWe compared event-free survival between HF patients living in urban and rural areas.

methodsIn this longitudinal study, 136 patients with HF (male, 70%; age, mean ± SD 61 ± 11 years; New York Heart Association class III/IV, 60%) were enrolled. Patients' emergency department visits for HF exacerbation and rehospitalization during follow-up were identified. Rural status was determined by rural-urban commuting area code. Survival analysis was used to determine the effect of rurality on outcomes while controlling for relevant demographic, clinical, and psychosocial variables.

resultsRural patients (64%) had longer event-free survival than urban patients (P = .015). Rurality (P = .04) predicted event-free survival after controlling for age, marital status, New York Heart Association class, medications, adherence to medications, depressive symptoms, and social support.

conclusionsRural patients were less likely than their urban counterparts to experience an event. Further research is needed to identify protective factors that may be unique to rural settings.

Indexed as

FemaleGeographyHealth Status DisparitiesHeart FailureHumansKaplan-Meier EstimateLongitudinal StudiesMaleMedication AdherenceMiddle AgedMultivariate AnalysisPennsylvaniaProportional Hazards ModelsPsychometricsRural PopulationSocial Support

Identifiers

PMID20561853
PMCPMC3039282

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.