Evidence map›Paper›PMID 21361881›Full record

ArticleJournal of the American Geriatrics Society2011

Activity of daily living staging, chronic health conditions, and perceived lack of home accessibility features for elderly people living in the community.

Margaret G Stineman, Dawei Xie, Qiang Pan, Jibby E Kurichi, Debra Saliba, Joel Streim

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–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

30 citing papers in PubMed.

  1. Article
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  3. Review
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  8. Review
  9. Factors Differentiating the Level of Functional Fitness in Polish Seniors.International journal of environmental research and public health · 2020
    Article
  10. Article
  11. Article
  12. Article
  13. Activity Limitation Stages Are Associated With Risk of Hospitalization Among Medicare Beneficiaries.PM & R : the journal of injury, function, and rehabilitation · 2017
    Article
  14. 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

6 authors.

Margaret G StinemanDepartment of Biostatistics and Epidemiology, Center for Clinical Epidemiology and Biostatistics, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. mstinema@exchange.upenn.edu
Dawei Xie
Qiang Pan
Jibby E Kurichi
Debra Saliba
Joel Streim

Funding

Impairment Activity StagingR01AG032420 · NIA · UNIVERSITY OF PENNSYLVANIA · PI STINEMAN, MARGARET GRACE · 2009 to 2010
$686k
NIA NIH HHS AG032420-01A1NIA NIH HHS R01 AG032420
6 · The paper itself

Abstract

objectiveTo examine the cross-sectional associations between activity of daily living (ADL) limitation stage and specific physical and mental conditions, global perceived health, and unmet needs for home accessibility features of community-dwelling adults aged 70 and older.

designCross-sectional.

settingCommunity.

participantsNine thousand four hundred forty-seven community-dwelling persons interviewed through the Second Longitudinal Study of Aging (LSOA II). MEASUREMENTS: Six ADLs organized into five stages ranging from no difficulty (0) to unable (IV).

resultsADL stage showed strong ordered associations with perceived health, dementia severe enough to require proxy use, and history of stroke. For example, the relative risks (RRs) defined as risk of being at Stages I, II, III, or IV divided by risk of being at Stage 0 for those with dementia ranged from 3.2 (95% confidence interval (CI)=2.4-4.4) to 41.9 (95% CI=19.6-89.6) times the RRs for those without dementia. The RR ratios (RRR) comparing respondents who perceived unmet need for accessibility features in the home to those without these perceptions peaked at Stage III (RRR=17.8, 95% CI=13.0-24.5) and then declined at Stage IV. All models were adjusted for age, sex, and race.

conclusionsADL stages showed clinically logical associations with other health-related concepts, supporting external validity. Findings suggest that specificity of chronic conditions will be important in developing strategies for disability reduction. People with partial rather than complete ADL limitation appeared most vulnerable to unmet needs for home accessibility features.

Indexed as

Activities of Daily LivingArchitectural AccessibilityPersons with DisabilitiesAgedAged, 80 and overCardiovascular DiseasesChronic DiseaseCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleMental DisordersNeoplasmsOsteoporosisSurveys and Questionnaires

Identifiers

PMID21361881
PMCPMC3073492

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.