Evidence map›Paper›PMID 22422075›Full record

Trial reportJournal of general internal medicine2012

Mortality predictive indexes for the community-dwelling elderly US population.

Zi Zhang, Dawei Xie, Jibby E Kurichi, Joel Streim, Guangyu Zhang, Margaret G Stineman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Article
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  9. Activity Limitation Stages Are Associated With Risk of Hospitalization Among Medicare Beneficiaries.PM & R : the journal of injury, function, and rehabilitation · 2017
    Article
  10. Article
  11. Article
  12. [Geriatric assessment].Der Urologe. Ausg. A · 2015
    Article
  13. Article
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  15. Article
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  18. Prognostic Indices for Advance Care Planning in Primary Care: A Scoping Review.Journal of the American Board of Family Medicine : JABFM
    Article
  19. Article
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.

Zi ZhangDepartment of Biostatistics and Epidemiology, Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
Dawei Xie
Jibby E Kurichi
Joel Streim
Guangyu Zhang
Margaret G Stineman

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

backgroundFew predictive indexes for long-term mortality have been developed for community-dwelling elderly populations. Parsimonious predictive indexes are important decision-making tools for clinicians, policy makers, and epidemiologists.

objectiveTo develop 1-, 5-, and 10-year mortality predictive indexes for nationally representative community-dwelling elderly people.

designCohort study.

settingThe Second Longitudinal Study of Aging (LSOA II).

participantsNationally representative civilian community-dwelling persons at least 70 years old. We randomly selected 60% of the sample for prediction development and used the remaining 40% for validation. MAIN MEASURES: Sociodemographics, impairments, and medical diagnoses were collected from the LSOA II baseline interviews. Instrumental activities of daily living (IADLs) stages were derived to measure functional status. All-cause mortality was obtained from the LSOA II Linked Mortality Public-use File.

resultsThe analyses included 7,373 sample persons with complete data, among which mortality rates were 3.7%, 23.3%, and 49.8% for 1, 5, and 10 years, respectively. Four, eight, and ten predictors were identified for 1-, 5-, and 10-year mortality, respectively, in multiple logistic regression models to create three predictive indexes. Age, sex, coronary artery disease, and IADL stages were the most essential predictors for all three indexes. C-statistics of the three indexes were 0.72, 0.74, and 0.75 in the development cohort and 0.72, 0.72, and 0.74 in the validation cohort for 1-, 5-, and 10-year mortality, respectively. Five risk groups were defined based on the scores.

conclusionsThe 1-, 5-, and 10-year mortality indexes include parsimonious predictor sets maximizing ease of mortality prediction in community settings. Thus, they may provide valuable information for prognosis of elderly patients and guide the comparison of alternative interventions. Including IADL stage as a predictor yields simplified mortality prediction when detailed disease information is not available.

Indexed as

AgingResidence CharacteristicsAgedAged, 80 and overCohort StudiesFemaleForecastingHumansLongitudinal StudiesMaleMortalityProspective StudiesUnited States

Identifiers

PMID22422075
PMCPMC3403135

What OpenQuestion holds

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Registered trials

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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.