ArticleJournal of the American Geriatrics Society2013
Symptom burden in chronically ill homebound individuals.
Article in Journal of the American Geriatrics Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The outcomes of nurse practitioner (NP)-Provided home visits: A systematic review.Geriatric nursing (New York, N.Y.)Pooled it
- Outcomes of home-based primary care for homebound older adults: A randomized clinical trial.Journal of the American Geriatrics Society · 2023Trial
- Closing the hospice gap: the value of home-based medical care.Health affairs scholar · 2026Article
- Defining and Validating Criteria to Identify Populations Who May Benefit From Home-Based Primary Care.Medical care · 2025Article
- Analysis of Users' Perception of Home Care Provided by the Family Health Strategy Team: A Quali-Quantitative Approach.Healthcare (Basel, Switzerland) · 2024Article
- Patterns of Healthcare Utilization and Spending Among Homebound Older Adults in the USA: an Observational Study.Journal of general internal medicine · 2023Observational
- The Experience of Homebound Older Adults During the COVID-19 Pandemic.Journal of general internal medicine · 2022Article
- Prospective assessment of dementia on transitions in homeboundness using multistate Markov models.Journal of the American Geriatrics Society · 2022Article
- Modifiable risk factors for homebound progression among those with and without dementia in a longitudinal survey of community-dwelling older adults.BMC geriatrics · 2021Article
- The burden of boundedness and the implication for nursing: A scoping review.Nursing forum · 2021Article
- Barriers to telehealth access among homebound older adults.Journal of the American Geriatrics Society · 2021Article
- A Feasibility Study of a Volunteer Navigation Program in the Palliative Context.The American journal of hospice & palliative care · 2021Article
- Homebound: A concept analysis.Nursing forum · 2021Article
- The dynamics of being homebound over time: A prospective study of Medicare beneficiaries, 2012-2018.Journal of the American Geriatrics Society · 2021Article
- Dyspnea on Exercise Is Associated with Overall Symptom Burden in Patients with Chronic Respiratory Insufficiency.Palliative medicine reports · 2021Article
- Population-Based Screening for Functional Disability in Older Adults.Innovation in aging · 2021Article
- The Association Between Income and Incident Homebound Status Among Older Medicare Beneficiaries.Journal of the American Geriatrics Society · 2020Observational
- A mixed-method evaluation of a volunteer navigation intervention for older persons living with chronic illness (Nav-CARE): findings from a knowledge translation study.BMC palliative care · 2020Article
- Receipt Of Home-Based Medical Care Among Older Beneficiaries Enrolled In Fee-For-Service Medicare.Health affairs (Project Hope) · 2020Article
- Implementing volunteer-navigation for older persons with advanced chronic illness (Nav-CARE): a knowledge to action study.BMC palliative care · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesTo document the degree of symptom burden in an urban homebound population.
designCross-sectional survey.
settingThe Mount Sinai Visiting Doctors (MSVD) program.
participantsAll individuals newly enrolled in the MSVD. MEASUREMENTS: Edmonton Symptom Assessment Scale (ESAS), which consists of 10 visual analogue scales scored from 0 to 10; symptoms include pain, tiredness, nausea, depression, anxiety, drowsiness, appetite, well-being, shortness of breath, and other.
resultsESAS scores were completed for 318 participants. Most participants were aged 80 and older (68%) and female (75%); 36% were white, 22% black, and 32% Hispanic. Forty-three percent had Medicaid, and 32% lived alone. Ninety-one percent required assistance with one or more activities of daily living, 45% had a Karnofsky Performance Scale score between 0 and 40 (unable to care for self), and 43% reported severe burden on one or more symptoms. The most commonly reported symptoms were loss of appetite, lack of well-being, tiredness, and pain; the symptoms with the highest scores were depression, pain, appetite, and shortness of breath. Participants were more likely to have severe symptom burden if they self-reported their ESAS, had chronic obstructive pulmonary disease or diabetes mellitus with end organ damage, or had a Charlson Comorbidity Index greater than 3 and less likely to have severe burden if they had dementia.
conclusionIn chronically ill homebound adults, symptom burden is a serious problem that needs to be addressed alongside primary and specialty care needs.
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