Evidence map›Paper›PMID 23623144›Full record

ArticleJournal of the American Medical Directors Association2013

Prevalence of incontinence by race and ethnicity of older people admitted to nursing homes.

Donna Z Bliss, Susan Harms, Judith M Garrard, Kristen Cunanan, Kay Savik, Olga Gurvich, Christine Mueller, Jean F Wyman, Lynn E Eberly, Beth Virnig

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Medical Directors Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
13.3field-weighted citation impact, top 1% of its field
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

22 citing papers in PubMed, 57 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. What Is Fecal Incontinence That Urologists Need to Know?International neurourology journal · 2021
    Article
  6. Article
  7. Constipation and Fecal Incontinence in the Elderly.Current gastroenterology reports · 2020
    Review
  8. Article
  9. Social Engagement After Nursing Home Admission: Racial and Ethnic Disparities and Risk Factors.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2017
    Observational
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Functional Anorectal Disorders.Gastroenterology · 2016
    Article
  16. Article
  17. Clinical Challenges of Fecal Incontinence in the Elderly.Current treatment options in gastroenterology · 2015
    Article
  18. Article
  19. Article
  20. 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

10 authors at 1 institution in 1 country.

Donna Z BlissUniversity of Minnesota School of Nursing, Minneapolis, MN 55455, USA. bliss@umn.edu
Susan Harms
Judith M Garrard
Kristen Cunanan
Kay Savik
Olga Gurvich
Christine Mueller
Jean F Wyman
Lynn E Eberly
Beth Virnig
University of Minnesota · US

Funding

Disparities in Incontinence and Perineal Skin Damage in Nursing Home EldersR01NR010731 · NINR · UNIVERSITY OF MINNESOTA · PI BLISS, DONNA Z · 2009 to 2013
$2.2M
NINR NIH HHS 1R01NR010731-E01A2NINR NIH HHS R01 NR010731
6 · The paper itself

Abstract

objectiveWhile admissions of minorities to nursing homes (NHs) are increasing and prevalence of incontinence in NHs remains high, little is known about incontinence among racial-ethnic groups of NH admissions other than blacks. The purpose of this study was to describe the prevalence of incontinence among older adults admitted to NHs by race/ethnicity at three levels of measurement: individual resident, NH, and Census division.

designCross-sectional and descriptive. PARTICIPANTS AND

settingAdmissions of persons age 65 or older to 1 of 457 NHs of a national, for-profit chain over 3 years 2000-2002 (n = 111,640 residents).

methodsData sources were the Minimum Data Set v. 2.0 and 2000 US Census. Prevalence of the following definitions of incontinence was analyzed: Only Urinary Incontinence (UI), Only Fecal Incontinence (FI), Dual Incontinence (DI; UI and FI), Any UI (UI with or without FI), Any FI (FI with or without UI), and Any Incontinence (UI and/or FI and/or DI).

resultsAsian patients, black patients, and Hispanic patients had a higher prevalence of Any Incontinence (67%, 66%, and 58%, respectively) compared to white patients (48%) and American Indian patients (46%). At the NH level, all prevalence measures of incontinence (except Only UI) appear to trend in the opposite direction from the percentage of NH admissions who were white. Among Asian and white patients, there was a higher prevalence of all types of incontinence in men compared with women except for Only UI. Among Census divisions, the prevalence of all types of incontinence, except Only UI, was lowest in the 2 divisions with the highest percentage of white admissions to their NHs.

conclusionsNHs admitting more racial/ethnic minorities may be faced with managing more incontinence and needing additional staffing resources. The association of the prevalence of most types of incontinence with the race/ethnicity of NH admissions at all levels of measurement lend support to the growing evidence that contextual factors beyond individual resident characteristics may contribute to NH differences.

Indexed as

Nursing HomesAgedAged, 80 and overCross-Sectional StudiesFecal IncontinenceFemaleHumansMalePrevalenceRacial GroupsSex FactorsUnited StatesUrinary Incontinence

Identifiers

PMID23623144
PMCPMC3690176
OpenAlexW2161658238

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.