Evidence map›Paper›PMID 24239445›Full record

ArticleJournal of the American Medical Directors Association2014

Risk factors for restricting back pain in older persons.

Una E Makris, Liana Fraenkel, Ling Han, Linda Leo-Summers, Thomas M Gill

Abstract read
In one paragraph

Article in Journal of the American Medical Directors Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Risk Factors for Disability After Emergency Department Discharge in Older Adults.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2020
    Article
  5. Article
  6. Article
  7. Article
  8. 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

5 authors at 2 institutions in 1 country.

Una E MakrisDepartment of Internal Medicine, Division of Rheumatic Diseases, UT Southwestern Medical Center, Dallas, TX; Department of Medicine, Division of Rheumatology, Veterans Administration Medical Center, Dallas, TX. Electronic address: una.makris@utsouthwestern.edu.
Liana FraenkelDepartment of Medicine, Yale School of Medicine, New Haven, CT; Department of Internal Medicine, Division of Rheumatology, Veterans Administration Medical Center, West Haven, CT.
Ling HanDepartment of Medicine, Yale School of Medicine, New Haven, CT.
Linda Leo-SummersDepartment of Medicine, Yale School of Medicine, New Haven, CT.
Thomas M GillDepartment of Medicine, Yale School of Medicine, New Haven, CT.
Yale University · USUnited States Department of Veterans Affairs · US

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Albert C Shaw · 2002 to 2026
$37.9M
NORTH AND CENTRAL TEXAS CTSA FOR PEDIATRIC RESEARCHUL1RR024982 · NCRR · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2007 to 2011
$27.9M
UT Southwestern Center for Translational Medicine (UL1/KL2/TL1)UL1TR001105 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$24.5M
Yale Training Program in Geriatric Clinical Epidemiology and Aging-Related ResearchT32AG019134 · NIA · YALE UNIVERSITY · PI Terri R. Fried · 2001 to 2026
$7.5M
Epidemiology of Disability and Recovery in Older PersonsR37AG017560 · NIA · YALE UNIVERSITY · PI GILL, THOMAS MICHAEL · 2005 to 2014
$7.3M
UT-Southwestern Clinical and Translational Alliance for Research (UT-STAR) (TL1)UL1TR000451 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2012 to 2012
$6.3M
UT Southwestern Center for Translational Medicine (UL1/KL2/TL1KL2TR001103 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$4.0M
Improving Decision Making in Patients with Rheumatic DiseaseK24AR060231 · NIAMS · YALE UNIVERSITY · PI FRAENKEL, LIANA · 2011 to 2018
$1.2M
Longitudinal Study of Transitions in Disability and Death among Older PersonsR01AG031850 · NIA · YALE UNIVERSITY · PI LIN, HAIQUN · 2009 to 2011
$971k
ACADEMIC LEADERSHIP AWARD IN DISABILITY AND DISABLING DISORDERSK07AG043587 · NIA · YALE UNIVERSITY · PI GILL, THOMAS MICHAEL · 2013 to 2017
$645k
Restricting Back Pain in Community-Living Older Persons: A Mixed-Methods ApproachR03AG040653 · NIA · YALE UNIVERSITY · PI MAKRIS, UNA E. · 2011 to 2012
$166k
NCATS NIH HHS 2UL1TR000451-06NCATS NIH HHS KL2 TR001103NCATS NIH HHS UL1 TR000451NCATS NIH HHS UL1 TR001105NCRR NIH HHS UL1 RR024982NIAMS NIH HHS K24 AR060231NIAMS NIH HHS K24AR060231NIA NIH HHS K07 AG043587NIA NIH HHS K07AG043587NIA NIH HHS P30 AG021342NIA NIH HHS P30AG21342NIA NIH HHS R01 AG031850NIA NIH HHS R01AG031850NIA NIH HHS R03 AG040653NIA NIH HHS R03AG040653NIA NIH HHS R37 AG017560NIA NIH HHS R37AG17560NIA NIH HHS T32 AG019134NIA NIH HHS T32AG19134
6 · The paper itself

Abstract

objectivesTo identify risk factors for back pain leading to restricted activity (restricting back pain) in older persons.

designProspective cohort study.

settingGreater New Haven, Connecticut.

participantsA total of 731 men and women aged 70 years or older, who were community living and nondisabled in essential activities of daily living at baseline. MEASUREMENTS: Candidate risk factors were ascertained every 18 months for 108 months during comprehensive home-based assessments. Restricting back pain was assessed during monthly telephone interviews for up to 126 months. Incident episodes of (1) short-term (1 episode lasting 1 month) restricting back pain; and (2) persistent (1 episode lasting 2 or more months) or recurrent (2 or more episodes of any duration) restricting back pain were determined during each 18-month interval. The associations between the candidate risk factors and short-term and persistent/recurrent restricting back pain, respectively, were evaluated using a multivariable Cox model.

resultsThe cumulative incidence was 21.3% (95% confidence interval [CI] 19.6%-23.1%) for short-term restricting back pain and 20.6% (CI 18.6%-22.9%) for persistent/recurrent restricting back pain over a median follow-up of 109 months. In a recurrent event multivariable analysis, female sex (hazard ratio [HR] 1.30; 1.07-1.58), weak grip strength (HR 1.24; 1.01-1.52), and hip weakness (HR 1.19; 1.07-1.32) were independently associated with an increased likelihood of having short-term restricting back pain, whereas female sex (HR 1.48; CI 1.13-1.94), depressive symptoms (HR 1.57; 1.23-2.00), 2 or more chronic conditions (HR 1.38; 1.08-1.77), and arthritis (HR 1.66; 1.31-2.09) were independently associated with persistent/recurrent restricting back pain.

conclusionIn this prospective study, several factors were independently associated with restricting back pain, including some that may be modifiable and therefore potential targets for interventions to reduce this common and often recurrent condition in older persons.

Indexed as

Mobility LimitationAgedAged, 80 and overArthritisBack PainChronic DiseaseConnecticutDepressionFemaleHand StrengthHip JointHumansMaleMultivariate AnalysisProspective StudiesRisk FactorsAgedback paincohort studiesrisk factors

Identifiers

PMID24239445
PMCPMC3872215
OpenAlexW1963993237

What OpenQuestion holds

Textmetadata
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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.