Evidence map›Paper›PMID 25366926›Full record

ArticleJournal of the American Geriatrics Society2014

Restricting back pain and subsequent mobility disability in community-living 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 Geriatrics Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.9field-weighted citation impact, top 11% 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

29 citing papers in PubMed, 42 citations in OpenAlex.

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  20. Persistent Pain Quality as a Novel Approach to Assessing Risk for Disability in Community-Dwelling Elders With Chronic Pain.The journals of gerontology. Series A, Biological sciences and medical sciences · 2019
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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

5 authors at 2 institutions in 1 country.

Una E MakrisDepartment of Medicine, UT Southwestern Medical Center, Dallas, Texas; Department of Internal Medicine, Veterans Administration Medical Center, Dallas, Texas.
Liana Fraenkel
Ling Han
Linda Leo-Summers
Thomas M Gill
Yale University · USThe University of Texas Southwestern Medical Center · 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
UT Southwestern Center for Translational Medicine (UL1/KL2/TL1)UL1TR001105 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$24.5M
Pilot CoreP30AG022845 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Manney Carrington Reid, ELAINE WETHINGTON · 2003 to 2026
$15.2M
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 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
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 KL2 TR001103NCATS NIH HHS KL2TR001103NCATS NIH HHS UL1 TR001105NCATS NIH HHS UL1TR001105NIAMS NIH HHS K24 AR060231NIAMS NIH HHS K24AR060231NIA NIH HHS K07 AG043587NIA NIH HHS K07AG043587NIA NIH HHS P30 AG021342NIA NIH HHS P30 AG022845NIA NIH HHS P30AG21342NIA 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 evaluate the relationship between back pain severe enough to restrict activity (restricting back pain) and subsequent mobility disability in community-living older persons.

designProspective cohort study.

settingGreater New Haven, Connecticut.

participantsCommunity-living men and women aged 70 and older (n = 709). MEASUREMENTS: Restricting back pain and mobility disability (defined as needing help with or unable to walk one-quarter of a mile, climb a flight of stairs, or lift and carry 10 pounds) were assessed during monthly telephone interviews for up to 159 months. The association between restricting back pain and subsequent mobility disability was evaluated using a recurrent-events Cox model. Secondary analyses evaluated the association between restricting back pain and mobility disability for two or more consecutive months (persistent mobility disability). Additional analyses were repeated in participants without baseline mobility disability.

resultsThe event rate for mobility disability was 7.26 per 100-person months (95% confidence interval (CI) = 6.89-7.64). Mobility disability episodes lasted for a median of 2 months (interquartile range (IQR) 1-4). In a recurrent-event Cox regression analysis, after adjusting for 11 covariates, restricting back pain was strongly associated with mobility disability (hazard ratio (HR) = 3.23, 95% CI = 2.87-3.64). The association was maintained when the outcome was defined as persistent mobility disability (adjusted HR = 3.63, 95% CI = 3.15-4.20) and when participants with baseline mobility disability were omitted (adjusted HR = 3.71, 95% CI = 3.22-4.28).

conclusionRestricting back pain was strongly associated with mobility disability. Interventions that prevent or ameliorate restricting back pain may be effective for reducing the burden of mobility disability in older persons.

Indexed as

Disability EvaluationMobility LimitationAgedAged, 80 and overBack PainCohort StudiesConnecticutFemaleFrail ElderlyHumansIndependent LivingInterviews as TopicMalePrecipitating FactorsProspective Studiesagedback paincohort studiesmobility disability

Identifiers

PMID25366926
PMCPMC4241131
OpenAlexW1977260326

What OpenQuestion holds

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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.