ArticlePM & R : the journal of injury, function, and rehabilitation2015
Disability Stage is an Independent Risk Factor for Mortality in Medicare Beneficiaries Aged 65 Years and Older.
Article in PM & R : the journal of injury, function, and rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
60 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cross-sectional and prospective association between personality traits and IADL/ADL limitations.Psychology and aging · 2021Pooled it
- Functional Activities to Optimize Patient Outcomes in Home Health: A Pilot Randomized Controlled Trial.Journal of the American Medical Directors Association · 2026Trial
- Hobby engagement, disability transitions, and life expectancy: a multinational longitudinal study.Journal of global health · 2026Article
- Association between instrumental activities of daily living and incidence of Parkinson's disease: a nationwide population-based cohort study.NPJ Parkinson's disease · 2026Article
- Trajectories of physical functioning and its implication for all-cause mortality in Chinese older people: a large-scale national longitudinal study.Journal of global health · 2025Article
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- Observing the Relationship Between Additional Measures of Handgrip Strength and the 6-Minute Push Test in Ambulatory Young Adults.International journal of exercise science · 2025Article
- Functional Assessment of >18 Years Old Patients at Internal Medicine Ward-Relationship with In-Hospital and 30-Day Mortality.American journal of medicine open · 2024Article
- Social Robots and Sensors for Enhanced Aging at Home: Mixed Methods Study With a Focus on Mobility and Socioeconomic Factors.JMIR aging · 2024Article
- Trends over time in the deficit of (instrumental) activities of daily living in the Austrian population aged 65 years and older : Results from the Austrian Health Interview Survey series.Wiener klinische Wochenschrift · 2024Article
- Gender Differences in Anthropometric, Functional Capacity Measures and Quality of Life in Individuals with Intellectual and Developmental Disabilities.Journal of functional morphology and kinesiology · 2024Article
- Multilevel barriers to using assistive technology devices among older hispanics from poor and disadvantaged communities: the relevance of a gender analysis.Disability and rehabilitation. Assistive technology · 2024Article
- Development and Content Validity of a Disability Self-Management Questionnaire for Hispanic Older Adults.Puerto Rico health sciences journal · 2023Article
- Prevalence and Trends of Basic Activities of Daily Living Limitations in Middle-Aged and Older Adults in the United States.Epidemiologia (Basel, Switzerland) · 2023Article
- Subjective social status and functional and mobility impairments among older adults: life satisfaction and depression as mediators and moderators.BMC geriatrics · 2023Article
- Implementation of interventions to maintain and promote the functional mobility of nursing home residents - a scoping review.BMC geriatrics · 2023Article
- Long-term survival with sickle cell disease: a nationwide cohort study of Medicare and Medicaid beneficiaries.Blood advances · 2023Article
- Predicting Disability Using a Nomogram of the Tilburg Frailty Indicator (TFI).Healthcare (Basel, Switzerland) · 2023Article
- The Impact of Chronic Pain, Stiffness and Difficulties in Performing Daily Activities on the Quality of Life of Older Patients with Knee Osteoarthritis.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundStages of activity limitation based on activities of daily living (ADLs) and instrumental activities of daily living (IADLs) have been found to predict mortality in persons aged 70 years and older but have not been examined in Medicare beneficiaries aged 65 years and older using data that are routinely collected.
objectiveTo examine the association between functional stages based on items of ADLs and IADLs with 3-year mortality in Medicare beneficiaries aged 65 years and older, accounting for baseline sociodemographics, health status, smoking, subjective health, and psychological well-being.
designA cohort study using the Medicare Current Beneficiary Survey (MCBS) and associated health care utilization data.
settingCommunity administered survey.
participantsThe study included 9698 Medicare beneficiaries aged 65 years and older who participated in the MCBS in 2005-2007.
main outcome measuresDeath within 3 years of cohort entry.
resultsThe overall mortality rate was 3.6 per 100 person years, and 3-year cumulative mortality was 10.3%. Unadjusted 3-year mortality was monotonically associated with both ADL stage and IADL stage. Adjusted 3-year mortality was associated with ADL and IADL stages, except that in some models the hazard ratio for stage III (which includes persons with atypical activity limitation patterns) was numerically lower than that for stage II.
conclusionWe found nearly monotonic relationships between ADL and IADL stage and adjusted 3-year mortality. These findings could aid in the development of population health approaches and metrics for evaluating the success of alternative economic, social, or health policies on the longevity of older adults with activity limitations.
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