Evidence map›Paper›PMID 26683780›Full record

ArticleMedical care2016

Performance of the Medicare Consumer Assessment of Health Care Providers and Systems (CAHPS) Physical Functioning Items.

Ron D Hays, Joshua S Mallett, Sarah Gaillot, Marc N Elliott

Abstract read
In one paragraph

Article in Medical care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
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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

4 authors.

Ron D Hays*UCLA Department of Medicine, Los Angeles †RAND Corporation, Santa Monica, CA ‡Centers for Medicare & Medicaid Services, Baltimore, MD.
Joshua S Mallett
Sarah Gaillot
Marc N Elliott

Funding

The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CATHERINE A SARKISIAN · 2002 to 2026
$19.7M
TRAINING COREP20MD000182 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED &SCI · PI CUNNINGHAM, WILLIAM EMERY, SHAPIRO, MARTIN F. · 2002 to 2016
$16.5M
Continuation of Consumer Assessment of Healthcare Providers and Systems CAHPS IVU18HS016980 · AHRQ · RAND CORPORATION · PI HAYS, RONALD DALE · 2007 to 2016
$14.7M
AHRQ HHS 2U18 HS016980AHRQ HHS U18 HS016980NIA NIH HHS P30 AG021684NIA NIH HHS P30AG021684NIMHD NIH HHS 2P20MD000182NIMHD NIH HHS P20 MD000182PHS HHS 1U2-CCA186878-01
6 · The paper itself

Abstract

backgroundPhysical functioning is an important health domain for adults.

objectiveEvaluate physical functioning items in Medicare beneficiaries. RESEARCH

designSurvey data from the 2010 Consumer Assessment of Healthcare Providers and Systems Medicare survey. SUBJECTS: The 366,701 respondents were 58% female; 38% were 75 or older; 57% had high school education or less. MEASURES: Walking, getting in or out of chairs, bathing, dressing, toileting, and eating assessed with 3 response choices: unable to do, have difficulty, do not have difficulty.

resultsPearson correlations among the 6 items ranged from 0.515 to 0.835 (coefficient α=0.92). A single factor categorical factor analytic model fit the data well (comparative fit index=0.998; root mean square error of approximation=0.083). The item with the highest percentage of respondents reporting no difficulty was eating, followed by toileting, dressing, bathing, getting in and out of a chair, and walking. Threshold parameters from an item response theory-graded response model ranged from -1.983 (between unable to do and have difficulty eating) to -0.551 (between have difficulty and no difficulty walking). Item discrimination parameters ranged from 4.632 (walking) to 8.228 (dressing). IRT-scored physical functioning scores correlated with self-rated general health (r=0.389, n=344,843, P<0.0001) mental health (r=0.296, n=351,254, P<0.0001) and number of chronic conditions (r=-0.229, n=284,507, P<0.0001).

conclusionsThe physical functioning items target relatively easy activities, providing information for a minority of people in the sample with the lowest levels of physical functioning. Items representing higher levels of physical functioning are needed for the majority of the Medicare beneficiaries.

Indexed as

Activities of Daily LivingHealth Status IndicatorsMobility LimitationAdolescentAdultAgedAged, 80 and overChronic DiseaseEducational StatusFemaleHumansInsurance Claim ReviewMaleMedicareMiddle AgedReproducibility of Results

Identifiers

PMID26683780
PMCPMC4713233

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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.