Evidence map›Paper›PMID 26768385›Full record

Observational studyThe Gerontologist2016

Association Between Chronic Conditions and Physical Function Among Veteran and Non-Veteran Women With Diabetes.

Kristen E Gray, Jodie G Katon, Eileen Rillamas-Sun, Lori A Bastian, Karin M Nelson, Andrea Z LaCroix, Gayle E Reiber

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in The Gerontologist, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Kristen E GrayVA Puget Sound Health Care System, Health Services Research & Development, Seattle, Washington. Department of Health Services, University of Washington School of Public Health, Seattle. kristen.gray2@va.gov.
Jodie G Katon
Eileen Rillamas-SunVA Puget Sound Health Care System, Health Services Research & Development, Seattle, Washington. Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Lori A BastianPain Research, Informatics, Multimorbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven. Division of General Internal Medicine, University of Connecticut Health Center, Farmington.
Karin M NelsonVA Puget Sound Health Care System, Health Services Research & Development, Seattle, Washington. VA Puget Sound Health Care System, General Internal Medicine Service, Seattle, Washington. Department of Medicine, University of Washington, Seattle.
Andrea Z LaCroixDivision of Epidemiology, Department of Family Medicine and Public Health, University of California, San Diego.
Gayle E ReiberVA Puget Sound Health Care System, Health Services Research & Development, Seattle, Washington. Department of Health Services, University of Washington School of Public Health, Seattle. Department of Epidemiology, University of Washington School of Public Health, Seattle.
University of California, San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of the studyTo compare the number of chronic conditions among a list of 12 and their association with physical function among postmenopausal non-Veteran and Veteran women with diabetes. DESIGN AND

methodsAmong women with diabetes from the Women's Health Initiative, we compared the average number of chronic conditions between non-Veterans and Veterans and the association between total number of chronic conditions on subsequent RAND-36 physical function. To examine associations between each condition and subsequent physical function, we compared women with diabetes plus one chronic condition to women with diabetes alone using linear regression in separate models for each condition and for non-Veterans and Veterans.

resultsBoth non-Veterans (N = 23,542) and Veterans (N = 618) with diabetes had a median of 3 chronic conditions. Decreases in physical function for each additional condition were larger among Veterans than non-Veterans (-6.3 vs. -4.1 points). Decreases in physical function among women with diabetes plus one chronic condition were greater than that reported for diabetes alone for all combinations and were more pronounced among Veterans (non-Veterans: -11.1 to -24.2, Veterans: -16.6 to -40.4 points). Hip fracture, peripheral artery disease, cerebrovascular disease, and coronary disease in combination with diabetes were associated with the greatest decreases in physical function. IMPLICATIONS: Chronic conditions were common among postmenopausal women with diabetes and were associated with large declines in physical function, particularly among Veterans. Interventions to prevent and reduce the impact of these conditions and facilitate coordination of care among women with diabetes may help them maintain physical function.

Indexed as

Activities of Daily LivingHealth StatusAccidental FallsAgedCase-Control StudiesCerebrovascular DisordersChronic DiseaseCognitive DysfunctionComorbidityDiabetes MellitusFemaleHeart DiseasesHip FracturesHumansKidney Failure, ChronicLinear ModelsChronic illnessDiabetesPhysical functionVeteransWomen’s issues

Identifiers

PMID26768385
PMCPMC5881620
OpenAlexW2293913390

What OpenQuestion holds

Textmetadata
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.