Evidence map›Paper›PMID 27641001›Full record

ArticleJournal of the American Geriatrics Society2017

Two-Year Mortality in Homebound Older Adults: An Analysis of the National Health and Aging Trends Study.

Tacara Soones, Alex Federman, Bruce Leff, Albert L Siu, Katherine Ornstein

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 3 pooled it
–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

56 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Multidimensional factors affecting homebound older adults: A systematic review.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2022
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  7. Correlates of Homebound Status by Rural/Urban Location, Socio-Demographic Characteristics, and Health Status.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
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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.

Tacara SoonesDepartment of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Alex FedermanDivision of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Bruce LeffDivision of Geriatric Medicine, Department of Medicine, Johns Hopkins University, Baltimore, Maryland.
Albert L SiuDepartment of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Katherine OrnsteinDepartment of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.

Funding

The National Health and Trends StudyU01AG032947 · NIA · JOHNS HOPKINS UNIVERSITY · PI VICKI A. FREEDMAN, JENNIFER ANN SCHRACK · 2008 to 2026
$169.4M
Downstream effects of end-of-life patient treatment intensity on family membersK01AG047923 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI ORNSTEIN, KATHERINE A · 2014 to 2018
$581k
NIA NIH HHS K01 AG047923NIA NIH HHS U01 AG032947
6 · The paper itself

Abstract

objectivesTo determine the association between homebound status and mortality.

designCross-sectional.

settingAnnual, in-person interviews.

participantsA nationally representative sample of community-dwelling, Medicare beneficiaries aged 65 and older enrolled in the National Health and Aging Trends Study between 2011 and 2013 (N = 6,400). MEASUREMENTS: Two-year mortality and prevalence of homebound status in the year before death are described using three categories of homebound status: homebound (never or rarely left home in the last month), semihomebound (left home with assistance, needed help or had difficulty), and nonhomebound (left home without help or difficulty).

resultsIn unadjusted analyses, 2-year mortality was 40.3% in homebound participants, 21.3% in those who were semihomebound and 5.8% in those who were nonhomebound. Homebound status was associated with greater 2-year mortality, adjusted for sociodemographic characteristics, comorbidities, and functional status (hazard ratio = 2.08; 95% confidence interval = 1.63-2.65, P < .001). Half of older community-dwelling Medicare beneficiaries were homebound in the year before death.

conclusionHomebound status is associated with greater risk of death independent of functional impairment and comorbidities. To improve outcomes for homebound older adults and the many older adults who will become homebound in the last year of life, providers and policymakers need to extend healthcare services from hospitals and clinics to the homes of vulnerable individuals.

Indexed as

MortalityAgedAged, 80 and overChronic DiseaseComorbidityCross-Sectional StudiesDementiaDepressionFemaleHomebound PersonsHumansMaleMedicarePersons with DisabilitiesUnited StatesVulnerable Populationscross-sectional studiesepidemiologyhomeboundmortalityUnited States

Identifiers

PMID27641001
PMCPMC5258674

What OpenQuestion holds

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Registered trials

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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.