Evidence map›Paper›PMID 27754997›Full record

ArticleAmerican journal of physical medicine & rehabilitation2017

Disability Stages and Trouble Getting Needed Health Care Among Medicare Beneficiaries.

Heather F McClintock, Jibby E Kurichi, Pui L Kwong, Dawei Xie, Joel E Streim, Liliana E Pezzin, Sean Hennessey, Ling Na, Hillary R Bogner

Abstract read
In one paragraph

Article in American journal of physical medicine & rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

9 authors.

Heather F McClintockFrom the Department of Community and Global Public Health, College of Health Sciences, Arcadia University, Glen Mills, Pennsylvania (HFM); Department of Family Medicine and Community Health (JEK, PLK, LN, HRB), Center for Clinical Epidemiology and Biostatistics (DX, SH, HRB), and Geriatric Psychiatry Section of the Department of Psychiatry (JES), Perelman School of Medicine, University of Pennsylvania; VISN 4 Mental Illness Research, Education and Clinical Center (MIRECC), Corporal Michael J. Crescenz VA Medical Center (JES), Philadelphia, Pennsylvania; Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin (LEP); and Center for Pharmacoepidemiology Research and Training, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (SH).
Jibby E Kurichi
Pui L Kwong
Dawei Xie
Joel E Streim
Liliana E Pezzin
Sean Hennessey
Ling Na
Hillary R Bogner

Funding

Ambulatory Care Access and QualityR01HD074756 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI HENNESSY, SEAN · 2013 to 2017
$2.0M
Staging Activity LimitationR01AG040105 · NIA · UNIVERSITY OF PENNSYLVANIA · PI HENNESSY, SEAN · 2012 to 2016
$1.2M
NIA NIH HHS R01 AG040105NICHD NIH HHS R01 HD074756
6 · The paper itself

Abstract

objectiveThe aim of this study was to examine whether activity limitation stages were associated with patient-reported trouble getting needed health care among Medicare beneficiaries.

designThis was a population-based study (n = 35,912) of Medicare beneficiaries who participated in the Medicare Current Beneficiary Survey for years 2001-2010. Beneficiaries were classified into an activity limitation stage from 0 (no limitation) to IV (complete) derived from self-reported or proxy-reported difficulty performing activities of daily living and instrumental activities of daily living. Beneficiaries reported whether they had trouble getting health care in the subsequent year. A multivariable logistic regression model examined the association between activity limitation stages and trouble getting needed care.

resultsCompared with beneficiaries with no limitations (activities of daily living stage 0), the adjusted odds ratios (ORs) (95% confidence intervals [CIs]) for stage I (mild) to stage IV (complete) for trouble getting needed health care ranged from OR = 1.53 (95% CI, 1.32-1.76) to OR = 2.86 (95% CI, 1.97-4.14). High costs (31.7%), not having enough money (31.2%), and supplies/services not covered (24.2%) were the most common reasons for reporting trouble getting needed health care.

conclusionMedicare beneficiaries at higher stages of activity limitations reported trouble getting needed health care, which was commonly attributed to financial barriers.

Indexed as

Disability EvaluationHealth Services AccessibilityHealth Services Needs and DemandPersons with DisabilitiesActivities of Daily LivingAgedAged, 80 and overCohort StudiesFemaleHealth Care CostsHumansMaleMedicareUnited States

Identifiers

PMID27754997
PMCPMC5391295

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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.