Evidence map›Paper›PMID 28096256›Full record

ArticleBMJ open2017

Chronic symptoms in a representative sample of community-dwelling older people: a cross-sectional study in Switzerland.

Yves Henchoz, Christophe Büla, Idris Guessous, Nicolas Rodondi, René Goy, Maurice Demont, Brigitte Santos-Eggimann

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
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

20 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
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  7. Observational
  8. Article
  9. Skin health of community-living older people: a scoping review.Archives of dermatological research · 2024
    Article
  10. Article
  11. Article
  12. Cohort Profile: The Lausanne cohort 65+ (Lc65+).International journal of epidemiology · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Article
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  18. Symptom Burden Among Community-Dwelling Older Adults in the United States.Journal of the American Geriatrics Society · 2019
    Article
  19. Article
  20. 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

7 authors at 4 institutions in 1 country.

Yves HenchozInstitute of Social and Preventive Medicine, University of Lausanne Hospital Centre, Lausanne, Switzerland.ORCID 0000-0002-8251-8393
Christophe BülaService of Geriatric Medicine and Geriatric Rehabilitation, Lausanne University Hospital, Lausanne, Switzerland.
Idris GuessousUnit of Population Epidemiology, Geneva University Hospitals, Geneva, Switzerland.
Nicolas RodondiDepartment of General Internal Medicine, University Hospital of Bern, Bern, Switzerland.
René GoyPro Senectute Vaud, Lausanne, Switzerland.
Maurice DemontPro Senectute Geneva, Geneva, Switzerland.
Brigitte Santos-EggimannInstitute of Social and Preventive Medicine, University of Lausanne Hospital Centre, Lausanne, Switzerland.
Institute of Social and Preventive Medicine · CHUniversity Hospital of Geneva · CHUniversity of Bern · CHUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe burden of multiple diagnoses is well documented in older people, but less is known about chronic symptoms, many of which are even not brought to medical attention. This study aimed to determine the prevalence of chronic symptoms, their relationships with disability in basic activities of daily living (BADL) and quality of life (QoL), and their public health impact.

designA large cross-sectional population-based study.

settingCommunity in 2 regions of French-speaking Switzerland.

participantsCommunity-dwelling older adults aged 68 years and older in 2011 (N=5300). OUTCOMES: Disability in BADL defined as difficulty or help needed with any of dressing, bathing, eating, getting in/out of bed or an arm chair, and using the toilet. Overall QoL dichotomised as favourable (ie, excellent or very good) or unfavourable (ie, good, fair or poor). Disturbance by any of the following 14 chronic symptoms for at least 6 months: joint pain, back pain, chest pain, dyspnoea, persistent cough, swollen legs, memory gaps, difficulty concentrating, difficulty making decisions, dizziness/vertigo, skin problems, stomach/intestine problems, urinary incontinence and impaired sexual life.

resultsOnly 17.1% of participants did not report being disturbed by any of these chronic symptoms. Weighted prevalence ranged from 3.1% (chest pain) to 47.7% (joint pain). Most chronic symptoms were significantly associated with disability in BADL or unfavourable QoL, with substantial gender differences. The number of chronic symptoms was significantly associated with disability in BADL and unfavourable QoL, with gradients suggesting dose-response relationships. Joint pain and back pain had the highest population attributable fractions.

conclusionsChronic symptoms are highly prevalent in older people, and are associated with disability in BADL and unfavourable QoL, particularly when multiple chronic symptoms co-occur. Owing to their high public health impact, musculoskeletal chronic symptoms represent good targets for preventive interventions.

Indexed as

Activities of Daily LivingAgedAged, 80 and overAge DistributionCross-Sectional StudiesFemaleHumansMaleMultiple Chronic ConditionsPersons with DisabilitiesPrevalenceQuality of LifeSwitzerlandChronic symptomsDisabilityOlder peoplePopulation attributable fractionQuality of life

Identifiers

PMID28096256
PMCPMC5253546
OpenAlexW2577006249

What OpenQuestion holds

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LicenceCC BY-NC
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.