Evidence map›Paper›PMID 28346032›Full record

ArticleOphthalmic epidemiology2017

Presence of Vision Impairment and Risk of Hospitalization among Elderly Medicare Beneficiaries.

Sila Bal, Jibby E Kurichi, Pui L Kwong, Dawei Xie, Sean Hennessy, Ling Na, Liliana E Pezzin, Joel E Streim, Hillary R Bogner

Abstract readMulticenter Study
In one paragraph

Article in Ophthalmic epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Access to Geriatric Disability Care in India: A Roadmap for Research.International journal of environmental research and public health · 2022
    Pooled it
  2. Interventions Within the Scope of Occupational Therapy Practice to Improve Performance of Daily Activities for Older Adults With Low Vision: A Systematic Review.The American journal of occupational therapy : official publication of the American Occupational Therapy Association
    Pooled it
  3. The association of cataract surgery with risk of falls and fractures among Medicare enrollees with cataract.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  4. Relationship of Visual Impairment and Poor Mobility With Mortality.Journal of the American Geriatrics Society · 2025
    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

9 authors.

Sila Bala Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania , Philadelphia , PA , USA.
Jibby E Kurichia Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania , Philadelphia , PA , USA.
Pui L Kwonga Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania , Philadelphia , PA , USA.
Dawei Xiea Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania , Philadelphia , PA , USA.
Sean Hennessya Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania , Philadelphia , PA , USA.
Ling Naa Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania , Philadelphia , PA , USA.
Liliana E Pezzinc Department of Medicine , Medical College of Wisconsin , Milwaukee , WI , USA.
Joel E Streimd Geriatric Psychiatry Section of the Department of Psychiatry , Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, and VISN 4 Mental Illness Research, Education and Clinical Center (MIRECC), Corporal Michael J. Crescenz VA Medical Center , Philadelphia , PA , USA.
Hillary R Bognera Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania , Philadelphia , PA , USA.

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

purposeTo examine the association between vision impairment and all-cause hospitalization among elderly Medicare beneficiaries.

methodsA population-based study (N = 22,681) of community-dwelling Medicare beneficiaries aged 65 years and older who participated in the Medicare Current Beneficiary Survey for the years 2001-2007. Beneficiaries were classified into self-reported presence of vision impairment versus no vision impairment. Inpatient hospitalizations were identified using Medicare claims data. A multivariable Cox proportional hazard model examined the association between presence of vision impairment and time to first hospitalization within 3 years of survey entry after adjusting for sociodemographics, comorbidities, hearing impairment, and activity limitation stages derived from difficulty performing the activities of daily living.

resultsMedicare beneficiaries who self-reported the presence of vision impairment were significantly more likely to be hospitalized over 3 years compared to beneficiaries without vision impairment even after adjustment for potentially influential covariates (hazard ratio = 1.14 and 95% confidence interval: 1.05-1.23).

conclusionsMedicare beneficiaries with self-reported vision impairment were at higher risk of hospitalization during a 3-year period. Further research may identify reasons that are amenable to policy interventions.

Indexed as

Self ReportAgedAged, 80 and overFemaleFollow-Up StudiesHospitalizationHumansMaleMedicarePrevalenceRetrospective StudiesRisk FactorsUnited StatesVision DisordersAccess to caredisabilityelderlyhospitalizationMedicarevisual disorders

Identifiers

PMID28346032
PMCPMC5617761

What OpenQuestion holds

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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.