Evidence map›Paper›PMID 28357682›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2017

Quality of life independently predicts long-term mortality but not vascular events: the Northern Manhattan Study.

John W Liang, Ying Kuen Cheung, Joshua Z Willey, Yeseon P Moon, Ralph L Sacco, Mitchell S V Elkind, Mandip S Dhamoon

Abstract read
In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. The predictive ability of EQ-5D-3L compared to the LACE index and its association with 30-day post-hospitalization outcomes.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Article
  3. How is quality of life defined and assessed in published research?Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Review
  4. Review
  5. Article
  6. Article
  7. 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.

John W LiangDepartment of Neurology, Icahn School of Medicine, Mount Sinai, New York, NY, USA. John.Liang@Jefferson.edu.
Ying Kuen CheungDepartment of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY, USA.
Joshua Z WilleyDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Yeseon P MoonDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Ralph L SaccoDepartment of Neurology, Evelyn F. McKnight Brain Institute, Miller School of Medicine, University of Miami, Miami, FL, USA.
Mitchell S V ElkindDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Mandip S DhamoonDepartment of Neurology, Icahn School of Medicine, Mount Sinai, New York, NY, USA.

Funding

STROKE INCIDENCE AND RISK FACTORS IN A TRI-ETHNIC REGIONR01NS029993 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ELKIND, MITCHELL S, SACCO, RALPH L. · 1993 to 2019
$19.2M
Inflammatory and Infectious Burden and Risk of StrokeR01NS048134 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ELKIND, MITCHELL S · 2004 to 2008
$1.5M
The trajectory of functional status and quality of life before and after strokeK23NS079422 · NINDS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI DHAMOON, MANDIP SINGH · 2013 to 2017
$917k
NINDS NIH HHS K23 NS079422NINDS NIH HHS R01 NS029993NINDS NIH HHS R01 NS048134
6 · The paper itself

Abstract

purposeCardiovascular disease is a major contributor to morbidity and mortality, and prevention relies on accurate identification of those at risk. Studies of the association between quality of life (QOL) and mortality and vascular events incompletely accounted for depression, cognitive status, social support, and functional status, all of which have an impact on vascular outcomes. We hypothesized that baseline QOL is independently associated with long-term mortality in a large, multi-ethnic urban cohort.

methodsIn the prospective, population-based Northern Manhattan Study, Spitzer QOL index (SQI, range 0-10, with ten signifying the highest QOL) was assessed at baseline. Participants were followed over a median 11 years for stroke, myocardial infarction (MI), and vascular and non-vascular death. Multivariable Cox proportional hazards regression estimated hazard ratio and 95% confidence interval (HR, 95% CI) for each outcome, with SQI as the main predictor, dichotomized at 10, adjusting for baseline demographics, vascular risk factors, history of cancer, social support, cognitive status, depression, and functional status.

resultsAmong 3298 participants, mean age was 69.7 + 10.3 years; 1795 (54.5%) had SQI of 10. In fully adjusted models, SQI of 10 (compared to SQI <10) was associated with reduced risk of all-cause mortality (HR 0.80, 95% CI 0.72-0.90), vascular death (0.81, 0.69-0.97), non-vascular death (0.78, 0.67-0.91), and stroke or MI or death (0.82, 0.74-0.91). In fully adjusted competing risk models, there was no association with stroke (0.93, 0.74-1.17), MI (0.98, 0.75-1.28), and stroke or MI (1.03, 0.86-1.24). Results were consistent when SQI was analyzed continuously.

conclusionIn this large population-based cohort, highest QOL was inversely associated with long-term mortality, vascular and non-vascular, independently of baseline primary vascular risk factors, social support, cognition, depression, and functional status. QOL was not associated with non-fatal vascular events.

Indexed as

AgedCardiovascular DiseasesCohort StudiesFemaleHumansMaleNew YorkProspective StudiesQuality of LifeRisk FactorsCohortPatient-centered outcomesProspectiveQuality of lifeVascular outcomes

Identifiers

PMID28357682
PMCPMC5511067

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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.