Evidence map›Paper›PMID 28628533›Full record

ArticleAmerican journal of physical medicine & rehabilitation2017

The Association Between Activity Limitation Stages and Admission to Facilities Providing Long-term Care Among Older Medicare Beneficiaries.

Jibby E Kurichi, Joel E Streim, Dawei Xie, Sean Hennessy, Ling Na, Debra Saliba, Qiang Pan, Pui L Kwong, 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Discordance Between Self-Report and Performance-Based Measures Among At-Risk Older Adults: A Secondary Data Analysis.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 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

9 authors.

Jibby E KurichiFrom the Department of Biostatistics and Epidemiology, The Center for Clinical Epidemiology and Biostatistics (JEK, DX, SH, LN, QP, PLK), and Geriatric Psychiatry Section of the Department of Psychiatry (JES), Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; VISN 4 Mental Illness Research Education and Clinical Center (MIRECC), Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania (JES); Center for Pharmacoepidemiology Research and Training, University of Pennsylvania, Philadelphia, Pennsylvania (SH); Department of Geriatrics and Gerontology at UCLA, Los Angeles, California (DS); VA Greater Los Angeles Healthcare System (GLAHS) Geriatric Research, Education and Clinical Center (GRECC), Los Angeles, California (DS); RAND Health, Santa Monica, California (DS); and Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia, Pennsylvania (HRB).
Joel E Streim
Dawei Xie
Sean Hennessy
Ling Na
Debra Saliba
Qiang Pan
Pui L Kwong
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

objectiveThis study aimed to examine whether activity limitation stages are associated with admission to facilities providing long-term care (LTC).

designCohort study using Medicare Current Beneficiary Survey data from the 2005-2009 entry panels. A total of 14,580 community-dwelling Medicare beneficiaries 65 years or older were included. Proportional subhazard models examined associations between activity limitation stages and time to first LTC admission, adjusting for baseline sociodemographics and health conditions.

resultsThe weighted annual rate of LTC admission was 1.1%. In the adjusted model, compared to activity of daily living (ADL) stage 0, the hazard ratios (95% confidence intervals [CIs]) were 2.0 (1.5-2.7), 3.9 (2.9-5.4), 3.6 (2.5-5.3), and 4.7 (2.5-9.0) for ADL stage I (mild limitation), ADL stage II (moderate limitation), ADL stage III (severe limitation), and ADL stage IV (complete limitation), respectively. Compared to instrumental ADL (IADL) stage 0, the hazard ratios, and 95% CIs for IADL stages I to IV were 2.0 (1.4-2.7), 3.7 (2.6-5.4), 4.6 (3.3-6.5), and 7.6 (4.6-12.3), respectively.

conclusionsActivity limitation stages are strongly associated with future admission to LTC and may therefore be useful in identifying specific supportive care needs among vulnerable older community-dwelling adults, which may reduce or the delay need for admission to LTC.

Indexed as

Activities of Daily LivingAgedAged, 80 and overFemaleHospitalizationHumansLong-Term CareMaleMedicarePersons with DisabilitiesProportional Hazards ModelsRisk FactorsUnited States

Identifiers

PMID28628533
PMCPMC5418096

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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.