Evidence map›Paper›PMID 28679804›Full record

ArticleHealth affairs (Project Hope)2017

A National Profile Of End-Of-Life Caregiving In The United States.

Katherine A Ornstein, Amy S Kelley, Evan Bollens-Lund, Jennifer L Wolff

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing 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

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

  1. Pooled it
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  8. Observational
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  10. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
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  13. Observational
  14. Article
  15. Caregivers for people in their last year of life.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  16. Article
  17. Article
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  19. Structural determinants of Medicaid enrollment in late life.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
  20. Article

34 more citing papers are in PubMed but not listed here.

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

4 authors.

Katherine A OrnsteinKatherine A. Ornstein (katherine.ornstein@mssm.edu) is an assistant professor in the Department of Geriatrics and Palliative Medicine and Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, in New York City.
Amy S KelleyAmy S. Kelley is an associate professor in the Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.
Evan Bollens-LundEvan Bollens-Lund is an analyst in the Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.
Jennifer L WolffJennifer L. Wolff is a professor in the Department of Health Policy and Management at Johns Hopkins University, in Baltimore, Maryland.

Funding

Prognostic Significance of Family Caregiver Factors for Older Adult Health EventsR01AG047859 · NIA · JOHNS HOPKINS UNIVERSITY · PI WOLFF, JENNIFER L. · 2015 to 2018
$1.5M
Improving Care for Older Adults with Serious IllnessK23AG040774 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KELLEY, AMY STEVES · 2012 to 2016
$785k
Downstream effects of end-of-life patient treatment intensity on family membersK01AG047923 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI ORNSTEIN, KATHERINE A · 2014 to 2018
$581k
NIA NIH HHS K01 AG047923NIA NIH HHS K23 AG040774NIA NIH HHS R01 AG047859
6 · The paper itself

Abstract

To date, knowledge of the experiences of older adults' caregivers at the end of life has come from studies that were limited to specific diseases and so-called primary caregivers and that relied on the recollections of people in convenience samples. Using nationally representative, prospective data for 2011, we found that 900,000 community-dwelling Medicare beneficiaries ages sixty-five and older who died within the following twelve months received support from 2.3 million caregivers. Nearly nine in ten of these caregivers were unpaid. Compared to other caregivers, end-of-life caregivers provided nearly twice as many hours of care per week and, especially in the case of spousal caregivers, reported more care-related challenges. Yet older adults at the end of life were not significantly more likely than other older adults to receive caregiving funded by government, state, or private insurance. To meet the needs of older adults at the end of life, their unpaid caregivers must receive greater recognition and expanded access to supportive services.

Indexed as

CaregiversIndependent LivingAgedFemaleHumansMaleMiddle AgedProspective StudiesTerminal CareUnited StatescaregivingElderlyLong-Term Care

Identifiers

PMID28679804
PMCPMC5612447

What OpenQuestion holds

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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.