Evidence map›Paper›PMID 28784018›Full record

ArticleScandinavian journal of primary health care2017

Changes in disability, self-rated health, comorbidities and psychological wellbeing in community-dwelling 75-95-year-old cohorts over two decades in Helsinki.

Helena Karppinen, Kaisu H Pitkälä, Hannu Kautiainen, Reijo S Tilvis, Jaakko Valvanne, Käthe Yoder, Timo E Strandberg

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

13 citing papers in PubMed.

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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

7 authors.

Helena Karppinena General Practice and Primary Health Care , University of Helsinki and Helsinki University Hospital , Helsinki , Finland.
Kaisu H Pitkäläa General Practice and Primary Health Care , University of Helsinki and Helsinki University Hospital , Helsinki , Finland.
Hannu Kautiainena General Practice and Primary Health Care , University of Helsinki and Helsinki University Hospital , Helsinki , Finland.
Reijo S Tilvisc Geriatrics , University of Helsinki and Helsinki University Hospital , Helsinki , Finland.
Jaakko Valvanned School of Medicine , University of Tampere, Tampere University Hospital , Tampere , Finland.
Käthe Yodera General Practice and Primary Health Care , University of Helsinki and Helsinki University Hospital , Helsinki , Finland.
Timo E Strandbergc Geriatrics , University of Helsinki and Helsinki University Hospital , Helsinki , Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore changes in self-reported disabilities, health, comorbidities and psychological wellbeing (PWB) in aged cohorts over two decades. DESIGN, SETTING AND SUBJECTS: Cross-sectional cohort studies with postal surveys were conducted among community-dwelling people aged 75, 80, 85, 90 and 95 years in 1989 (n = 660), 1999 (n = 2598) and 2009 (n = 1637) in Helsinki, Finland.

main outcome measuresSelf-reported items on disability, self-rated health (SRH), diagnoses and PWB were compared between cohorts of the same age. Standardized mortality ratios (SMRs) were calculated for each study year to explore the representativeness of the samples compared to general population of same age.

resultsA significantly lower proportion of the 75-85-year-olds of the later study years reported going outdoors daily, although this group had improvements in both SRH and PWB scores. The number of comorbidities increased over time among 75-85-year-olds. The only significant change that could be verified among 90- and 95-year-olds between 1999 and 2009, was the lower proportion of participants going outdoors daily. The trend of leveling-off in disabilities was not explained by the SMRs (0.90, 0.71 and 0.60 for 1989, 1999 and 2009).

conclusionsThe latest older people's cohorts showed an end to previously reported improvements in disabilities, despite having favorable trends in SRH and PWB. Primary care may be faced with increasing need of appropriate services for their senior members.

Indexed as

Activities of Daily LivingComorbidityGeriatric AssessmentHealth StatusIndependent LivingMental HealthPersons with DisabilitiesAgedAged, 80 and overCohort StudiesCross-Sectional StudiesFemaleFinlandHumansMalePrimary Health CareCohort comparisoncommunity-dwellingoldest-oldphysical functioningpsychological wellbeingself-rated health

Identifiers

PMID28784018
PMCPMC5592355

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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.