Evidence map›Paper›PMID 29202104›Full record

ArticleInnovation in aging2017

A Health Profile of Senior-Aged Women Veterans: A Latent Class Analysis of Condition Clusters.

Margaret E Gonsoulin, Ramon A Durazo-Arvizu, Karen M Goldstein, Guichan Cao, Qiuying Zhang, Dharani Ramanathan, Denise M Hynes

Open access · goldAbstract read
In one paragraph

Article in Innovation in aging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
0.3field-weighted citation impact, top 35% of its field
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, 3 syntheses or guidelines pooled it, 13 citations in OpenAlex.

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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 at 5 institutions in 1 country.

Margaret E GonsoulinVA Information Resource Center, Edward Hines Jr. VA Hospital, US Department of Veterans Affairs Hines, Illinois.
Ramon A Durazo-ArvizuPublic Health Services, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois.
Karen M GoldsteinDurham VA Medical Center, Department of Veterans Affairs, Durham, North Carolina.
Guichan CaoVA Information Resource Center, Edward Hines Jr. VA Hospital, US Department of Veterans Affairs Hines, Illinois.
Qiuying ZhangVA Information Resource Center, Edward Hines Jr. VA Hospital, US Department of Veterans Affairs Hines, Illinois.
Dharani RamanathanVA Information Resource Center, Edward Hines Jr. VA Hospital, US Department of Veterans Affairs Hines, Illinois.
Denise M HynesVA Information Resource Center, Edward Hines Jr. VA Hospital, US Department of Veterans Affairs Hines, Illinois.
United States Department of Veterans Affairs · USDurham VA Medical Center · USEdward Hines, Jr. VA Hospital · USLoyola University Chicago · USUniversity of Illinois Chicago · US

Funding

HSRD VA CDA 13-263HSRD VA IK2 HX001540HSRD VA RCS 98-352HSRD VA SDR 02-237
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThis study characterizes the multiple morbidities experienced by senior-aged women Veterans so that the Veterans Health Administration (VHA) and other healthcare systems may be better prepared to meet the healthcare needs of this growing cohort. RESEARCH DESIGN AND

methodsUsing the VHA's Corporate Data Warehouse (CDW), we conducted a retrospective observational study of the 38,597 female veteran patients who were at least sixty-five years old and received care in the VHA during 2013 and 2014. We use a latent class analysis model to cluster diagnoses associated with inpatient and outpatient events over the years.

resultsThe senior-aged women Veterans are characterized by six major classes of disease clusters. We defined these classes as: Healthy (16.24% of the cohort); Ophthalmological Disorders (13.84%); Musculoskeletal Disorders (14.22%); At Risk for Cardiovascular Disease (37.53%); Diabetic with Comorbidities (9.05%); and Multimorbid (9.12%). The patterns and prevalence of these condition classes vary by race, age and marital status. DISCUSSION AND IMPLICATIONS: Each of the six clusters can be used to develop clinical practice guidelines that are appropriate for senior-aged women Veterans. Consistent with past literature, the most common conditions in this cohort are hypertension and hyperlipidemia; together they form the most common class, "At Risk of Cardiovascular Disease (CVD)". Results also show evidence of race-related disparities, with Blacks being more likely to be in the highest risk classes. Also, members of the cohort who are currently married having improved chances of being in the healthy class. And finally, we see a "healthy survivor" effect with the oldest women in our cohort having low overall rates of disease.

Identifiers

PMID29202104
PMCPMC5710757
OpenAlexW2769337660

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.