Evidence map›Paper›PMID 29396271›Full record

ArticleDisability and health journal2018

At the intersection of chronic disease, disability and health services research: A scoping literature review.

Stephen P Gulley, Elizabeth K Rasch, Christina D Bethell, Adam C Carle, Benjamin G Druss, Amy J Houtrow, Amanda Reichard, Leighton Chan

Abstract readScoping Review
In one paragraph

Article in Disability and health journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

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  17. Type of Disaster Exposure Affects Functional Limitations of Older People 6 Years Later.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
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  18. Review
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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

8 authors.

Stephen P GulleyThe Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USA; National Institutes of Health, Clinical Research Center, Rehabilitation Medicine Department, Bethesda, MD, USA. Electronic address: gulley@brandeis.edu.
Elizabeth K RaschNational Institutes of Health, Clinical Research Center, Rehabilitation Medicine Department, Bethesda, MD, USA.
Christina D BethellJohn Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Adam C CarleCincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Benjamin G DrussRollins School of Public Health, Emory University, GA, USA.
Amy J HoutrowUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Amanda ReichardUniversity of Kansas, Lawrence, KS, USA.
Leighton ChanNational Institutes of Health, Clinical Research Center, Rehabilitation Medicine Department, Bethesda, MD, USA.

Funding

Adults with Chronic Health Care NeedsZIACL060067 · CLC · CLINICAL CENTER · PI CHAN, LEIGHTON · 2009 to 2020
$0k
Intramural NIH HHS ZIA CL060067
6 · The paper itself

Abstract

backgroundThere is a concerted effort underway to evaluate and reform our nation's approach to the health of people with ongoing or elevated needs for care, particularly persons with chronic conditions and/or disabilities.

objectiveThis literature review characterizes the current state of knowledge on the measurement of chronic disease and disability in population-based health services research on working age adults (age 18-64).

methodsScoping review methods were used to scan the health services research literature published since the year 2000, including medline, psycINFO and manual searches. The guiding question was: "How are chronic conditions and disability defined and measured in studies of healthcare access, quality, utilization or cost?"

resultsFifty-five studies met the stated inclusion criteria. Chronic conditions were variously defined by brief lists of conditions, broader criteria-based lists, two or more (multiple) chronic conditions, or other constructs. Disability was generally assessed through ADLs/IADLs, functional limitations, activity limitations or program eligibility. A smaller subset of studies used information from both domains to identify a study population or to stratify it by subgroup.

conclusionsThere remains a divide in this literature between studies that rely upon diagnostically-oriented measures and studies that instead rely on functional, activity or other constructs of disability to identify the population of interest. This leads to wide ranging differences in population prevalence and outcome estimates. However, there is also a growing effort to develop methods that account for the overlap between chronic disease and disability and to "segment" this heterogeneous population into policy or practice relevant subgroups.

Indexed as

Chronic DiseaseDelivery of Health CareDiagnostic Techniques and ProceduresHealth ServicesPersons with DisabilitiesResearch DesignHealth Care CostsHealth Services AccessibilityHealth Services ResearchHumansPatient Acceptance of Health CareQuality of Health CareChronic conditionsHealth service utilizationMeasurementPeople with disabilities

Identifiers

PMID29396271
PMCPMC5869152

What OpenQuestion holds

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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.