Evidence map›Paper›PMID 30223760›Full record

ArticlePublic health reports (Washington, D.C. : 1974)2018

Disability Rating and 1-Year Mortality Among Veterans With Service-Connected Health Conditions.

Charles Maynard, Karin Nelson, Stephan D Fihn

Abstract read
In one paragraph

Article in Public health reports (Washington, D.C. : 1974), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

3 authors.

Charles Maynard1 US Department of Veterans Affairs, Puget Sound Health Care System, Seattle, WA, USA.
Karin Nelson1 US Department of Veterans Affairs, Puget Sound Health Care System, Seattle, WA, USA.
Stephan D Fihn1 US Department of Veterans Affairs, Puget Sound Health Care System, Seattle, WA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMilitary service is associated with an increased risk of disability and death after discharge. This study determined the relationships among characteristics, disability ratings, and 1-year mortality risks of veterans receiving compensation for service-connected health conditions (ie, conditions related to illnesses or injuries incurred or aggravated during military service).

methodsThis study included 4 010 720 living veterans who had ≥1 service-connected health condition and were receiving disability compensation on October 1, 2016. We obtained data on veteran demographic, military service, and disability characteristics from the Veterans Benefits Administration VETSNET file and on 1-year mortality from the Veterans Administration vital status file. We compared veteran characteristics and 1-year mortality rates within and between the following combined service-connected disability rating categories: low, 10% to 40% disability; medium, 50% to 90% disability; high, 100% disability. We used logistic regression analysis to determine the relationships between disability ratings and 1-year mortality rates.

resultsOf 4 010 720 veterans, 515 095 (12.8%) had high disability ratings, 1 600 786 (39.9%) had medium disability ratings, and 1 894 839 (47.2%) had low disability ratings. The 1-year mortality rates were 4.5% for those with high disability, 1.9% for those with medium disability, and 1.9% for those with low disability ratings. Compared with veterans with low disability ratings, veterans with high disability ratings had more than twice the odds of 1-year mortality (odds ratio = 2.45; 95% confidence interval, 2.40-2.50).

conclusionsThe combined disability rating is an important determinant of short-term survival among veterans with service-connected health conditions. Veterans with a 100% disability rating comprise a highly select group with increased short-term risk of death due at least in part to their military service. Future studies assessing the relationships among combat exposure, age, duration of disability, disability ratings, and survival would be valuable.

Indexed as

MortalityAgedCompensation and RedressFemaleHumansLogistic ModelsMaleMiddle AgedPersons with DisabilitiesRisk FactorsUnited StatesVeteransVeterans Disability Claimsdepressionmilitary serviceposttraumatic stress disorderPTSDsurvival

Identifiers

PMID30223760
PMCPMC6225874

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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.