Evidence map›Paper›PMID 31245916›Full record

ArticleGeriatrics & gerontology international2019

Spouse's functional disability and mortality: The Ohsaki Cohort 2006 Study.

Toshimasa Sone, Naoki Nakaya, Yasutake Tomata, Kumi Nakaya, Masayuki Hoshi, Ichiro Tsuji

Open access · hybridAbstract read
In one paragraph

Article in Geriatrics & gerontology international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Stress as a Risk Factor for Informal Caregiver Burden.Healthcare (Basel, Switzerland) · 2025
    Article
  3. Article
  4. Article
  5. Article
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

6 authors at 4 institutions in 1 country.

Toshimasa SoneDepartment of Rehabilitation, Faculty of Health Science, Tohoku Fukushi University, Sendai, Japan.ORCID https://orcid.org/0000-0002-9167-470X
Naoki NakayaDepartment of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Yasutake TomataDivision of Epidemiology, Department of Health Informatics and Public Health, Tohoku University School of Public Health, Graduate School of Medicine, Sendai, Japan.
Kumi NakayaDepartment of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Masayuki HoshiDepartment of Rehabilitation, Takahata Public Hospital, Takahata, Japan.
Ichiro TsujiDivision of Epidemiology, Department of Health Informatics and Public Health, Tohoku University School of Public Health, Graduate School of Medicine, Sendai, Japan.
Tohoku University · JPSaitama Prefectural University · JPTakao Hospital · JPTohoku Fukushi University · JP

Funding

JSPS KAKENHI JP16K01464
6 · The paper itself

Abstract

aimCaregiver burden is known to negatively affect a partner's health. Given the important role of physical and mental stress in mortality, a higher caregiver burden might be associated with an increased incidence of fatal events. However, previous studies of the effects of the partner's caregiving on mortality have shown inconsistent results. Thus, the purpose of the present longitudinal study was to determine if there is an association between a spouse's functional disability and mortality in the older Japanese population.

methodsA baseline survey was carried out with 7598 participants in 2006. Information on the date of functional disability, death or emigration was retrieved from the Ohsaki City government. Functional disability was defined as receiving a certification for long-term care insurance in Japan. After a follow-up period of a maximum of 87 months, 1316 of the participants died and Cox regression analysis with adjustment for confounding factors was used to assess mortality after the incidence of functional disability in a spouse.

resultsThe multivariate adjusted hazard ratio for mortality was 1.78 (95% confidence interval 1.52-2.08, P < 0.01) in those whose spouses had functional disabilities compared with those with spouses who did not have functional disabilities. The mortality was consistently higher, irrespective of age group or sex.

conclusionsThese results imply that caregiver burden might increase stress responses and lead to increased mortality; therefore, enhancement of support systems, including long-term care, housing and livelihood support services, for those with disability and their spouses might be important for preventing deaths. Geriatr Gerontol Int 2019; 19: 774-779.

Indexed as

CaregiversCost of IllnessDeathPhysical Functional PerformanceStress, PsychologicalAgedDisability EvaluationFemaleHumansIncidenceJapanMaleMortalityNeeds AssessmentPersons with DisabilitiesSpousesfunctional disabilitylongitudinal studymortalityspouse

Identifiers

PMID31245916
PMCPMC6852102
OpenAlexW2954661193

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.