Evidence map›Paper›PMID 31277674›Full record

Trial reportBMC geriatrics2019

Factors related to health-related quality of life in older people with multimorbidity and high health care consumption over a two-year period.

Leonie Klompstra, Anne W Ekdahl, Barbro Krevers, Anna Milberg, Jeanette Eckerblad

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01446757 (Effectiveness of a Comprehensive CGA on Frailty in Community-dwelling Elderly People - A Randomised, Controlled Trial), which is not on this map. Cited by 53 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 4 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.

NCT01446757 nacompletednot on this map

Effectiveness of a Comprehensive CGA on Frailty in Community-dwelling Elderly People - A Randomised, Controlled Trial

TypeinterventionalSponsorLinkoeping UniversityRan2011 to 2014Enrolled383ConditionsFrail Elderly, DeathsArmsThe intervention group, control group
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 4 syntheses or guidelines 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

5 authors.

Leonie KlompstraDepartment of Social and Welfare Studies, Division of Nursing, Linköping University, Linköping, Sweden. leonie.klompstra@liu.se.ORCID 0000-0002-7493-0353
Anne W EkdahlSection of Geriatric Medicine and Institution of Clinical Research, Helsingborg Hospital, Lund University, Lund, Sweden.
Barbro KreversDepartment of Medicine and Health Sciences, Division of Health Care Analysis, Linköping University, Linkoping, Sweden.
Anna MilbergDepartment of Advanced Home Care, Linköping University, Norrköping, Sweden.
Jeanette EckerbladDepartment on Neurobiology and Care Science and Society, Division of Nursing, Karolinska Institute, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of multimorbidity is increasing worldwide, and older people with multimorbidity are frequent users of health care services. Since multimorbidity has a significant negative impact on Health-related Quality of Life (HrQoL) and is more common in older age it would be expected that factors related to HrQoL in this group might have been thoroughly researched, but this is not the case. Furthermore, it is important to look at old people living at home, considering the shift from residential to home-based care. Therefore, we aim to investigate factors that are related to HrQoL in older people with multimorbidity and high health care consumption, living at home.

methodsThis is a secondary analysis of a RCT study conducted in a municipality in south-eastern Sweden. The study had a longitudinal design with a two-year follow-up period assessing HrQoL, symptom burden, activities of daily living, physical activity and depression.

resultsIn total, 238 older people with multimorbidity and high health care consumption, living at home were included (mean age 82, 52% female). A multiple linear regression model including symptom burden, activities of daily living and depression as independent variables explained 64% of the HrQoL. Higher symptom burden, lower ability in activities of daily living and a higher degree of depression were negatively related to HrQoL. Depression at baseline and a change in symptom burden over a two-year period explained 28% of the change in HrQoL over a two-year period variability. A higher degree of depression at baseline and negative change in higher symptom burden were related to a decrease in HrQoL over a two-year period.

conclusionIn order to facilitate better delivery of appropriate health care to older people with high health care consumption living at home it is important to assess HrQoL, and HrQoL over time. Symptom burden, activities of daily living, depression and change in symptom burden over time are important indicators for HrQoL.

trial registrationClinicaltrials.gov identifier: NCT01446757 , the trial was registered prospectively with the date of trial registration October 5

Indexed as

Activities of Daily LivingAgedAged, 80 and overDepressionFemaleHumansIndependent LivingMaleMultimorbidityPatient Acceptance of Health CareQuality of LifeSelf ReportSwedenAmbulatory geriatric careComprehensive geriatric assessmentHigh health care consumptionHrQoLMultimorbiditySymptom burden

Identifiers

PMID31277674
PMCPMC6612189

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Registered trials

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.