Evidence map›Paper›PMID 31886557›Full record

ArticleJournal of the American Geriatrics Society2020

A National Study of End-of-Life Care among Older Veterans with Hearing and Vision Loss.

Joan G Carpenter, Mary Ersek, Francis Nelson, Daniel Kinder, Melissa Wachterman, Dawn Smith, Andrew Murray, Melissa M Garrido

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Support for Older People With Vision Impairment: A Rapid Realist Review.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Review
  2. Article
  3. Review
  4. Development of an emergency department end of life care audit tool: A scoping review.International journal of nursing studies advances · 2023
    Article
  5. Article
  6. 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

8 authors at 3 institutions in 1 country.

Joan G CarpenterVeteran Experience Center, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania.ORCID 0000-0002-8039-9466
Mary ErsekVeteran Experience Center, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania.ORCID 0000-0002-0520-311X
Francis NelsonVeteran Experience Center, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania.
Daniel KinderVeteran Experience Center, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania.
Melissa WachtermanVeterans Affairs Boston Healthcare System, Boston, Massachusetts.
Dawn SmithVeteran Experience Center, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania.
Andrew MurrayVeteran Experience Center, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania.ORCID 0000-0002-7211-896X
Melissa M GarridoVeterans Affairs Boston Healthcare System, Boston, Massachusetts.ORCID 0000-0002-8986-3536
Veterans Health Administration · USBoston University · USBrigham and Women's Hospital · US

Funding

Palliative Care Consultations for Persons with Alzheimer's Disease and related Dementia in the Medicare Skilled Nursing Facility (SNF) SettingK23NR017663 · NINR · UNIVERSITY OF PENNSYLVANIA · PI CARPENTER, JOAN GLEBA · 2019 to 2021
$494k
NINR NIH HHS K23 NR017663
6 · The paper itself

Abstract

objectivesHearing and visual sensory loss is prevalent among older adults and may impact the quality of healthcare they receive. Few studies have examined sensory loss and end-of-life (EOL) care quality. Our aim was to describe hearing and vision loss and their associations with the quality of EOL care and family perception of care in the last 30 days of life among a national sample of veteran decedents.

designRetrospective medical record review and Bereaved Family Survey (BFS).

settingVeterans Affairs (VA) Medical Centers (N = 145).

participantsMedical record review of all veterans who died in an inpatient VA Medical Center between October 2012 and September 2017 (N = 96 424). Survey results included 42 428 individuals. MEASUREMENTS: Three indicators of high-quality EOL care were measured: palliative consultation in the last 90 days of life, death in a non-acute setting, and contact with a chaplain. The BFS reflects a global evaluation of quality of EOL care; pain and posttraumatic stress disorder management; and three subscales characterizing perceptions regarding communication, emotional and spiritual support, and information about death benefits in the last month of life.

resultsIn adjusted models, EOL care quality indicators and BFS outcomes for veterans with hearing loss were similar to those for veterans without hearing loss; however, we noted slightly lower scores for pain management and less satisfaction with communication. Veterans with vision loss were less likely to have received a palliative care consult or contact with a chaplain than those without vision loss. Although BFS respondents for veterans with vision loss were less likely than respondents for veterans without vision loss to report excellent overall care and satisfaction with emotional support, other outcomes did not differ.

conclusionIn general, the VA is meeting the EOL care needs of veterans with hearing and vision loss through palliative care practices. J Am Geriatr Soc 68:817-825, 2020.

Indexed as

AgedAged, 80 and overCase-Control StudiesCross-Sectional StudiesFamilyFemaleHearing LossHumansMaleRetrospective StudiesSurveys and QuestionnairesTerminal CareUnited StatesVeteransVision Disordersend-of-life carehearing losspalliative carequality of carevision loss

Identifiers

PMID31886557
PMCPMC13261735
OpenAlexW2997036089

What OpenQuestion holds

Textmetadata
LicenceTDM
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.