Evidence map›Paper›PMID 32228464›Full record

ArticleBMC geriatrics2020

Self-rated health and objective health status as predictors of all-cause mortality among older people: a prospective study with a 5-, 10-, and 27-year follow-up.

Maarit Wuorela, Sirkku Lavonius, Marika Salminen, Tero Vahlberg, Matti Viitanen, Laura Viikari

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PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 144 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
144citing papers in PubMed, 3 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

144 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Self-Rated Health as a Predictor of Mortality in Older Adults: A Systematic Review.International journal of environmental research and public health · 2023
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  5. Reframing Communication about Fall Prevention Programs to Increase Older Adults' Intentions to Participate.International journal of environmental research and public health · 2024
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84 more citing papers are in PubMed but not listed here.

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.

Maarit WuorelaFaculty of Medicine, Department of Geriatrics, University of Turku, Turku City Hospital, Kunnallissairaalantie 20, FI-20700, Turku, Finland. maarit.wuorela@turku.fi.
Sirkku LavoniusFaculty of Medicine, Department of Geriatrics, University of Turku, Turku City Hospital, Kunnallissairaalantie 20, FI-20700, Turku, Finland.
Marika SalminenCity of Turku, Welfare Division, Turku, Finland.
Tero VahlbergInstitute of Clinical Medicine, Biostatistics, University of Turku, Turku, Finland.
Matti ViitanenFaculty of Medicine, Department of Geriatrics, University of Turku, Turku City Hospital, Kunnallissairaalantie 20, FI-20700, Turku, Finland.
Laura ViikariFaculty of Medicine, Department of Geriatrics, University of Turku, Turku City Hospital, Kunnallissairaalantie 20, FI-20700, Turku, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite a non-specific nature of self-rated health (SRH), it seems to be a strong predictor of mortality. The aim of this study is to assess the association of SRH and objective health status (OH) with all-cause mortality in 70-year-old community-dwelling older people in Finland.

methodsA prospective study with 5-, 10- and 27-year follow-ups. SRH (n = 1008) was assessed with a single question and OH (n = 962) by the Rockwood's Frailty Index (FI). To assess the association of SRH and OH with mortality, Cox regression model was used.

resultsOf the 1008 participants, 138 (13.7%), 319 (31.6%), and 932 deceased (86.3%) during the 5-, 10- and 27-year follow-ups, respectively. In unadjusted models, subjects with poor SRH had almost eightfold risk for mortality compared to those with good SRH during the 5-year follow-up; among those with poor OH, the risk was fourfold compared to those with good OH. In the 10-year-follow up, both poor SRH and poor OH predicted about fourfold risk for mortality compared to those with good health. During the 27-year follow-up, OH was a stronger predictor of mortality than SRH. Poor SRH, compared to good SRH, showed 95% sensitivity and 34% specificity for 5-year mortality; corresponding figures for OH were 54 and 80%, respectively.

conclusionsSingle-item SRH seems to be able to capture almost the same as OH in predicting a short-term (less than 10 years) mortality risk among older adults in clinical settings. The use of SHR may also enhance the focus on patient-centered care.

Indexed as

Health StatusIndependent LivingAgedAged, 80 and overFinlandFollow-Up StudiesHumansMortalityProspective StudiesFrailtyMortalityObjective healthOlder peopleSelf-rated health

Identifiers

PMID32228464
PMCPMC7106830

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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.