Evidence map›Paper›PMID 32930774›Full record

SynthesisThe Gerontologist2020

Health Outcomes After Disaster for Older Adults With Chronic Disease: A Systematic Review.

Sue Anne Bell, Jennifer Horowitz, Theodore J Iwashyna

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in The Gerontologist, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
8.9field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Emergency Preparedness in Older Adults With and Without COPD During Power Outages and Natural Disasters.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  4. Article
  5. Article
  6. Observational
  7. Article
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  17. Article
  18. Review
  19. Wildfires and Older Adults: A Scoping Review of Impacts, Risks, and Interventions.International journal of environmental research and public health · 2023
    Article
  20. Observational
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 at 1 institution in 1 country.

Sue Anne BellInstitute for Health Care Policy and Innovation, Ann Arbor.
Jennifer HorowitzSchool of Nursing, University of Michigan, Ann Arbor.
Theodore J IwashynaUniversity of Michigan Medical School, Ann Arbor.
University of Michigan · US

Funding

The Home Safe Study: Testing the feasibility of a respondent-driven sampling strategy among dementia home care workersK23AG059890 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BELL, SUSAN ANNE · 2018 to 2022
$1.0M
NIA NIH HHS K23 AG059890
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThis review synthesizes the current literature surrounding chronic disease outcomes after weather- and climate-related disasters among older adults. The associations between exposure of older adults to weather- and climate-related disasters and the primary outcomes of diabetes, end-stage renal disease (ESRD), congestive heart failure (CHF), and chronic obstructive pulmonary disease (COPD) were examined. RESEARCH DESIGN AND

methodsA systematic review of studies reporting on clinical outcomes of four chronic diseases after disaster exposure was performed. Under the direction of an informationist, the databases PubMed, Scopus, EMBASE, and Web of Science (Science and Social Science Citation Index) were searched from inception to July 2019.

resultsOf 5,229 citations identified, 17 articles met the study criteria. Included articles were retrospective observational in nature and focused on earthquakes (24%, n = 4), hurricane (41%, n = 7), and wildfire (35%, n = 6) disasters. Outcome data by disease process included COPD (35%, n = 6), ESRD (41%, n = 7), CHF (24%, n = 4), and diabetes (29%, n = 5). Three main categories were identified: access to health care, postdisaster health care utilization, and study rigor. The age-stratified analyses reported in this review found multiple instances where disasters have limited or insignificant effects on older adults relative to younger populations. DISCUSSION AND IMPLICATIONS: Disaster research faces unique methodological challenges, and there remains a need for data-driven conclusions on how best to care for older adults before, during, and after disasters. To encourage consistent dialogue among studies, we advocate for the use of rigorous and standardized scientific methodology to examine the health impacts of disasters on adults with chronic disease.

Indexed as

Cyclonic StormsDisastersAgedChronic DiseaseHumansOutcome Assessment, Health CareRetrospective StudiesEmergency planningHealth services for the agedMultiple chronic conditions

Identifiers

PMID32930774
PMCPMC7491433
OpenAlexW2971617674

What OpenQuestion holds

Textmetadata
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.