Evidence map›Paper›PMID 34180291›Full record

ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2022

Last Year of Life, Frailty, and Out-of-Pocket Expenses in Older Adults: A Secondary Analysis of the Mexican Health and Aging Study.

Guillermo Salinas-Escudero, María Fernanda Carrillo-Vega, Carmen García-Peña, Silvia Martínez-Valverde, Luis David Jácome-Maldonado, Matteo Cesari, Mario Ulises Pérez-Zepeda

Abstract read
In one paragraph

Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
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  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

7 authors.

Guillermo Salinas-EscuderoHospital Infantil de México Federico Gómez, Mexico City, Mexico.
María Fernanda Carrillo-VegaInstituto Nacional de Geriatría, Ciudad de México, México.
Carmen García-PeñaInstituto Nacional de Geriatría, Ciudad de México, México.
Silvia Martínez-ValverdeHospital Infantil de México Federico Gómez, Mexico City, Mexico.
Luis David Jácome-MaldonadoInstituto Nacional de Geriatría, Ciudad de México, México.ORCID 0000-0002-0735-1319
Matteo CesariGeriatric Unit, IRCCS Istituti Clinici Scientifici Maugeri, University of Milan, Milan, Italy.
Mario Ulises Pérez-ZepedaInstituto Nacional de Geriatría, Ciudad de México, México.

Funding

The Mexican Health and Aging Study - IIR01AG018016 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI Rebeca Wong · 1999 to 2026
$22.6M
NIA NIH HHS R01 AG018016
6 · The paper itself

Abstract

objectiveTo determine the association of frailty with out-of-pocket expenses (OOPEs) during the last year of life of Mexican older adults.

methodsCross-sectional secondary analysis of the Mexican Health and Aging Study (MHAS), a representative population-based cohort study. Health care expenses were estimated, and a probit model was used to estimate the probability that older adults had OOPE. A general linear model was applied to explain OOPE magnitudes.

resultsA total of 55.8% of individuals reported having OOPE with a mean of 3,261 USD. Average OOPE for hospitalization during the last year of life was 7,011.9 USD. Older adults taking their own medical decisions during the last year of life expended less than those who did not.

conclusionNo affiliation to health services, frailty, and health decision-making by others increased the probability of OOPE. The magnitude is determined by age, hospitalization, medical visits, affiliation, frailty, and health decision-making by others.

Indexed as

FrailtyHealth ExpendituresAgedAgingCohort StudiesCross-Sectional StudiesHumansend-of-lifefrailtygeriatric epidemiologyhealth careOut-of-pocket expenses

Identifiers

PMID34180291
PMCPMC8712620

What OpenQuestion holds

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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.