Evidence map›Paper›PMID 34483803›Full record

ArticleEuropean journal of ageing2021

Education, wealth, and duration of life expected in various degrees of frailty.

Zachary Zimmer, Yasuhiko Saito, Olga Theou, Clove Haviva, Kenneth Rockwood

Abstract read
In one paragraph

Article in European journal of ageing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Article
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  5. Article
  6. Socioeconomic Inequalities in Frailty Distribution: A Cross-National Comparison of the United States and England.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
    Article
  7. Living Longer But Frailer? Temporal Trends in Life Expectancy and Frailty in Older Swedish Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
  8. Article
  9. Racial, Ethnic, and Socioeconomic Differences in a Deficit Accumulation Frailty Index in the Multiethnic Cohort Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Article
  10. Article
  11. Article
  12. Article
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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.

Zachary ZimmerGlobal Aging and Community Initiative and Department of Family Studies and Gerontology, Mount Saint Vincent University, 166 Bedford Highway, McCain Centre 201C, Halifax, NS B3M2J6 Canada.ORCID 0000-0002-3983-3021
Yasuhiko SaitoCollege of Economic and Population Research Institute, Nihon University, Chiyoda City, Japan.
Olga TheouSchool of Physiotherapy, Faculty of Health, Dalhousie University, Halifax, Canada.
Clove HavivaDivision of Geriatric Medicine, Department of Medicine, Dalhousie University, Halifax, Canada.
Kenneth RockwoodDivision of Geriatric Medicine, Department of Medicine, Dalhousie University, Halifax, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multistate life tables are used to estimate life expected in three frailty states: frailty free, mild/moderate frailty, severe frailty. Estimates are provided for the combination of education and wealth by age, stratified by sex. Data consider 17,115 cases from the Health and Retirement Study, 2000-2014. Frailty is measured using a 59 item frailty index based on deficit accumulation. Estimates are derived using stochastic population analysis for complex events. Population-based and status-based results are reported. Findings confirm a hypothesis that the combination of higher education and wealth results in longer lives in more favorable degrees of frailty. Also, as hypothesized, wealth generally affords a greater advantage than does education among those with severe frailty at baseline. For instance, high wealth provides a 70-year-old woman with severe frailty at baseline 0.70 more total years and 0.81 more frailty free years then her counterpart with low wealth, compared to gains of 0.39 and 0.54, respectively, for those with high education. Unexpectedly, wealth also has a greater role among those frailty free at baseline. A 70-year-old woman frailty free at baseline with high wealth lives 3.19 more net years and 4.13 more years frailty free than her counterpart with low wealth, while the same comparison for high versus low education indicates advantages of 2.00 total and 1.96 frailty free years. Relative change ratios also indicate more robust results for wealth versus education. In sum, there is evidence that inequality in duration of life in degrees of frailty is socially patterned.

Indexed as

AgingFrailtyHealthMultistate life tablesSocioeconomic statusTransition probability

Identifiers

PMID34483803
PMCPMC8377115

What OpenQuestion holds

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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.