Evidence map›Paper›PMID 34878355›Full record

ArticleJournal of elder abuse & neglect

Reliability of the longitudinal experts all data (LEAD) methodology for determining the presence of elder mistreatment.

Timothy F Platts-Mills, John A Encarnacion, Rayad Bin Shams, Karen Hurka-Richardson, Tony Rosen, Brad Cannell

Abstract read
In one paragraph

Article in Journal of elder abuse & neglect. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Screening and Interventions for Elder Mistreatment: Geriatric Emergency Department Guidelines 2.0 Systematic Review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Pooled it
  2. 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

6 authors.

Timothy F Platts-MillsDepartment of Emergency Medicine, University of North Carolina, Carrboro, North Carolina, USA.
John A EncarnacionSchool of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Rayad Bin ShamsSchool of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Karen Hurka-RichardsonDepartment of Emergency Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Tony RosenDepartment of Emergency Medicine, Weill Cornell Medicine/NewYork-Presbyterian Hospital, New York, New York, USA.ORCID 0000-0001-6638-4121
Brad CannellDepartment of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, Texas, USA.

Funding

Pilot CoreP30AG022845 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Manney Carrington Reid · 2003 to 2026
$15.2M
Identifying Patterns of Health Care Utilization among Physical Elder Abuse Victims Using Medicare Data and Legally Adjudicated CasesR01AG060086 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI ROSEN, ANTHONY · 2018 to 2022
$2.2M
Detection of Elder abuse Through Emergency Care Technicians (DETECT)R01AG059993 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI CANNELL, MICHAEL BRADLEY · 2018 to 2022
$1.7M
UNC-CH Summer Research Training in Aging for Medical StudentsT35AG038047 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JAN BUSBY-WHITEHEAD · 2010 to 2026
$1.4M
Identifying Injury Patterns and Forensic Biomarkers Diagnostic of Physical Elder AbuseK76AG054866 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI ROSEN, ANTHONY · 2016 to 2021
$1.1M
NIA NIH HHS K76 AG054866NIA NIH HHS P30 AG022845NIA NIH HHS R01 AG059993NIA NIH HHS R01 AG060086NIA NIH HHS T35 AG038047
6 · The paper itself

Abstract

Developing reliable screening tools to identify elder mistreatment requires an accurate and reproducible reference standard. This study sought to investigate the reliability of the Longitudinal, Experts, All Data (LEAD) methodology as a reference standard in confirming presence of elder mistreatment. We analyzed data from a large, emergency department-based study that used a LEAD panel to determine the reference standard. For this study, a second, blinded LEAD panel reviewed clinical material for 40 patients. For each panel, five content experts voted on whether elder mistreatment was present. We found moderate agreement between the two LEAD panels in determining presence of elder mistreatment: 85% agreement; k = 0.58; 95% Confidence Interval 0.28-0.87. Individual raters for both LEAD panels reported being mostly certain or certain >90% of votes. Efforts to further characterize and improve the reliability of the LEAD methodology in this context are warranted.

Indexed as

Elder AbuseAgedEmergency Service, HospitalHumansMass ScreeningReproducibility of Resultselder abuseelder mistreatmentEmergency medicinegeriatricsphysical abusevalidity and reliability

Identifiers

PMID34878355
PMCPMC8881787

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.