Evidence map›Paper›PMID 34906010›Full record

ArticleMedical care research and review : MCRR2022

Improving Prediction of Long-Term Care Utilization Through Patient-Reported Measures: Cross-Sectional Analysis of High-Need U.S. Veterans Affairs Patients.

Josephine C Jacobs, Matthew L Maciejewski, Todd H Wagner, Courtney H Van Houtven, Jeanie Lo, Liberty Greene, Donna M Zulman

Abstract read
In one paragraph

Article in Medical care research and review : MCRR, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. The association between social risks and days at home for older veterans.Journal of the American Geriatrics Society · 2024
    Article
  5. Article
  6. 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 at 2 institutions in 1 country.

Josephine C JacobsVA Palo Alto Health Care System, Menlo Park, CA, USA.ORCID 0000-0003-0366-2985
Matthew L MaciejewskiDurham Veterans Affairs Health Care System, NC, USA.
Todd H WagnerVA Palo Alto Health Care System, Menlo Park, CA, USA.
Courtney H Van HoutvenDurham Veterans Affairs Health Care System, NC, USA.ORCID 0000-0002-0783-1611
Jeanie LoVA Palo Alto Health Care System, Menlo Park, CA, USA.
Liberty GreeneVA Palo Alto Health Care System, Menlo Park, CA, USA.
Donna M ZulmanVA Palo Alto Health Care System, Menlo Park, CA, USA.
VA Palo Alto Health Care System · USDuke University · US

Funding

Helping VA optimize its long-term care servicesIK2HX002860 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI JOSEPHINE JACOBS · 2020 to 2026
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HSR&D Senior Research Career Scientist AwardIK6HX003157 · VA · DURHAM VA MEDICAL CENTER · PI MATTHEW L MACIEJEWSKI · 2020 to 2026
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HSRD VA I01 HX003269HSRD VA IK2 HX002860HSRD VA IK6 HX003157
6 · The paper itself

Abstract

This article examines the relative merit of augmenting an electronic health record (EHR)-derived predictive model of institutional long-term care (LTC) use with patient-reported measures not commonly found in EHRs. We used survey and administrative data from 3,478 high-risk Veterans aged ≥65 in the U.S. Department of Veterans Affairs, comparing a model based on a Veterans Health Administration (VA) geriatrics dashboard, a model with additional EHR-derived variables, and a model that added survey-based measures (i.e., activities of daily living [ADL] limitations, social support, and finances). Model performance was assessed via Akaike information criteria, C-statistics, sensitivity, and specificity. Age, a dementia diagnosis, Nosos risk score, social support, and ADL limitations were consistent predictors of institutional LTC use. Survey-based variables significantly improved model performance. Although demographic and clinical characteristics found in many EHRs are predictive of institutional LTC, patient-reported function and partnership status improve identification of patients who may benefit from home- and community-based services.

Indexed as

Long-Term CareVeteransActivities of Daily LivingCross-Sectional StudiesHumansPatient Reported Outcome MeasuresUnited StatesUnited States Department of Veterans Affairsadministrative dataaginglong-term caresurvey researchutilization

Identifiers

PMID34906010
PMCPMC13390613
OpenAlexW4200573993

What OpenQuestion holds

Textmetadata
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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.