Evidence map›Paper›PMID 36626321›Full record

ArticleAge and ageing2023

Changes in symptom burden from 2019 to 2021 amongst community-dwelling older adults in Finland.

Tuuli E Lehti, Mia Knuutila, Hanna Öhman, Hannu Kautiainen, Helena Karppinen, Reijo Tilvis, Timo Strandberg, Kaisu H Pitkälä

Open access · hybridAbstract read
In one paragraph

Article in Age and ageing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 47% 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

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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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

8 authors at 1 institution in 2 countries.

Tuuli E LehtiPrimary Health Care Unit, Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0002-1861-8576
Mia KnuutilaPrimary Health Care Unit, Helsinki University Hospital, Helsinki, Finland.
Hanna ÖhmanGeriatric Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Hannu KautiainenDepartment of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland.
Helena KarppinenDepartment of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland.
Reijo TilvisGeriatric Unit, Department of Internal Medicine, University of Helsinki, Helsinki, Finland.
Timo StrandbergGeriatric Unit, Department of Internal Medicine, University of Helsinki, Helsinki, Finland.
Kaisu H PitkäläPrimary Health Care Unit, Helsinki University Hospital, Helsinki, Finland.
University of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSymptom burden causes suffering amongst older adults and is associated with healthcare visits and prognosis.

aimsWe evaluated the prevalence of 10 symptoms and changes in symptom burden amongst home-dwelling older adults in 2019 and 2021 using Finnish cohort data. We analysed factors associated with symptom burden increase during follow-up.

methodsAltogether 1,637 people aged 75+ participated in the Helsinki Ageing Study postal survey in 2019, where they reported the presence of 10 common symptoms over the past 2 weeks. Of them, 785 participated in a follow-up in 2021, where the same symptoms were queried. We compared the prevalence of various symptoms and symptom burden scores in the 2-year interval and evaluated factors associated with increased symptom burden during this time.

resultsOf participants, 33% reported at least one daily symptom in 2019 versus 44% in 2021. Symptom burden increased by a mean ratio of 1.29 between 2019 and 2021. The most common symptoms were joint pain, back pain, urinary incontinence and fatigue. The prevalence of four symptoms increased between 2019 and 2021: joint pain, urinary incontinence, dizziness and shortness of breath. Higher age, reduced functional capacity and comorbidities were associated with higher odds of symptom burden increase during follow-up. Psychological well-being (PWB) was strongly associated with lower odds of symptom burden increase in the logistic regression model.

conclusionsSymptom burden increased in our cohort aged 75+ between 2019 and 2021 before and during the COVID-19 pandemic. PWB was associated with lower odds of acquiring additional symptoms over time.

Indexed as

COVID-19Urinary IncontinenceAgedFinlandHumansIndependent LivingPandemicsPrevalencecommunity-dwelling older adultsCOVID-19Helsinki Ageing Studyhome-dwelling older adultssymptom burden

Identifiers

PMID36626321
PMCPMC9831265
OpenAlexW4315434438

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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.