Evidence map›Paper›PMID 37525608›Full record

ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2023

Healthcare Utilization and Advance Care Planning among Older Adults Across Cognitive Levels.

Zahra Rahemi, Ayse Malatyali, Juanita-Dawne R Bacsu, Justine S Sefcik, Darina V Petrovsky, Zachary G Baker, Kris Pui Kwan Ma, Matthew L Smith, Swann A Adams

Open access · greenAbstract read
In one paragraph

Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

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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

9 authors at 9 institutions in 2 countries.

Zahra RahemiSchool of Nursing, Clemson University, Greenville, SC, USA.ORCID 0000-0003-1126-2287
Ayse MalatyaliNursing Systems Department, College of Nursing, University of Central Florida, Orlando, FL, USA.ORCID 0000-0002-6931-6914
Juanita-Dawne R BacsuSchool of Nursing, Thompson Rivers University, Kamloops, BC, Canada.ORCID 0000-0002-2819-1617
Justine S SefcikCollege of Nursing and Health Professions, Drexel University College of Nursing and Health Professions, Philadelphia, PA, USA.ORCID 0000-0003-1691-7836
Darina V PetrovskySchool of Nursing, Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, NJ, USA.
Zachary G BakerEdson College of Nursing and Health Innovation, Arizona State University, Tempe, AZ, USA.
Kris Pui Kwan MaDepartment of Family Medicine, University of Washington, Seattle, WA, USA.
Matthew L SmithDepartment of Health Behavior, School of Public Health, Texas A&M University, College Station, TX, USA.ORCID 0000-0002-8232-9285
Swann A AdamsDepartment of Biobehavioral and Nursing Science, College of Nursing, University of South Carolina, Columbia, SC, USA.
Arizona State University · USClemson University · USDrexel University · USRutgers, The State University of New Jersey · USTexas A&M University · USThompson Rivers University · CAUniversity of Central Florida · USUniversity of South Carolina · USUniversity of Washington · US

Funding

Carolina Center on Alzheimer's Disease and Minority Research (CCADMR)P30AG059294 · NIA · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI FRIEDMAN, DANIELA B., LEVKOFF, SUE E · 2018 to 2022
$3.2M
Music-based Intervention for Insomnia in Persons Living with Dementia and their CaregiversK23AG073618 · NIA · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI PETROVSKY, DARINA V. · 2021 to 2025
$968k
A Person-Centered Environmental and Sensory Intervention for Nursing Home Residents with Dementia who Exhibit Persistent VocalizationsK23NR018673 · NINR · DREXEL UNIVERSITY · PI SEFCIK, JUSTINE SUZETTE · 2020 to 2022
$461k
NIA NIH HHS K23 AG073618NIA NIH HHS P30 AG059294NINR NIH HHS K23 NR018673
6 · The paper itself

Abstract

This study examined the impact of advance care planning (ACP) on healthcare utilization among older adults with normal cognition and impaired cognition/dementia. Using datasets from the Health and Retirement Study, we conducted a cross-sectional study on 17,698 participants aged 51 years and older. Our analyses included survey descriptive and logistic regression procedures. ACP measures included a living will and durable power of attorney for healthcare. Healthcare utilization was measured using the days spent in hospitals, hospice care, nursing homes, and home care. Of the participants, 77.8% had normal cognition, and 22% had impaired cognition/dementia. The proportion of impaired cognition/dementia was higher among racially minoritized participants, single/widowed participants, and those who lived alone and were less educated. The results showed that having an ACP was associated with longer stays in hospitals, nursing homes, and home healthcare in all participants.

Indexed as

Advance Care PlanningDementiaAdvance DirectivesAgedCognitionCross-Sectional StudiesDelivery of Health CareHumansPatient Acceptance of Health Careadvance care planning/directivescognitionhome carehospicehospitalizations

Identifiers

PMID37525608
PMCPMC10828104
OpenAlexW4385442209

What OpenQuestion holds

Textmetadata
LicenceTDM
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.