Evidence map›Paper›PMID 37879084›Full record

ArticleJournal of aging and health2024

A Joint Model for Disability, Self-Rated Health, and Mortality Among Medicare Beneficiaries-Differences by Chronic Disease and Race/Ethnicity.

Ana R Quiñones, Gail McAvay, Brent Vander Wyk, Ling Han, Corey Nagel, Heather G Allore

Open access · greenAbstract read
In one paragraph

Article in Journal of aging and health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Incomplete Ascertainment of Mortality in a Nationally Representative Longitudinal Study of Community-Living Older Americans.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    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 at 3 institutions in 1 country.

Ana R QuiñonesDepartment of Family Medicine, Oregon Health & Science University, Portland, OR, USA.ORCID 0000-0001-6554-7734
Gail McAvaySection of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Brent Vander WykSection of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Ling HanSection of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Corey NagelCollege of Nursing, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Heather G AlloreSection of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Yale University · USOregon Health & Science University · USUniversity of Arkansas for Medical Sciences · US

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Lauren Ferrante · 2002 to 2026
$37.9M
Yale Alzheimer Disease Research CenterP30AG066508 · NIA · YALE UNIVERSITY · PI STEPHEN M STRITTMATTER · 2020 to 2026
$30.2M
Preparing For What Is Next With Aducanumab In Real World SettingsR33AG057806 · NIA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI Christopher Barrett Bowling, Ana Roman Quinones · 2018 to 2026
$9.0M
Multimorbidity Combinations and Dementia Onset Among Race/Ethnic Older AdultsRF1AG058545 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI QUINONES, ANA ROMAN · 2019 to 2019
$3.6M
Changes in Multimorbidity and Disability Among Race/Ethnic Older Adults (Administrative Supplement)R01AG055681 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI QUINONES, ANA ROMAN · 2017 to 2021
$2.8M
Individualized Absolute Risk calculator For Persons With Multiple Chronic ConditionsR01AG047891 · NIA · YALE UNIVERSITY · PI ALLORE, HEATHER GWYNN · 2015 to 2017
$990k
NIA NIH HHS P30 AG021342NIA NIH HHS P30 AG066508NIA NIH HHS R01 AG047891NIA NIH HHS R01 AG055681NIA NIH HHS R33 AG057806NIA NIH HHS RF1 AG058545
6 · The paper itself

Abstract

objectivesQuantifying interdependence in multiple patient-centered outcomes is important for understanding health declines among older adults.

methodsMedicare-linked National Health and Aging Trends Study data (2011-2015) were used to estimate a joint longitudinal logistic regression model of disability in activities of daily living (ADL), fair/poor self-rated health (SRH), and mortality. We calculated personalized concurrent risk (PCR) and typical concurrent risk (TCR) using regression coefficients.

resultsFor fair/poor SRH, highest odds were associated with COPD. For mortality, highest odds were associated with dementia, hip fracture, and kidney disease. Dementia and hip fracture were associated with highest odds of ADL disability. Hispanic respondents had highest odds of ADL disability. Hispanic and NH Black respondents had higher odds of fair/poor SRH, ADL disability, and mortality. PCRs/TCRs demonstrated wide variability for respondents with similar sociodemographic-multimorbidity profiles. DISCUSSION: These findings highlight the variability of personalized risk in examining interdependent outcomes among older adults.

Indexed as

Activities of Daily LivingMedicareMortalityPersons with DisabilitiesAgedAged, 80 and overChronic DiseaseDiagnostic Self EvaluationEthnicityFemaleHealth StatusHumansLongitudinal StudiesMaleRacial GroupsSelf Reportchronic diseasedisabilityjoint modelpersonalized riskself-rated health

Identifiers

PMID37879084
PMCPMC11446605
OpenAlexW4387950667

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.