Loneliness and Social Isolation in the Care of the Seriously Ill Older Adult.

Ashwin A Kotwal, Carla Perissinotto

Abstract readReview

In one paragraph

Review in Clinics in geriatric medicine, 2025. 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

–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

0 citing papers in PubMed.

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

2 authors.

Ashwin A KotwalDivision of Geriatrics, Department of Medicine, University of California San Francisco, 4150 Clement Street, 181G, San Francisco, CA 94121, USA. Electronic address: Ashwin.Kotwal@ucsf.edu.

Carla PerissinottoDivision of Geriatrics, Department of Medicine, University of California San Francisco, 4150 Clement Street, 181G, San Francisco, CA 94121, USA.

Funding

Loneliness and Social Isolation Among Older Adults with and without Alzheimer's Disease and Related Dementia in the Last Years of LifeK23AG065438 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KOTWAL, ASHWIN AJIT · 2020 to 2024

$809k

NIA NIH HHS K23 AG065438

6 · The paper itself

Abstract

Loneliness and social isolation can be common experiences among older adults with serious, life-limiting illness and individuals approaching the last months or years of their lives. This article reviews the epidemiology and risk factors for loneliness and social isolation among this group and mechanisms unique to serious illness that might impact loneliness and social isolation. We then present a clinical framework for addressing loneliness and social isolation and enhancing social connection in the context of serious illness, including through assessment, processing emotion, addressing clinical contributors, preserving and enhancing social connections, and mitigating the impact of loneliness and social isolation.

Indexed as

Critical IllnessLonelinessSocial IsolationAgedHumansRisk FactorsSocial SupportEnd-of-life careLonelinessOlder adultsPalliative careSocial isolation

Identifiers

PMID40653343

DOI10.1016/j.cger.2025.04.008

PMCPMC13657634

What OpenQuestion holds

Textmetadata

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.