Evidence map›Paper›PMID 40860522›Full record

ArticleJournal of ageing and longevity2025

Frailty Trajectories and Social Determinants of Health of Older Adults in Rural and Urban Areas in the U.S.

Hillary B Spangler, David H Lynch, Wenyi Xie, Nina Daneshvar, Haiyi Chen, Feng-Chang Lin, Elizabeth Vásquez, John A Batsis

Abstract read
In one paragraph

Article in Journal of ageing and longevity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Hillary B SpanglerDivision of Geriatric Medicine, UNC School of Medicine, Chapel Hill, NC 27599, USA.ORCID 0000-0003-4027-4113
David H LynchDivision of Geriatric Medicine, UNC School of Medicine, Chapel Hill, NC 27599, USA.ORCID 0000-0002-2512-9367
Wenyi XieDepartment of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Nina DaneshvarDivision of Geriatric Medicine, UNC School of Medicine, Chapel Hill, NC 27599, USA.ORCID 0009-0000-2216-5605
Haiyi ChenDepartment of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Feng-Chang LinDepartment of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.ORCID 0000-0002-2638-1775
Elizabeth VásquezDepartment of Epidemiology and Biostatistics, College of Integrated Health Science, University at Albany, Albany, NY 12222, USA.
John A BatsisDivision of Geriatric Medicine, UNC School of Medicine, Chapel Hill, NC 27599, USA.ORCID 0000-0002-0845-4416

Funding

Interdisciplinary Network on Rural Population Health and AgingR24AG065159 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI JENSEN, LEIF · 2019 to 2023
$1.9M
NIA NIH HHS R24 AG065159
6 · The paper itself

Abstract

Older adults, aged 65 years and older, develop and experience frailty at different rates. Yet, this heterogeneity is not well understood, nor are the factors, such as geographical residence, that influence different frailty trajectories and subsequent healthcare outcomes. We aim to identify factors that impact older adult frailty trajectories, skilled nursing facility (SNF) placement, and death. Medicare beneficiaries ≥ 65 years from the National Health and Aging Trend Study (2011-2021) with complete data using Fried's frailty phenotype on ≥ 2 occasions (

Indexed as

frailtyfrailty trajectorygeriatricsmortalityruralskilled nursingsocial determinants of health

Identifiers

PMID40860522
PMCPMC12372976

What OpenQuestion holds

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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.