Evidence map›Paper›PMID 41077925›Full record

ArticleHealth economics2026

Long-Term Care at Advanced Ages: The Effect of Spousal Bereavement on Institutional Care Needs.

Chantal Schouwenaar, Pierre Koning, Yvonne Krabbe-Alkemade, Maarten Lindeboom, France Portrait

Abstract read
In one paragraph

Article in Health economics, 2026. 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
–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

1 citing paper in PubMed.

  1. 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

5 authors.

Chantal SchouwenaarSchool of Business and Economics, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0001-5758-0649
Pierre KoningSchool of Business and Economics, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0002-8808-9497
Yvonne Krabbe-AlkemadeSchool of Business and Economics, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Maarten LindeboomSchool of Business and Economics, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
France PortraitSchool of Business and Economics, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.

Funding

Care Needs Assessment Centre
6 · The paper itself

Abstract

With populations aging, long-term care (LTC) needs and costs rise, intensifying the reliance on informal care. Since spouses predominantly provide such care, it is crucial to understand the transition dynamics from widowhood to institutional LTC, which is the main driver of the public LTC costs in most OECD countries. Our study examines the causal effect of widowhood on the onset of needs for institutional LTC. For this we use recently developed event-time models that accommodate for variation in treatment time and dynamic effects of treatment. Our results show that partner loss significantly increases the need for institutional LTC. The average effect of partner loss on the need for institutional LTC peaks at a 1.5 percentage point rise 3 months after widowhood and disappears after 10 months. The effect is strongest for individuals with psycho-geriatric disorders, the oldest old and the frail. Addressing the immediate need for institutional LTC after widowhood remains critical for effective aging-in-place strategies.

Indexed as

BereavementHealth Services Needs and DemandLong-Term CareSpousesWidowhoodAgedAged, 80 and overFemaleHumansMaleagingcausalitydynamic treatment effect modelselderlyentitlementshealth dataold agepanel datasenior citizensspouse

Identifiers

PMID41077925
PMCPMC12680915

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Registered trials

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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.