SynthesisBMC public health2026
Climate change, trending outcomes for the care of older people, and financial expenditure: a systematic review and narrative synthesis.
Synthesis in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled 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.
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.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A systematic review and narrative synthesis was completed to explore the relationships between climate change, the care of older people, and corresponding expenditure. While literature on these topics exists individually, a gap remains in linking all three. The interconnected challenges of an aging global population with increasing care needs and the rising frequency and severity of climate and weather events emphasize the urgency of minimizing related risks and their financial costs. Three databases were systematically searched from 1980–2023, identifying 36 peer-reviewed articles. Evidence suggests that climate and weather exposures lead to spending for recovery, preparedness, lifestyle, public administration, health and care, and temperature regulation.The narrative synthesis, structured around the disaster management phases of preparedness, response, and recovery, revealed several behavioral, environmental, economic, social, sociodemographic, and structural determinants that appear to influence older peoples’ reactions to climate and weather events and financial consequences. Three key influences present across the narrative seem to shape spending and care outcomes: having strong support systems, access to user-friendly information, and existing economic resources.Available literature on preparedness and recovery was limited, as most studies related to response expenditure. Future research should adopt a life-course approach to aging and preparedness using longitudinal designs to investigate how behaviors and choices made earlier in an individual’s life affect care, response, and recovery expenditure in older age. More stratified results would further allow for analysis of vulnerable subgroups and a clearer understanding of when climate and weather-related expenditures emerge. This review indicates the need for research and policy to consider the interconnected nature of the climate crisis. More focus should be given to preparedness efforts and behavior change to reduce the impact of climate and weather events on future expenditure and care needs.OtherThe protocol for this research has been published in PROSPERO with the registration number CRD42023443060.
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Registered trials
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.