当前位置： SCI文献检索 > JOURNAL OF CLINICAL EPIDEMIOLOGY期刊下所有文献 > Among older adults, the responsiveness of self-rated health to changes in Charlson comorbidity was moderated by age and baseline comorbidity.

Among older adults, the responsiveness of self-rated health to changes in Charlson comorbidity was moderated by age and baseline comorbidity.

Abstract：

OBJECTIVE:To examine the impact of changes in comorbidity--as measured by the Charlson comorbidity index--on self-rated health in a large sample of community-dwelling elderly over a 1-year period, and to examine the differential effects of changes in specific Charlson diagnostic categories. STUDY DESIGN AND SETTING:Longitudinal survey data on self-rated health were linked with Medicare inpatient, outpatient, and physician visit data for 30,535 U.S. elderly residing in Pennsylvania. Multivariate logistic regression with fractional polynomials was used to model relationships involving baseline and changing Charlson comorbidity with self-rated health decline, and to evaluate covariate interactions. RESULTS:Comorbidity change was associated with greater likelihood of worsened self-rated health, but the relationship was nonlinear and was moderated by age and baseline comorbidity. The impact of comorbidity change appeared to be less among older individuals and those with higher baseline comorbidity. Declines in self-rated health were most likely following new diagnoses for metastatic tumors, paralysis, and dementia. CONCLUSION:Self-rated health is responsive to changes in Charlson comorbidity, but nonlinearity and interactions suggest complexity in how elderly respond to comorbidity change. Younger individuals and those with initially low comorbidity are more likely to reduce self-ratings of health following new diagnoses for chronic conditions.

journal_name

J Clin Epidemiol

journal_title

Journal of clinical epidemiology

authors

Heller DA,Ahern FM,Pringle KE,Brown TV

doi

10.1016/j.jclinepi.2008.05.009

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

177-87

issue

2

eissn

0895-4356

issn

1878-5921

pii

S0895-4356(08)00151-0

journal_volume

62

pub_type

杂志文章

相关文献

JOURNAL OF CLINICAL EPIDEMIOLOGY文献大全
  • The Kaiser Permanente inpatient risk adjustment methodology was valid in an external patient population.

    abstract：OBJECTIVES:Accurately predicting hospital mortality is necessary to measure and compare patient care. External validation of predictive models is required to truly prove their utility. This study assessed the Kaiser Permanente inpatient risk adjustment methodology for hospital mortality in a patient population distinct...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jclinepi.2009.08.020

    authors： van Walraven C,Escobar GJ,Greene JD,Forster AJ

    更新日期：2010-07-01 00:00:00

  • Getting more out of meta-analyses: a new approach to meta-analysis in light of unexplained heterogeneity.

    abstract：BACKGROUND AND OBJECTIVES:Meta-analyses sometimes summarize results in the presence of substantial unexplained between-study heterogeneity. As GRADE criteria highlight, unexplained heterogeneity reduces certainty in the evidence, resulting in limited confidence in average effect estimates. The aim of this paper is to p...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/j.jclinepi.2018.11.023

    authors： Saad A,Yekutieli D,Lev-Ran S,Gross R,Guyatt G

    更新日期：2019-03-01 00:00:00

  • When philosophers shoot from the hip.

    abstract：:A visible result of the 20-year old applied ethics movement is the use of moral philosophers as quotable newspaper sources. In situations like the op-ed page, adequate space and time allows for serious reflection, and the columns provide accessible, quality ideas for the general public. Quality usually disappears wh...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/0895-4356(92)90058-u

    authors： Rachels J

    更新日期：1992-07-01 00:00:00

  • Meaningful changes for the Oxford hip and knee scores after joint replacement surgery.

    abstract：OBJECTIVES:To present estimates of clinically meaningful or minimal important changes for the Oxford Hip Score (OHS) and the Oxford Knee Score (OKS) after joint replacement surgery. STUDY DESIGN AND SETTING:Secondary data analysis of the NHS patient-reported outcome measures data set that included 82,415 patients list...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/j.jclinepi.2014.08.009

    authors： Beard DJ,Harris K,Dawson J,Doll H,Murray DW,Carr AJ,Price AJ

    更新日期：2015-01-01 00:00:00

  • Research environment of clinician-scientists in China in health policy/health services research.

    abstract：OBJECTIVES:The aim of the study was to describe the research environment of scientists in health services and policy research in China. STUDY DESIGN:Study was conducted during the 2016 Westlake Youth Forum with grantees of China Medical Board and key informants. Mixed methods used anonymous, survey of grantees, semist...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/j.jclinepi.2019.05.004

    authors： Gao M,Zhou L,Tang K,Liang MH

    更新日期：2019-08-01 00:00:00

  • Self-reported medication use validated through record linkage to national prescribing data.

    abstract：OBJECTIVES:Researchers need to be confident about the reliability of epidemiologic studies that quantify medication use through self-report. Some evidence suggests that psychiatric medications are systemically under-reported. Modern record linkage enables validation of self-report with national prescribing data as gold...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/j.jclinepi.2017.10.013

    authors： Hafferty JD,Campbell AI,Navrady LB,Adams MJ,MacIntyre D,Lawrie SM,Nicodemus K,Porteous DJ,McIntosh AM

    更新日期：2018-02-01 00:00:00

  • Clinical practice guidelines were adapted and implemented meeting country-specific requirements--the example of Kazakhstan.

    abstract：OBJECTIVES:In a twinning partnership between the Canadian Society for International Health and Kazakhstan's Ministry of Health, a project to build capacity and a process for the adaptation and implementation of international clinical practice guidelines (CPGs) was undertaken. STUDY DESIGN AND SETTING:A pragmatic CPG a...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/j.jclinepi.2015.05.001

    authors： McGowan J,Muratov S,Tsepke A,Issina A,Slawecki E,Lang ES

    更新日期：2016-01-01 00:00:00

  • Hematocrit was not validated as a surrogate end point for survival among epoetin-treated hemodialysis patients.

    abstract：OBJECTIVE:To evaluate the use of hematocrit as a surrogate end point for survival among end-stage renal disease (ESRD) patients treated with epoetin. STUDY DESIGN AND SETTING:Using United States Renal Data System (USRDS) data, we conducted an observational prospective study to analyze the relationships among epoetin d...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/j.jclinepi.2004.05.002

    authors： Cotter DJ,Stefanik K,Zhang Y,Thamer M,Scharfstein D,Kaufman J

    更新日期：2004-10-01 00:00:00

  • Location bias in controlled clinical trials of complementary/alternative therapies.

    abstract：UNLABELLED:To systematically investigate location bias of controlled clinical trials in complementary/alternative medicine (CAM). METHODS:Literature searches were performed to identify systematic reviews and meta-analyses, which were used to retrieve controlled clinical trials. Trials were categorised by whether they ...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/s0895-4356(99)00220-6

    authors： Pittler MH,Abbot NC,Harkness EF,Ernst E

    更新日期：2000-05-01 00:00:00

  • Synthesis of genetic association studies for pertinent gene-disease associations requires appropriate methodological and statistical approaches.

    abstract：OBJECTIVE:The aim of the study was to consider statistical and methodological issues affecting the results of meta-analysis of genetic association studies for pertinent gene-disease associations. Although the basic statistical issues for performing meta-analysis are well described in the literature, there are remaining...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章,评审

    doi：10.1016/j.jclinepi.2007.12.011

    authors： Zintzaras E,Lau J

    更新日期：2008-07-01 00:00:00

  • Initial nonresponders had an increased response rate after repeated questionnaire mailings.

    abstract：BACKGROUND AND OBJECTIVE:There is a growing evidence base on methods to improve response rates in surveys among patients. This study aimed to determine the additional effect of two intensive follow-up procedures compared to a simple follow-up procedure. METHODS:Randomized controlled trial that compared repeated mailin...

    journal_title：Journal of clinical epidemiology

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/j.jclinepi.2005.03.002

    authors： Wensing M,Schattenberg G

    更新日期：2005-09-01 00:00:00

  • Insulin sensitivity markers: predictors of accidents and suicides in Helsinki Heart Study screenees.

    abstract：:The purpose of this study was to evaluate whether elements signifying relative insulin sensitivity (IS) were prospectively linked to accidents and suicides in 14,976 Helsinki Heart Study (HHS) screenees. The main outcome measure was hospitalizations and deaths from accidents and suicide attempts determined from Finnis...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/s0895-4356(02)00407-9

    authors： Golomb BA,Tenkanen L,Alikoski T,Niskanen T,Manninen V,Huttunen M,Mednick SA

    更新日期：2002-08-01 00:00:00

  • Development of a short osteoporosis quality of life questionnaire by equating items from two existing instruments.

    abstract：:This study aimed to develop a short Osteoporosis-Specific Quality of Life Questionnaire based on the assemblage (equating) of the items of two existing questionnaires (OQLQ and QUALEFFO). For this purpose, each questionnaire was administered by random assignment to a different group of female patients (OQLQ, n = 172; ...

    journal_title：Journal of clinical epidemiology

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0895-4356(01)00432-2

    authors： Badia X,Prieto L,Roset M,Díez-Pérez A,Herdman M

    更新日期：2002-01-01 00:00:00

  • Rasch-based scoring offered more precision in differentiating patient groups in measuring upper limb function.

    abstract：OBJECTIVE:To compare the discriminatory ability of Rasch-based and summative scoring in the context of assessing upper limb function of patients with stroke. STUDY DESIGN AND SETTING:Data were from a cohort study of 497 adults with stroke undergoing physiotherapy. Upper limb function was assessed at admission and disc...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/j.jclinepi.2012.12.014

    authors： Khan A,Chien CW,Brauer SG

    更新日期：2013-06-01 00:00:00

  • A case-control study found that low albumin and smoking were associated with aortic dissection.

    abstract：OBJECTIVE:Hypertension is a risk factor for aortic dissection. Besides hypertension, associated factors for incidence of aortic dissection are not clear. The aim of this study was to examine whether other factors exist by an epidemiologic case-control approach. STUDY DESIGN AND SETTING:240 consecutive cases suffering ...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/j.jclinepi.2003.09.010

    authors： Takeuchi T,Adachi H,Ohuchida M,Nakamura T,Satoh A,Jacobs DR Jr,Imaizumi T

    更新日期：2004-04-01 00:00:00

  • Repeatability and validity of the Rose questionnaire for angina pectoris in the Atherosclerosis Risk in Communities Study.

    abstract：:Angina pectoris (AP) as determined by the Rose questionnaire was assessed in nearly 16,000 black and white men and women participating in the Atherosclerosis Risk in communities Study, a population study of cardiovascular disease in four communities. The questionnaire was administered at yearly intervals and estimates...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/0895-4356(96)00022-4

    authors： Sorlie PD,Cooper L,Schreiner PJ,Rosamond W,Szklo M

    更新日期：1996-07-01 00:00:00

  • Weighing gains and losses in criterion validity studies with test-based enrollment.

    abstract：:Criterion validity studies sometimes use designs with test-based enrollment schemes. In such incomplete studies, a Reference Instrument (RI) is applied to unequal sampling fractions of subjects previously identified as positives or negatives by a new Test Instrument (TI+ and TI-). Focusing on sensitivity (Se) and spec...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/s0895-4356(03)00162-8

    authors： Reichenheim ME

    更新日期：2003-10-01 00:00:00

  • The use of clinical information in diagnosing chronic heart failure: a comparison between general practitioners, cardiologists, and students.

    abstract：:In a clinical judgement analysis study, 27 general practitioners, 22 cardiologists, and 21 medical students assessed 40 case vignettes with regard to the probability of heart failure, in order to study the weights of different kinds of information (cues) measured by the regression coefficients in a multiple regression...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/s0895-4356(00)00241-9

    authors： Skånér Y,Bring J,Ullman B,Strender LE

    更新日期：2000-11-01 00:00:00

  • Risk adjustment in claims-based research: the search for efficient approaches.

    abstract：:Claims-based indices of comorbidity and severity, as well as other measures derived from routinely collected administrative data, are developed and tested. The extent to which risk adjustments using claims can be improved by adding information from one well-known measure based on chart review and patient examination (...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/0895-4356(89)90118-2

    authors： Roos LL,Sharp SM,Cohen MM,Wajda A

    更新日期：1989-01-01 00:00:00

  • Reporting of core items in hierarchical Bayesian analysis for aggregating N-of-1 trials to estimate population treatment effects is suboptimal.

    abstract：OBJECTIVES:N-of-1 trials can be aggregated to estimate population treatment effects using hierarchical Bayesian models. It is very important to report core items in hierarchical Bayesian analysis. In this study, we assessed reporting of items in hierarchical Bayesian analysis for aggregating N-of-1 trials to estimate p...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章,评审

    doi：10.1016/j.jclinepi.2016.02.023

    authors： Zhai J,Cao H,Ren M,Mu W,Lv S,Si J,Wang H,Chen J,Shang H

    更新日期：2016-08-01 00:00:00

  • Multiple performance measures are needed to evaluate triage systems in the emergency department.

    abstract：OBJECTIVES:Emergency department triage systems can be considered prediction rules with an ordinal outcome, where different directions of misclassification have different clinical consequences. We evaluated strategies to compare the performance of triage systems and aimed to propose a set of performance measures that sh...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/j.jclinepi.2017.11.004

    authors： Zachariasse JM,Nieboer D,Oostenbrink R,Moll HA,Steyerberg EW

    更新日期：2018-02-01 00:00:00

  • The development of a postoperative morbidity score to assess total morbidity burden after cardiac surgery.

    abstract：OBJECTIVE:To develop a tool for identifying and quantifying morbidity following cardiac surgery (cardiac postoperative morbidity score [C-POMS]). STUDY DESIGN AND SETTING:Morbidity was prospectively assessed in 450 cardiac surgery patients on postoperative days 1, 3, 5, 8, and 15 using POMS criteria (nine postoperativ...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/j.jclinepi.2011.11.004

    authors： Sanders J,Keogh BE,Van der Meulen J,Browne JP,Treasure T,Mythen MG,Montgomery HE

    更新日期：2012-04-01 00:00:00

  • Risk of bias assessments for blinding of participants and personnel in Cochrane reviews were frequently inadequate.

    abstract：OBJECTIVES:The objective of this study was to analyze adequacy of judgments about risk of bias (RoB) for blinding of participants and personnel (performance bias) in Cochrane systematic reviews of randomized controlled trials (RCTs). STUDY DESIGN AND SETTING:We extracted judgments and supporting comments for performan...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/j.jclinepi.2019.05.012

    authors： Barcot O,Boric M,Dosenovic S,Poklepovic Pericic T,Cavar M,Puljak L

    更新日期：2019-09-01 00:00:00

  • Are public library books contaminated by bacteria?

    abstract：:The microbial flora on the surfaces of 15 books obtained from a public library and from 15 books obtained from a family household were studied. Staphylococcus epidermidis was recovered from 4 of the library books and 3 of the family household books. The number of organisms per page was between one to four. This data i...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/0895-4356(94)90103-1

    authors： Brook SJ,Brook I

    更新日期：1994-10-01 00:00:00

  • Most noninferiority trials were not designed to preserve active comparator treatment effects.

    abstract：OBJECTIVES:To evaluate whether noninferiority trials are designed to adequately preserve the historical treatment effect of their active comparators. STUDY DESIGN AND SETTING:We reviewed 162 noninferiority trials published in high-impact medical journals. We assessed whether trials were designed to ensure that interve...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章,评审

    doi：10.1016/j.jclinepi.2019.03.003

    authors： Tsui M,Rehal S,Jairath V,Kahan BC

    更新日期：2019-06-01 00:00:00

  • Limited evidence exists on the effectiveness of education and training interventions on trial recruitment; a systematic review.

    abstract：OBJECTIVE:The objective of this study was to examine the effectiveness of education and training interventions on recruitment to randomized and non-randomized trials. STUDY DESIGN AND SETTING:A systematic review of the effectiveness of education and training interventions for recruiters to trials. The review included ...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/j.jclinepi.2019.05.013

    authors： Delaney H,Devane D,Hunter A,Hennessy M,Parker A,Murphy L,Cronin P,Smith V

    更新日期：2019-09-01 00:00:00

  • Application of generalizability theory confirmed lower reliability of the standard gamble than the feeling thermometer.

    abstract：OBJECTIVES:Recent studies suggest that rating clinical marker states (CMS) does not improve the measurement properties of the standard gamble (SG) and only slightly improves those of the feeling thermometer (FT). The poor intrarater (test-retest) reliability of CMS may explain their meager performance. Further, lack of...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jclinepi.2007.03.010

    authors： Schünemann HJ,Norman G,Puhan MA,Ståhl E,Griffith L,Heels-Ansdell D,Montori VM,Wiklund I,Goldstein R,Mador MJ,Guyatt GH

    更新日期：2007-12-01 00:00:00

  • The effect of exposure variance and exposure measurement error on study sample size: implications for the design of epidemiologic studies.

    abstract：:A small variability of exposure in a population, for example small variance in nutrient intake, limits the power of an epidemiologic study. McKeown-Eyssen and Thomas (J Chron Dis 1985; 38:559-568) have shown that by selecting a population with larger exposure variance vs one with smaller variance, the study sample siz...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章,评审

    doi：10.1016/0895-4356(94)90190-2

    authors： White E,Kushi LH,Pepe MS

    更新日期：1994-08-01 00:00:00

  • The impact of changes in coffee consumption on serum cholesterol.

    abstract：:To investigate the possible association between changes in coffee consumption and serum cholesterol levels, information was obtained from 2109 healthy nonsmokers aged 25-65 years at two clinic visits to a preventive medical center between 1987 and 1991 (mean interval between visits: 16.7 months). After adjusting for a...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/0895-4356(95)00023-w

    authors： Wei M,Macera CA,Hornung CA,Blair SN

    更新日期：1995-10-01 00:00:00

  • The importance of severity of illness adjustment in predicting adverse outcomes in the Medicare population.

    abstract：:The importance of using risk-adjusted mortality rates to measure quality of care is well-established. However, mortality rates may be an insensitive measure of quality for surgical patients since death is a relatively rare outcome. This study used Medicare files to identify, through chart abstraction, clinical postope...

    journal_title：Journal of clinical epidemiology

    pub_type： 杂志文章

    doi：10.1016/0895-4356(94)00165-m

    authors： Rosen AK,Ash AS,McNiff KJ,Moskowitz MA

    更新日期：1995-05-01 00:00:00