Do Older People Benefit from Having a Confidant? An Oklahoma Physicians Resource/Research Network (OKPRN) Study

Lawler, Frank H.; Mold, James W.; McCarthy, Laine H

doi:10.3122/jabfm.2013.01.120051

Cited by 10 publications

(16 citation statements)

References 21 publications

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“…Subsequent publications often reported effect estimates over different lengths of follow-up or using different QoL tools. Two published articles of De Buyser et al reported the results of the same populationbased cohort study [41,42], three published articles by De Salvo et al and Fan et al were from the same study and included participants enrolled in the Veterans Affairs Ambulatory Care Quality Improvement Project [24,43,47], two published studies of Mold et al and Lawler et al used the same communitydwelling cohort [57,61], two published studies of Higueras-Fresnillo et al and Otero-Rodriguez et al were from the same Spanish cohort [52,67], two published studies of Feeny et al and Kaplan et al were from the same Canadian cohort [48,55]; and Myint et al published three articles [26,64,65] with different perspectives on the same population-based study. Additionally, Liira et al's study [29], included eight individual cohorts, however, only ve of the cohorts met the inclusion criteria for this current systematic review, and thus are shown in Table 1.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…Among the 23 studies which examined mental HRQoL (one exclusively assessed MCS), 13 studies (57%) reported that higher mental HRQoL was associated with decreased mortality risk ( Table 1). The ve studies [49,52,57,59,76] that measured HRQoL using SF-36 or SF-20 reported not only the physical functioning and mental health domains, but also general health perception, bodily pain, vitality, and social functioning. The ndings were generally consistent in general health perception and social functioning; and it was reported that better level of general health perception and social functioning was associated with decreased mortality risk ( Table 1).…”

Section: Qualitative Synthesismentioning

confidence: 99%

“…With an average 1.8-year follow-up, one unit increase in the SF-36 PCS was associated with a 5% decrease in all-cause mortality (pooled OR/RR = 0.950; 95% CI: 0.935 to 0.965; Pvalue < 0.001). There was substantial heterogeneity between studies (I 2 = 82.1%; P-value = 0.001) ( Figure 2 Six studies including 22,570 participants [42,46,57,59,68,76] measured QoL using the SF-36 and investigated the association between the physical functioning and all-cause mortality using time-to-event survival analysis. With an average 8.7-year follow-up, one unit increase in the SF-36 PF was associated with a 1.3% decrease in time to death (pooled HR = 0.987; 95%CI: 0.982 to 0.992; P-value < 0.001).…”

Section: Meta-analysesmentioning

confidence: 99%

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Quality of Life and mortality in the general population: a systematic review and meta-analysis

Phyo

Freak‐Poli

Craig

et al. 2020

Preprint

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Background: Quality of life (QoL) is multi-dimensional concept of an individual’ general well-being status in relation to their value, environment, cultural and social context in which they live. This study aimed to quantitatively synthesise available evidence on the association between QoL and mortality in the general population.Methods: An electronic search was conducted using three bibliographic databases, MEDLINE, EMBASE and PsycINFO. Inclusion criteria were studies that assessed QoL using standardized tools and examined mortality risk in a non-patient population. Qualitative data synthesis and meta-analyses using a random-effects model were performed.Results: Of 4,184 articles identified, 47 were eligible for inclusion, involving approximately 1,200,000 participants. Studies were highly heterogeneous in terms of QoL measures, population characteristics and data analysis. In total, 43 studies (91.5%) reported that better QoL was associated with lower mortality risk. The results of four meta-analyses indicated that higher health-related QoL (HRQoL) is associated with lower mortality risk, which was consistent for overall HRQoL (HR 0.633, 95% CI: 0.514 to 0.780), physical function (HR 0.987, 95% CI: 0.982 to 0.992), physical component score (OR 0.950, 95% CI: 0.935 to 0.965), and mental component score (OR 0.980, 95% CI: 0.969 to 0.992).Conclusion: These findings provide evidence that better QoL/HRQoL was associated with lower mortality risk. The utility of these measures in predicting mortality risk indicates that they should be considered further as potential screening tools in general clinical practice, beyond the traditional objective measures such as body mass index and the results of laboratory tests.

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Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Qualitative Synthesismentioning

confidence: 99%

Section: Meta-analysesmentioning

confidence: 99%

See 1 more Smart Citation

Quality of Life and mortality in the general population: a systematic review and meta-analysis

Phyo

Freak‐Poli

Craig

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

Section: Qualitative Synthesismentioning

confidence: 99%

“…Six studies including 22,570 participants [42,46,57,59,68,76] measured QoL using the SF-36 and investigated the association between the physical functioning and all-cause mortality using time-to-event survival analysis. With an average 8.7-year follow-up, one unit increase in the SF-36 PF was associated with a 1.3% decrease in time to death (pooled HR = 0.987; 95%CI: 0.982 to 0.992; P-value < 0.001).…”

Section: Qualitative Synthesismentioning

confidence: 99%

Quality of Life and mortality in the general population: a systematic review and meta-analysis

Phyo

Freak‐Poli

Craig

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Quality of life (QoL) is multi-dimensional concept of an individual’ general well-being status in relation to their value, environment, cultural and social context in which they live. This study aimed to quantitatively synthesise available evidence on the association between QoL and mortality in the general population. Methods: An electronic search was conducted using three bibliographic databases, MEDLINE, EMBASE and PsycINFO. Inclusion criteria were studies that assessed QoL using standardized tools and examined mortality risk in a non-patient population. Qualitative data synthesis and meta-analyses using a random-effects model were performed. Results: Of 4,184 articles identified, 47 were eligible for inclusion, involving approximately 1,200,000 participants. Studies were highly heterogeneous in terms of QoL measures, population characteristics and data analysis. In total, 43 studies (91.5%) reported that better QoL was associated with lower mortality risk. The results of four meta-analyses indicated that higher health-related QoL (HRQoL) is associated with lower mortality risk, which was consistent for overall HRQoL (HR 0.633, 95% CI: 0.514 to 0.780), physical function (HR 0.987, 95% CI: 0.982 to 0.992), physical component score (OR 0.950, 95% CI: 0.935 to 0.965), and mental component score (OR 0.980, 95% CI: 0.969 to 0.992). Conclusion: These findings provide evidence that better QoL/HRQoL was associated with lower mortality risk. The utility of these measures in predicting mortality risk indicates that they should be considered further as potential screening tools in general clinical practice, beyond the traditional objective measures such as body mass index and the results of laboratory tests.

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Social resource correlates of levels and time-to-death-related changes in late-life affect.

Windsor¹,

Gerstorf²,

Luszcz³

2015

Psychology and Aging

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Little is known regarding how well psychosocial resources that promote well-being continue to correlate with affect into very late life. We examined social resource correlates of levels and time-to-death related changes in affect balance (an index of affective positivity) over 19 years among 1,297 by now deceased participants (aged 69 to 103 at first assessment, M = 80 years; 36% women) from the Australian Longitudinal Study of Aging. A steeper decline in affect balance was evident over a time-to-death metric compared with chronological age. Separating time-varying social resource predictors into between- and within-person components revealed several associations with level of affect balance, controlling for age at death, gender, functional disability and global cognition. Between-person associations revealed that individuals who were more satisfied with family, and more socially active, expressed greater positivity compared with those who were less satisfied, and less socially active. Within-person associations indicated that participants reported higher positivity on occasions when they were more socially active. In addition, lower affect balance was associated with more frequent contact with children. Our results suggest that social engagement and satisfying relationships confer benefits for affective well-being that are retained into late life. However our findings do not provide evidence to indicate that social resources protect against terminal decline in well-being.

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Do Older People Benefit from Having a Confidant? An Oklahoma Physicians Resource/Research Network (OKPRN) Study

Abstract: Objective:The objective was to determine whether having a confidant was associated with improved health-related quality of life (HRQoL) or survival in older, community-dwelling individuals.Methods

Cited by 10 publications

References 21 publications

Quality of Life and mortality in the general population: a systematic review and meta-analysis

Quality of Life and mortality in the general population: a systematic review and meta-analysis

Quality of Life and mortality in the general population: a systematic review and meta-analysis

Social resource correlates of levels and time-to-death-related changes in late-life affect.

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