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

Journal of Clinical Epidemiology
Debra A HellerTheresa V Brown

Abstract

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. 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. 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. Self-rated health is responsive to changes in Charlson comorbidity, but nonlinearity and interactions suggest complexity in how elderly respond to comorbidity cha...Continue Reading

References

Dec 1, 1992·Statistics in Medicine·W Sauerbrei, M Schumacher
Jun 1, 1992·Journal of Clinical Epidemiology·R A DeyoM A Ciol
Aug 1, 1982·American Journal of Public Health·J M Mossey, E Shapiro
Feb 1, 1994·The Gerontologist·R J Johnson, F D Wolinsky
Feb 1, 1993·Annals of Internal Medicine·J ConcatoT R Holford
Mar 1, 1993·Journal of the American Geriatrics Society·E H WagnerJ A Hecht
May 1, 1996·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·E A BorawskiE Kahana
Mar 1, 1996·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·V L WilcoxE L Idler
Mar 1, 1997·Journal of Health and Social Behavior·E L Idler, Y Benyamini
Nov 24, 1999·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·N HoeymansG A van den Bos
Dec 22, 1999·International Journal of Epidemiology·P RoystonW Sauerbrei
Jan 5, 2000·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·P A Bath
Jun 10, 2000·Journal of Aging and Health·H B BosworthD B Mark
Sep 30, 2000·Journal of Aging and Health·L L BryantD L Fairclough
Jan 9, 2001·Journal of Clinical Epidemiology·C N KlabundeJ L Warren
Feb 24, 2001·Journal of the American Geriatrics Society·P DiehrG L Burke
Jul 11, 2001·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·K F Ferraro, J A Kelley-Moore
Oct 30, 2001·American Journal of Epidemiology·S SchneeweissR J Glynn
Feb 9, 2002·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·K F Ferraro, J M Wilmoth
Mar 8, 2002·American Journal of Epidemiology·Shari S BassukBenjamin C Amick
Dec 11, 2002·Social Science & Medicine·Daniel S BailisJudith G Chipperfield
Dec 4, 2003·Journal of Epidemiology and Community Health·T HillenC D Wolfe
May 6, 2004·Journal of Clinical Epidemiology·Machelle WilcheskyAllen Huang
Apr 23, 2005·Journal of Clinical Epidemiology·Georgios D MantzavinisJohn P A Ioannidis
May 10, 2005·Journal of the American Geriatrics Society·Jennifer L WolffGerard Anderson
Jun 18, 2005·American Journal of Epidemiology·Rebecca C ThurstonLisa F Berkman
Jun 28, 2005·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Jersey LiangYoko Sugihara
Jul 22, 2005·Health Services Research·Karen B DeSalvoStephan D Fihn
Aug 5, 2005·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Subashan PereraJack M Guralnik
Sep 24, 2005·Journal of Aging and Health·Tantina B HongHayden B Bosworth
Nov 9, 2005·Journal of the American Geriatrics Society·Kristine E PringleTheresa V Brown
Dec 5, 2006·Annals of Epidemiology·Eric B LoucksIchiro Kawachi

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Citations

Apr 30, 2011·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Benjamin SchüzClemens Tesch-Römer
Dec 3, 2011·International Urology and Nephrology·Manoch RattanasompattikulKamyar Kalantar-Zadeh
Mar 29, 2011·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Henrike GalenkampDorly J H Deeg
Mar 14, 2012·Annals of Family Medicine·Elizabeth A BaylissJohn F Steiner
Aug 8, 2013·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Henrike GalenkampMarja Jylhä
Mar 5, 2014·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Eric M Vogelsang
Sep 18, 2013·Revista española de geriatría y gerontología·Trinidad LorenzoAna Maseda
Feb 24, 2012·Social Science & Medicine·Fiona Imlach GunasekaraTony Blakely
Oct 26, 2011·Archives of Gerontology and Geriatrics·Riitta LeskinenTiina Laatikainen
May 22, 2010·Revista española de geriatría y gerontología·Pedro Abizanda SolerEsther López Jiménez
Mar 23, 2010·Medicina clínica·Nicolás Ignacio Martínez Velilla, Idoia de Gaminde Inda
Dec 5, 2015·Frontiers in Public Health·Sylvia Böhme, Babette Renneberg
Jan 15, 2014·Journal of Clinical Epidemiology·Julio Cabrero-García, Rocío Juliá-Sanchis
Mar 27, 2012·Journal of Clinical Epidemiology·Merja VuorisalmiMarja Jylhä
Apr 10, 2013·Geriatric Orthopaedic Surgery & Rehabilitation·Cagatay UlucayFaik Altintas
Nov 5, 2015·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Simone InkrotHans-Dirk Düngen
Nov 10, 2017·Clinical Nursing Research·Zyad T SalehDebra K Moser
Jan 11, 2018·Journal of Health and Social Behavior·Ellen Idler, Kate Cartwright
Mar 20, 2019·European Journal of Ageing·Fernando Lera-LopezEduardo Sánchez
Aug 8, 2020·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Carly WhitmoreJenny Ploeg
Oct 30, 2021·Psychology & Health·Qiong Wu, Peikang Zhang
Nov 6, 2021·BMC Geriatrics·Flávia Silva Arbex BorimMonica Sanches Yassuda

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