Evidence mapPaperPMID 32270182Full record

Trial reportThe journals of gerontology. Series A, Biological sciences and medical sciences2021

Three-Year, Postintervention, Follow-up Comparison of Health Care Resource Utilization and Costs in the Lifestyle Interventions and Independence for Elders (LIFE) Study.

Joshua D Brown, Ching-Yu Wang, Erik J Groessl, Marco Pahor, Todd M Manini

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The journals of gerontology. Series A, Biological sciences and medical sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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.

Joshua D BrownDepartment of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy, Gainesville.
Ching-Yu WangDepartment of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy, Gainesville.
Erik J GroesslDepartment of Family Medicine and Public Health, University of California San Diego, La Jolla.
Marco PahorDepartment of Aging & Geriatric Research, University of Florida College of Medicine, Gainesville.
Todd M ManiniDepartment of Aging & Geriatric Research, University of Florida College of Medicine, Gainesville.

Funding

University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · 2022 to 2025
$4.3M
NIA NIH HHS P30 AG028740
6 · The paper itself

Abstract

backgroundThe Lifestyle Interventions and Independence for Elders (LIFE) Study physical activity (PA) intervention was found to be cost-effective compared to health education (HE). However, long-term effects postintervention are unknown.

methodThis was a secondary analysis of LIFE Study data linked to Medicare claims data (2014-2016). Participants were linked via Social Security Numbers to Medicare claims data. Utilization and cost variables were analyzed using generalized linear models with negative binomial and Tweedie distributions. Unadjusted means and 95% confidence intervals were compared by year and overall stratified. Each model compared PA versus HE and adjusted for other baseline characteristics and stratified by study site. Additional models were stratified by baseline physical functioning assessment scores.

resultsOf the 1,635 LIFE Study participants, 804 (53.5%) were linked to Medicare claims with an average of 33 months of follow-up time during the 3-year data linkage period. Mean outpatient (6.6 vs 6.8), inpatient (0.40 vs 0.40), and other utilization metrics were similar between PA and HE groups. Costs were also similar for each group and each type of service, for example, outpatient: $2,070 versus $2,093 and inpatient: $4,704 versus $4,792. Regression results indicated no statistically significant differences between PA and HE groups.

conclusionsWhile the LIFE Study demonstrated that PA reduced mobility disability in older adults and was cost-effective, it did not appear to affect long-term health care utilization costs posttrial. These findings suggest that it remains challenging to affect long-term health care costs using PA interventions effects.

Indexed as

AgingPatient Acceptance of Health CareRisk Reduction BehaviorAgedAged, 80 and overCost-Benefit AnalysisExerciseFemaleFollow-Up StudiesHealth Care CostsHealthy AgingHumansMaleMedicareSingle-Blind MethodUnited StatesHealth care costsHealth care utilizationOlder adultsPhysical function

Identifiers

PMID32270182
PMCPMC7812479

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.