Structured Abstract

Contents

• Executive Summary
• 1. Introduction
  • Key Questions
  • Focus of the Review
• 2. Methods
  • Selection of Eligible Syndromes
  • Search Strategy
  • Eligibility
  • Data Extraction
  • Quality Assessment
  • Rating the Body of Evidence
• 3. Results
  • Key Question 1 What is the Definition and Prevalence of Common Syndromes/Conditions in Older Adults?
  • Key Question 2 What is the Prevalence of Common Syndromes/Conditions in Older Adults in Sex, Age, Race, Ethnicity, and Other Subgroups?
  • Key Question 3 What is the Association Between These Common Syndromes/Conditions and Mortality, Institutionalization, Hospitalization, and Activities of Daily Living?
  • Key Question 4 What Statistical and Decisionmaking Models Report Mortality Based on These Common Geriatric Syndromes/Conditions?
• 4. Discussion
  • Future Research
• References and Included Studies
• Acronyms/Abbreviations
• Appendixes
  • Appendix A Literature Search
  • Appendix B Excluded Studies
  • Appendix C Technical Expert Panel Members and Affiliations
  • Appendix D Abstraction Forms
  • Appendix E Evidence Tables

Acknowledgments: The authors thank Dorothee Aeppli, PhD, for her calculations of life expectancy among populations with increased risk of death; Christopher A. Warlick, MD, PhD, for his recommendation about models that report mortality in elderly patients; librarian Judith Stanke, MA, for her contributions to the literature search; Rema Ramakrishnan, MD, MPH candidate, Shiyi Wang, MD, PhD candidate, Jing Du, PhD candidate, Warren Manyara, MD, MHA candidate, and Molly Moor, PhD candidate, for their assistance with the literature search and data abstraction; Jeannine Ouellette for her help in writing the report; Marilyn Eells for editing and formatting the report; and Karen Rashke, Yaminah Oliver, and Christa Prodzinski for assistance with data entry and formatting tables.

The authors also thank Kathleen Buckwalter, PhD, RN, Thomas Gill, MD, Jack Guralnik, MD, PhD, Rosanne Leipzig, MD, PhD, Joseph Ouslander, MD, Barbara Resnick, PhD, Albert L. Siu, MD, MSPH, and Gregg Warshaw, MD, for serving on the Technical Expert Panel; and Linda Fried, MD, MPH, and Linda Kinsinger, MD, for reviewing the draft of this report and providing helpful recommendations for revisions and clarifications.

Prepared for: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services¹, Contract No. HHSA 290-2007-10064-1, Prepared by: Minnesota Evidence-Based Practice Center, Minneapolis, Minnesota

Suggested citation:

Kane RL, Talley KM, Shamliyan T, Pacala JT. Common Syndromes in Older Adults Related to Primary and Secondary Prevention. Evidence Report/Technology Assessment No. 87. AHRQ Publication No. 11-05157-EF-1. Rockville, MD: Agency for Healthcare Research and Quality; July 2011.

This report is based on research conducted by the Minnesota Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. HHSA 290-2007-10064-1). The findings and conclusions in this document are those of the authors, who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.

The information in this report is intended to help clinicians, employers, policymakers, and others make informed decisions about the provision of health care services. This report is intended as a reference and not as a substitute for clinical judgment.

This report may be used, in whole or in part, as the basis for the development of clinical practice guidelines and other quality enhancement tools, or as a basis for reimbursement and coverage policies. AHRQ or U.S. Department of Health and Human Services endorsement of such derivative products may not be stated or implied.

None of the investigators have any affiliations or financial involvement (e.g., employment, consultancies, honoraria, stock options, expert testimony, grants or patents received or pending, or royalties) that conflict with material presented in this report.

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