Disability in elderly people with multiple sclerosis: an analysis of baseline data from the Sonya Slifka Longitudinal Multiple Sclerosis Study.

This study compares the demographic, clinical, and health care characteristics of 2,156 persons over and under age 65 who are participants in the Sonya Slifka Longitudinal Multiple Sclerosis Study and examines the effects of current age, age at diagnosis, course, and duration of illness on disabilit...

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Publicado en:NeuroRehabilitation Vol. 19; no. 1; pp. 55 - 68
Autores principales: Minden SL, Frankel D, Hadden LS, Srinath KP, Perloff JN
Formato: glossary research tables/charts Journal Article
Publicado: Sage Publications Inc. 2004
Acceso en línea:Ver este registro en EBSCOhost
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      vid: 19
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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      tig:
        atl: Disability in elderly people with multiple sclerosis: an analysis of baseline data from the Sonya Slifka Longitudinal Multiple Sclerosis Study.
      aug:
        au:
          Minden SL
          Frankel D
          Hadden LS
          Srinath KP
          Perloff JN
        affil: Abt Associates Inc, 55 Wheeler Street, Cambridge, MA 02138; sarah_minden@abtassoc.com
      sug:
        subj:
          Multiple Sclerosis
          Age Factors
          Functional Status
          Health Status
          Comparative Studies
          Middle Age
          Aged
          Prospective Studies
          Descriptive Statistics
          Statistical Significance
          Socioeconomic Factors
          Income Evaluation
          Functional Assessment
          Activities of Daily Living Evaluation
          Home Health Care
          Insurance, Health Evaluation
          Drugs, Prescription Economics
          Quality of Life Evaluation
          Disease Duration
          Age of Onset Evaluation
          Interviews
          Multiple Sclerosis Organizations
          Data Collection, Computer Assisted
          Data Analysis Software
          Chi Square Test
          Adult
          T-Tests
          Logistic Regression
          Severity of Illness Evaluation
          Male
          Female
          Odds Ratio
          Funding Source
          Human
          Middle Aged: 45-64 years
          Aged: 65+ years
          Adult: 19-44 years
          Male
          Female
      ab: This study compares the demographic, clinical, and health care characteristics of 2,156 persons over and under age 65 who are participants in the Sonya Slifka Longitudinal Multiple Sclerosis Study and examines the effects of current age, age at diagnosis, course, and duration of illness on disability-related outcomes. Compared to younger MS patients, significantly higher percentages of older patients lived alone, had lower incomes, and were severely disabled; 85% needed help with activities of daily living and 40% received home care services. Almost all older patients had health insurance, 75% had prescription drug coverage, and few reported difficulty accessing general medical and specialized MS care; perceptions of health status and quality of life were relatively positive. Duration and course of illness were the major predictors of disability, although older current age and younger age at diagnosis were also associated. The relationship among age- and disease-related variables is complex and they likely exert independent effects on disability-related outcomes. Planning is needed by caregivers and policy makers to ensure that the specialized needs of elderly persons with MS are adequately met.
      pubtype: Academic Journal
      doctype:
        glossary
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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