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Table 9 Evidence profile of quality of life of institutionalized and non-institutionalized elderly for SD-36 and RAND-36 questionnaires

From: Does the institutionalization influence elderly’s quality of life? A systematic review and meta–analysis

Certainty assessment

Summary of findings

№ of participants

(studies)

Follow-up

Risk of bias

Inconsistency

Indirectness

Imprecision

Publication bias

Overall certainty of evidence

Study event rates (%)

Anticipated absolute effects

With NIE

With IE

Risk with NIE

Risk difference with IE

SF-36 and RAND-36 - Overall

 3340 (4 observational studies)

very serious a

very serious b,c

not serious

serious d

very strong association

VERY LOW

1884

1456

The mean SF-36 and RAND-36 was 0

MD 5.97 lower(11.29 lower to 0.64 lower)

SF-36 and RAND-36 - General Health Perceptions

 386 (3 observational studies)

very serious a

not serious

not serious

very serious d, e

strong association

VERY LOW

212

174

The mean SF-36 and RAND-36 - General Health Perceptions was 0

MD 2.06 lower(6.31 lower to 2.19 higher)

SF-36 and RAND-36 - Physical Functioning

 386 (3 observational studies)

very serious a

serious b

not serious

very serious d, e

very strong association

VERY LOW

212

174

The mean SF-36 RAND-36 - Physical Functioning was 0

MD 21.74 lower(35.7 lower to 7.79 lower)

SF-36 and RAND-36 - Role Emotional

 386 (3 observational studies)

very serious a

very serious b,c

not serious

very serious d, e

very strong association

VERY LOW

212

174

The mean SF-36 RAND-36 - Role Emotional was 0

MD 5.99 lower(26.18 lower to 14.2 higher)

SF-36 and RAND-36 - Bodily Pain

 386 (3 observational studies)

very serious a

very serious b,c

not serious

very serious d, e

strong association

VERY LOW

212

174

The mean SF-36 RAND-36 - Bodily Pain was 0

MD 2.5 higher(14.93 lower to 19.92 higher)

SF-36 and RAND-36 - Mental Health

 512 (4 observational studies)

very serious a

serious b

not serious

serious d

very strong association

VERY LOW

306

206

The mean SF-36 RAND-36 (QVRS) - Mental Health was 0

MD 10.39 lower(21.53 lower to 0.75 higher)

SF-36 and RAND-36 - Social Functioning

 512 (4 observational studies)

very serious a

very serious b,c

not serious

serious d

strong association

VERY LOW

306

206

The mean SF-36 RAND-36 (QVRS) - Social Functioning was 0

MD 4.35 higher(8.21 lower to 16.91 higher)

SF-36 and RAND-36 - Role physical

 386 (3 observational studies)

very serious a

very serious b,c

not serious

very serious d, e

very strong association

VERY LOW

212

174

The mean SF-36 RAND-36 (QVRS) - Role physical was 0

MD 12.3 lower(46.79 lower to 22.18 higher)

SF-36 and RAND-36 - Vitality

 386 (3 observational studies)

very serious a

serious b

not serious

very serious d, e

strong association

VERY LOW

212

174

The mean SF-36 RAND-36 - Vitality was 0

MD 4.52 lower(12.36 lower to 3.33 higher)

  1. Notes: MD Mean difference; a Only studies with some risk of bias were included in this analysis. b Considerable heterogeneity. c There is wide variation in the effect estimates across studies with little or no overlap of confidence intervals associated with the effect estimates. d Upper and lower confidence limit crosses the effect size were greater than 0.5. e Total number of participants is less than 400