Skip to main content

Table 8 Evidence profile of quality of life of institutionalized and non-institutionalized elderly for WHOQOL-OLD questionnaire

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

WHOQOL-OLD

 2304 (2 observational studies)

very serious a

serious b

not serious

serious c

all plausible residual confounding would suggest spurious effect, while no effect was observed

VERY LOW

1650

654

SMD 1.13 lower(1.47 lower to 0.8 lower)

WHOQOL-OLD - Past, Present and Future Activities

 384 (2 observational studies)

very serious a

serious b

not serious

very serious c, d

all plausible residual confounding would suggest spurious effect, while no effect was observed

VERY LOW

275

109

SMD 1.48 lower(2.44 lower to 0.52 lower)

WHOQOL-OLD - Death and dying

 384 (2 observational studies)

serious a

serious b

not serious

very serious c, d

strong associationall plausible residual confounding would suggest spurious effect, while no effect was observed

VERY LOW

275

109

SMD 0.46 lower(1.04 lower to 0.11 higher)

WHOQOL-OLD – Intimicy

 384 (2 observational studies)

very serious a

serious b

not serious

very serious c, d

all plausible residual confounding would suggest spurious effect, while no effect was observed

VERY LOW

275

109

SMD 1.15 lower(1.88 lower to 0.43 lower)

WHOQOL-OLD - Social Participation

 384 (2 observational studies)

very serious a

serious b

not serious

very serious c, d

all plausible residual confounding would suggest spurious effect, while no effect was observed

VERY LOW

275

109

-

SMD 1.29 lower(2.34 lower to 0.24 lower)

WHOQOL-OLD - Sensory Abilities

 384 (2 observational studies)

very serious a

serious b

not serious

very serious c, d

all plausible residual confounding would suggest spurious effect, while no effect was observed

VERY LOW

275

109

SMD 1.06 lower(1.8 lower to 0.33 lower)

WHOQOL-OLD – Autonomy

 384 (2 observational studies)

very serious a

serious b

not serious

very serious c, d

all plausible residual confounding would suggest spurious effect, while no effect was observed

VERY LOW

275

109

-

SMD 1.45 lower(3.49 lower to 0.6 higher)

  1. Notes: SMD Standard mean difference, a Only studies with some risk of bias were included in this analysis; b Considerable heterogeneity; c Total number of participants is less than 400; d There is wide variation in the effect estimates across studies with little or no overlap of confidence intervals associated with the effect estimates