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Predicting death in home care users: derivation and validation of the Risk Evaluation for Support: Predictions for Elder-Life in the Community Tool (RESPECT)
Amy T. Hsu, Douglas G. Manuel, Sarah Spruin, Carol Bennett, Monica Taljaard, Sarah Beach, Yulric Sequeira, Robert Talarico, Mathieu Chalifoux, Daniel Kobewka, Andrew P. Costa, Susan E. Bronskill and Peter Tanuseputro
CMAJ July 05, 2021 193 (26) E997-E1005; DOI: https://doi.org/10.1503/cmaj.200022
Amy T. Hsu
Bruyère Research Institute (Hsu, Manuel, Tanuseputro); Clinical Epidemiology Program (Hsu, Manuel, Bennett, Taljaard, Beach, Sequeira, Kobewka, Tanuseputro), Ottawa Hospital Research Institute; ICES uOttawa (Chalifoux, Manuel, Spruin, Talarico, Tanuseputro); School of Epidemiology and Public Health (Taljaard, Manuel), Division of Palliative Care (Tanuseputro) and Department of Medicine (Kobewka), University of Ottawa, Ottawa, Ont.; Department of Clinical Epidemiology and Biostatistics (Costa), McMaster University, Hamilton, Ont.; ICES Central (Bronskill); Women’s College Research Institute (Bronskill), Women’s College Hospital, Toronto, Ont.
PhDDouglas G. Manuel
Bruyère Research Institute (Hsu, Manuel, Tanuseputro); Clinical Epidemiology Program (Hsu, Manuel, Bennett, Taljaard, Beach, Sequeira, Kobewka, Tanuseputro), Ottawa Hospital Research Institute; ICES uOttawa (Chalifoux, Manuel, Spruin, Talarico, Tanuseputro); School of Epidemiology and Public Health (Taljaard, Manuel), Division of Palliative Care (Tanuseputro) and Department of Medicine (Kobewka), University of Ottawa, Ottawa, Ont.; Department of Clinical Epidemiology and Biostatistics (Costa), McMaster University, Hamilton, Ont.; ICES Central (Bronskill); Women’s College Research Institute (Bronskill), Women’s College Hospital, Toronto, Ont.
MD MScSarah Spruin
Bruyère Research Institute (Hsu, Manuel, Tanuseputro); Clinical Epidemiology Program (Hsu, Manuel, Bennett, Taljaard, Beach, Sequeira, Kobewka, Tanuseputro), Ottawa Hospital Research Institute; ICES uOttawa (Chalifoux, Manuel, Spruin, Talarico, Tanuseputro); School of Epidemiology and Public Health (Taljaard, Manuel), Division of Palliative Care (Tanuseputro) and Department of Medicine (Kobewka), University of Ottawa, Ottawa, Ont.; Department of Clinical Epidemiology and Biostatistics (Costa), McMaster University, Hamilton, Ont.; ICES Central (Bronskill); Women’s College Research Institute (Bronskill), Women’s College Hospital, Toronto, Ont.
MScCarol Bennett
Bruyère Research Institute (Hsu, Manuel, Tanuseputro); Clinical Epidemiology Program (Hsu, Manuel, Bennett, Taljaard, Beach, Sequeira, Kobewka, Tanuseputro), Ottawa Hospital Research Institute; ICES uOttawa (Chalifoux, Manuel, Spruin, Talarico, Tanuseputro); School of Epidemiology and Public Health (Taljaard, Manuel), Division of Palliative Care (Tanuseputro) and Department of Medicine (Kobewka), University of Ottawa, Ottawa, Ont.; Department of Clinical Epidemiology and Biostatistics (Costa), McMaster University, Hamilton, Ont.; ICES Central (Bronskill); Women’s College Research Institute (Bronskill), Women’s College Hospital, Toronto, Ont.
MScMonica Taljaard
Bruyère Research Institute (Hsu, Manuel, Tanuseputro); Clinical Epidemiology Program (Hsu, Manuel, Bennett, Taljaard, Beach, Sequeira, Kobewka, Tanuseputro), Ottawa Hospital Research Institute; ICES uOttawa (Chalifoux, Manuel, Spruin, Talarico, Tanuseputro); School of Epidemiology and Public Health (Taljaard, Manuel), Division of Palliative Care (Tanuseputro) and Department of Medicine (Kobewka), University of Ottawa, Ottawa, Ont.; Department of Clinical Epidemiology and Biostatistics (Costa), McMaster University, Hamilton, Ont.; ICES Central (Bronskill); Women’s College Research Institute (Bronskill), Women’s College Hospital, Toronto, Ont.
PhDSarah Beach
Bruyère Research Institute (Hsu, Manuel, Tanuseputro); Clinical Epidemiology Program (Hsu, Manuel, Bennett, Taljaard, Beach, Sequeira, Kobewka, Tanuseputro), Ottawa Hospital Research Institute; ICES uOttawa (Chalifoux, Manuel, Spruin, Talarico, Tanuseputro); School of Epidemiology and Public Health (Taljaard, Manuel), Division of Palliative Care (Tanuseputro) and Department of Medicine (Kobewka), University of Ottawa, Ottawa, Ont.; Department of Clinical Epidemiology and Biostatistics (Costa), McMaster University, Hamilton, Ont.; ICES Central (Bronskill); Women’s College Research Institute (Bronskill), Women’s College Hospital, Toronto, Ont.
MScYulric Sequeira
Bruyère Research Institute (Hsu, Manuel, Tanuseputro); Clinical Epidemiology Program (Hsu, Manuel, Bennett, Taljaard, Beach, Sequeira, Kobewka, Tanuseputro), Ottawa Hospital Research Institute; ICES uOttawa (Chalifoux, Manuel, Spruin, Talarico, Tanuseputro); School of Epidemiology and Public Health (Taljaard, Manuel), Division of Palliative Care (Tanuseputro) and Department of Medicine (Kobewka), University of Ottawa, Ottawa, Ont.; Department of Clinical Epidemiology and Biostatistics (Costa), McMaster University, Hamilton, Ont.; ICES Central (Bronskill); Women’s College Research Institute (Bronskill), Women’s College Hospital, Toronto, Ont.
BEngRobert Talarico
Bruyère Research Institute (Hsu, Manuel, Tanuseputro); Clinical Epidemiology Program (Hsu, Manuel, Bennett, Taljaard, Beach, Sequeira, Kobewka, Tanuseputro), Ottawa Hospital Research Institute; ICES uOttawa (Chalifoux, Manuel, Spruin, Talarico, Tanuseputro); School of Epidemiology and Public Health (Taljaard, Manuel), Division of Palliative Care (Tanuseputro) and Department of Medicine (Kobewka), University of Ottawa, Ottawa, Ont.; Department of Clinical Epidemiology and Biostatistics (Costa), McMaster University, Hamilton, Ont.; ICES Central (Bronskill); Women’s College Research Institute (Bronskill), Women’s College Hospital, Toronto, Ont.
MScMathieu Chalifoux
Bruyère Research Institute (Hsu, Manuel, Tanuseputro); Clinical Epidemiology Program (Hsu, Manuel, Bennett, Taljaard, Beach, Sequeira, Kobewka, Tanuseputro), Ottawa Hospital Research Institute; ICES uOttawa (Chalifoux, Manuel, Spruin, Talarico, Tanuseputro); School of Epidemiology and Public Health (Taljaard, Manuel), Division of Palliative Care (Tanuseputro) and Department of Medicine (Kobewka), University of Ottawa, Ottawa, Ont.; Department of Clinical Epidemiology and Biostatistics (Costa), McMaster University, Hamilton, Ont.; ICES Central (Bronskill); Women’s College Research Institute (Bronskill), Women’s College Hospital, Toronto, Ont.
MScDaniel Kobewka
Bruyère Research Institute (Hsu, Manuel, Tanuseputro); Clinical Epidemiology Program (Hsu, Manuel, Bennett, Taljaard, Beach, Sequeira, Kobewka, Tanuseputro), Ottawa Hospital Research Institute; ICES uOttawa (Chalifoux, Manuel, Spruin, Talarico, Tanuseputro); School of Epidemiology and Public Health (Taljaard, Manuel), Division of Palliative Care (Tanuseputro) and Department of Medicine (Kobewka), University of Ottawa, Ottawa, Ont.; Department of Clinical Epidemiology and Biostatistics (Costa), McMaster University, Hamilton, Ont.; ICES Central (Bronskill); Women’s College Research Institute (Bronskill), Women’s College Hospital, Toronto, Ont.
MD MScAndrew P. Costa
Bruyère Research Institute (Hsu, Manuel, Tanuseputro); Clinical Epidemiology Program (Hsu, Manuel, Bennett, Taljaard, Beach, Sequeira, Kobewka, Tanuseputro), Ottawa Hospital Research Institute; ICES uOttawa (Chalifoux, Manuel, Spruin, Talarico, Tanuseputro); School of Epidemiology and Public Health (Taljaard, Manuel), Division of Palliative Care (Tanuseputro) and Department of Medicine (Kobewka), University of Ottawa, Ottawa, Ont.; Department of Clinical Epidemiology and Biostatistics (Costa), McMaster University, Hamilton, Ont.; ICES Central (Bronskill); Women’s College Research Institute (Bronskill), Women’s College Hospital, Toronto, Ont.
PhDSusan E. Bronskill
Bruyère Research Institute (Hsu, Manuel, Tanuseputro); Clinical Epidemiology Program (Hsu, Manuel, Bennett, Taljaard, Beach, Sequeira, Kobewka, Tanuseputro), Ottawa Hospital Research Institute; ICES uOttawa (Chalifoux, Manuel, Spruin, Talarico, Tanuseputro); School of Epidemiology and Public Health (Taljaard, Manuel), Division of Palliative Care (Tanuseputro) and Department of Medicine (Kobewka), University of Ottawa, Ottawa, Ont.; Department of Clinical Epidemiology and Biostatistics (Costa), McMaster University, Hamilton, Ont.; ICES Central (Bronskill); Women’s College Research Institute (Bronskill), Women’s College Hospital, Toronto, Ont.
PhDPeter Tanuseputro
Bruyère Research Institute (Hsu, Manuel, Tanuseputro); Clinical Epidemiology Program (Hsu, Manuel, Bennett, Taljaard, Beach, Sequeira, Kobewka, Tanuseputro), Ottawa Hospital Research Institute; ICES uOttawa (Chalifoux, Manuel, Spruin, Talarico, Tanuseputro); School of Epidemiology and Public Health (Taljaard, Manuel), Division of Palliative Care (Tanuseputro) and Department of Medicine (Kobewka), University of Ottawa, Ottawa, Ont.; Department of Clinical Epidemiology and Biostatistics (Costa), McMaster University, Hamilton, Ont.; ICES Central (Bronskill); Women’s College Research Institute (Bronskill), Women’s College Hospital, Toronto, Ont.
MHSc MD
Data supplements
Online appendices
- Appendix 1: Estimated hazard ratios (HR) of predictors excluded from the final model
- Appendix 10: Calibration graph
- Appendix 2: Cox proportional hazards regression estimates for predictors of 6-month mortality in the derivation and combined cohorts
- Appendix 3: Derivation of RESPECT risk score and bin
- Appendix 4: Predicted 6-month mortality risk, sample size and median survival across 61 risk groups of RESPECT
- Appendix 5: RESPECT web calculator user guide
- Appendix 6: Detailed description of the study cohorts
- Appendix 7: Characteristics of individuals across the 61 risk groups of RESPECT
- Appendix 8: Calibration plot for 6-month mortality risk in the validation cohort across the 61 risk groups generated from RESPECT
- Appendix 9: Calibration graphs of key predictors of 6-month mortality in the validation cohort
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Predicting death in home care users: derivation and validation of the Risk Evaluation for Support: Predictions for Elder-Life in the Community Tool (RESPECT)
Amy T. Hsu, Douglas G. Manuel, Sarah Spruin, Carol Bennett, Monica Taljaard, Sarah Beach, Yulric Sequeira, Robert Talarico, Mathieu Chalifoux, Daniel Kobewka, Andrew P. Costa, Susan E. Bronskill, Peter Tanuseputro
CMAJ Jul 2021, 193 (26) E997-E1005; DOI: 10.1503/cmaj.200022
Predicting death in home care users: derivation and validation of the Risk Evaluation for Support: Predictions for Elder-Life in the Community Tool (RESPECT)
Amy T. Hsu, Douglas G. Manuel, Sarah Spruin, Carol Bennett, Monica Taljaard, Sarah Beach, Yulric Sequeira, Robert Talarico, Mathieu Chalifoux, Daniel Kobewka, Andrew P. Costa, Susan E. Bronskill, Peter Tanuseputro
CMAJ Jul 2021, 193 (26) E997-E1005; DOI: 10.1503/cmaj.200022