Research Topics
| Kenneth CovinskySummaryAffiliation: University of California Country: USA Publications
Research Grants
| Collaborators
|
Detail Information
Publications
Measuring prognosis and case mix in hospitalized elders. The importance of functional statusK E Covinsky
Department of Medicine, Case Western Reserve University, Cleveland, OH, USA
J Gen Intern Med 12:203-8. 1997....- Patient and caregiver characteristics associated with depression in caregivers of patients with dementiaKenneth E Covinsky
Department of Medicine, University of California, San Francisco and the San Francisco VA Medical Center, San Francisco, CA 94121, USA
J Gen Intern Med 18:1006-14. 2003..The goal of this study was to determine the patient and caregiver characteristics associated with depression among caregivers of patients with dementia... - Health-related quality of life following coronary artery bypass graft surgery in post-menopausal womenKenneth E Covinsky
Division of Geriatrics, University of California, San Francisco, and San Francisco VA Medical Center 181G, San Francisco, CA 94121, USA
J Gen Intern Med 23:1429-34. 2008..To describe the impact of coronary artery bypass graft (CABG) surgery on health related quality of life (HRQOL) in post-menopausal women... 
The last 2 years of life: functional trajectories of frail older peopleKenneth E Covinsky
Division of Geriatrics, San Francisco VA Medical Center and the University ofCalifornia at San Francisco, San Francisco, California 94121, USA
J Am Geriatr Soc 51:492-8. 2003....- Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: increased vulnerability with ageKenneth E Covinsky
Division of Geriatrics, University of California at San Francisco, San Francisco, California, USA
J Am Geriatr Soc 51:451-8. 2003..To describe the changes in activities of daily living (ADL) function occurring before and after hospital admission in older people hospitalized with medical illness and to assess the effect of age on loss of ADL function... - Pain, functional limitations, and agingKenneth E Covinsky
Department of Medicine, University of California at San Francisco, 4150 Clement, San Francisco, CA 94121, USA
J Am Geriatr Soc 57:1556-61. 2009..To examine the relationship between functional limitations and pain across a spectrum of age, ranging from mid life to advanced old age... - Development and validation of an index to predict activity of daily living dependence in community-dwelling eldersKenneth E Covinsky
Department of Medicine, University of California, San Francisco, CA, USA
Med Care 44:149-57. 2006..However, few prognostic indices have been developed that stratify elders into groups at variable risk for developing ADL dependence... - Serum albumin concentration and clinical assessments of nutritional status in hospitalized older people: different sides of different coins?Kenneth E Covinsky
Division of Geriatrics, University of California, San Francisco, California, USA
J Am Geriatr Soc 50:631-7. 2002..Although both measures are strongly associated with prognosis, it is not clear whether they measure similar or different clinical constructs. Our goal was to assess the degree of clinical concordance between these measures... - History and mobility exam index to identify community-dwelling elderly persons at risk of fallingK E Covinsky
Division of Geriatrics and Department of Medicine, University of California, San Francisco, USA
J Gerontol A Biol Sci Med Sci 56:M253-9. 2001..Our goal was to develop a fall-risk index that discriminated between people at high and low risk of falling... - Depressive symptoms and 3-year mortality in older hospitalized medical patientsK E Covinsky
San Francisco Veterans Affairs Medical Center and University of California, San Francisco School of Medicine, 94121, USA
Ann Intern Med 130:563-9. 1999.... - Differences in patient-reported processes and outcomes between men and women with myocardial infarctionK E Covinsky
Division of Geriatrics, University of California, San Francisco School of Medicine, and the San Francisco VA Medical Center, San Francisco, CA94121, USA
J Gen Intern Med 15:169-74. 2000..Our goal was to measure differences in patient-reported measures for men and women who recently were hospitalized with myocardial infarction... - Reduced employment in caregivers of frail elders: impact of ethnicity, patient clinical characteristics, and caregiver characteristicsK E Covinsky
Division of Geriatrics, San Francisco VA Medical Center and the University of California, San Francisco 94121, USA
J Gerontol A Biol Sci Med Sci 56:M707-13. 2001..Our goal was to determine the patient and caregiver characteristics associated with the reduction of employment hours in caregivers of frail elders... - Cognitive screening predicts magnitude of functional recovery from admission to 3 months after discharge in hospitalized eldersLaura P Sands
UCSF Mt Zion Center on Aging and Department of Medicine, University of California, San Francisco, USA
J Gerontol A Biol Sci Med Sci 58:37-45. 2003..We sought to determine whether performance on a cognitive screen at the time of hospital admission predicted the magnitude of functional recovery after hospitalization... - The effects of acute illness on ADL decline over 1 year in frail older adults with and without cognitive impairmentLaura P Sands
Center on Aging, Division of Geriatrics, University of California, San Francisco 94143 1265, USA
J Gerontol A Biol Sci Med Sci 57:M449-54. 2002..These relationships have not been described for the frailest of older adults whose high rates of acute illness and cognitive impairment put them at the greatest risk for loss of ADL functioning... - Adult day health center participation and health-related quality of lifeEva M Schmitt
Institute on Aging, San Francisco, California 94118, USA
Gerontologist 50:531-40. 2010..The purpose of this study was to assess the association between Adult Day Health Center (ADHC) participation and health-related quality of life... - Self-restriction of medications due to cost in seniors without prescription coverageM A Steinman
Division of Geriatrics, San Francisco VA Medical Center, University of California San Francisco 94121, USA
J Gen Intern Med 16:793-9. 2001..We sought to identify which elderly patients are at highest risk of restricting their medications because of cost, and how prescription coverage modifies this risk... - Screening mammography for frail older women: what are the burdens?L C Walter
Division of Geriatrics, San Francisco VA Medical Center and the University of California San Francisco 94121, USA
J Gen Intern Med 16:779-84. 2001..We focused on the potential burdens that may be experienced... - Cancer screening in elderly patients: a framework for individualized decision makingL C Walter
Division of Geriatrics, VA Medical Center 111G, 4150 Clement St, San Francisco, CA 94121, USA
JAMA 285:2750-6. 2001.... - Development and validation of a prognostic index for 1-year mortality in older adults after hospitalizationL C Walter
Division of Geriatrics, VA Medical Center 111G, 4150 Clement St, San Francisco, CA 94121, USA
JAMA 285:2987-94. 2001..However, few prognostic indices have focused on predicting posthospital mortality in older adults... - The relation between health status changes and patient satisfaction in older hospitalized medical patientsK E Covinsky
Department of Medicine, Case Western Reserve University, University Hospitals of Cleveland, and the Cleveland Veterans Affairs Medical Center, Ohio 44016-4961, USA
J Gen Intern Med 13:223-9. 1998..Comprehensive efforts to measure the outcomes and quality of hospital care will need to consider both patient satisfaction and changes in health status during hospitalization... - Predicting risk of dementia in older adults: The late-life dementia risk indexD E Barnes
Department of Psychiatry, University of California, San Francisco, CA 94121, USA
Neurology 73:173-9. 2009..To develop a late-life dementia risk index that can accurately stratify older adults into those with a low, moderate, or high risk of developing dementia within 6 years... - A regional evaluation of variation in low-severity hospital admissionsG E Rosenthal
Department of Medicine, Case Western Reserve University School of Medicine, OH, USA
J Gen Intern Med 12:416-22. 1997..The development of protocols for ambulatory management of low-severity patients and improvement of access to outpatient care would most likely decrease the utilization of more costly hospital services... 
Use of the Medicare posthospitalization skilled nursing benefit in the last 6 months of lifeKatherine Aragon
Division of Palliative Care, Department of Medicine, University of California, San Francisco, CA 94121, USA
Arch Intern Med 172:1573-9. 2012..We sought to examine patterns of Medicare posthospitalization SNF use in the last 6 months of life...- Half of older Americans seen in emergency department in last month of life; most admitted to hospital, and many die thereAlexander K Smith
Division of Geriatrics, University of California, San Francisco UCSF, CA, USA
Health Aff (Millwood) 31:1277-85. 2012..Policies that encourage the preparation of patients and families for death and early enrollment in hospice may prevent emergency department visits at the end of life... - Improving functional outcomes in older patients: lessons from an acute care for elders unitK E Covinsky
Department of Medicine, Case Western Reserve University, Cleveland, OH, USA
Jt Comm J Qual Improv 24:63-76. 1998.... - Length of stay for older adults residing in nursing homes at the end of lifeAnne Kelly
Veterans Affairs Medical Center, San Francisco, California, USA
J Am Geriatr Soc 58:1701-6. 2010..To describe lengths of stay of nursing home decedents... - Is economic hardship on the families of the seriously ill associated with patient and surrogate care preferences? SUPPORT InvestigatorsK E Covinsky
Department of Medicine, University Hospitals of Cleveland, OH 44106, USA
Arch Intern Med 156:1737-41. 1996.... - Age and rising rates of cyclooxygenase-2 inhibitor use. Results from a national surveyMichael A Steinman
Division of Geriatrics, San Francisco VA Medical Center, University of California, San Francisco, CA, USA
J Gen Intern Med 21:245-50. 2006..Cyclooxygenase-2 (COX-2) inhibitors were widely prescribed in the years following their introduction, but little is known about the frequency and context of their use across different age groups... - Development and validation of a prognostic index for 4-year mortality in older adultsSei J Lee
Division of Geriatrics, San Francisco Veterans Affairs Medical Center, University of California, San Francisco
JAMA 295:801-8. 2006..CONCLUSION: This prognostic index, incorporating age, sex, self-reported comorbid conditions, and functional measures, accurately stratifies community-dwelling older adults into groups at varying risk of mortality... - Rates of acute care admissions for frail older people living with met versus unmet activity of daily living needsLaura P Sands
School of Nursing, Center on Aging and the Life Course, Purdue University, West Lafayette, Indiana 47907, USA
J Am Geriatr Soc 54:339-44. 2006..To determine whether older people who do not have help for their activity of daily living (ADL) disabilities are at higher risk for acute care admissions and whether entry into a program that provides for these needs decreases this risk... - Functional impairment, race, and family expectations of deathBrie A Williams
Division of Geriatrics, University of California at San Francisco, San Francisco, California, USA
J Am Geriatr Soc 54:1682-7. 2006..To assess the effect of functional impairment on family expectations of death and to examine how this association varies by race... - Octogenarians and nonagenarians starting dialysis in the United StatesManjula Kurella
Division of Nephrology, University of California, San Francisco, CA 94118 1211, USA
Ann Intern Med 146:177-83. 2007.... - The relationship of indwelling urinary catheters to death, length of hospital stay, functional decline, and nursing home admission in hospitalized older medical patientsJayna M Holroyd-Leduc
Department of Medicine, University of Calgary, Canada
J Am Geriatr Soc 55:227-33. 2007..To determine the association between indwelling urinary catheterization without a specific medical indication and adverse outcomes... - Caregiver characteristics are associated with neuropsychiatric symptoms of dementiaKaycee M Sink
Section on Gerontology and Geriatric Medicine, School of Medicine, Wake Forest University, Winston Salem, NC 27157, USA
J Am Geriatr Soc 54:796-803. 2006..To determine whether caregiver characteristics are independently associated with neuropsychiatric symptoms of dementia (NPS) after accounting for patient characteristics... - The relationship between self-rated health and mortality in older black and white AmericansSei J Lee
Division of Geriatrics, San Francisco Veterans Affairs Medical Center, San Francisco, California 94121, USA
J Am Geriatr Soc 55:1624-9. 2007..To determine whether the association between self-rated health (SRH) and 4-year mortality differs between black and white Americans and whether education affects this relationship... - Childhood social and economic well-being and health in older ageSandra Moody-Ayers
San Francisco VA Medical Center, San Francisco, CA 94121, USA
Am J Epidemiol 166:1059-67. 2007..14, 1.64) participants but not Latinos. These findings suggest that childhood SES affects health status through midlife but the effects may abate in late life; its effects also may be weaker in Latinos than in Whites or Blacks... - Prediction of mortality in community-living frail elderly people with long-term care needsElise C Carey
Division of General Internal Medicine, College of Medicine, Mayo Clinic, Rochester, Minnesota, USA
J Am Geriatr Soc 56:68-75. 2008..To develop and validate a prognostic index for mortality in community-living, frail elderly people... - The Women's Initiative for Nonsmoking (WINS) XI: age-related differences in smoking cessation responses among women with cardiovascular diseaseDaniel M Doolan
University of California San Francisco, San Francisco, CA, USA
Am J Geriatr Cardiol 17:37-47. 2008..Clinicians should be sure to also include older smokers in smoking assessments and smoking cessation interventions... - Effect of arthritis in middle age on older-age functioningKenneth E Covinsky
Department of Medicine, University of California, San Francisco, California, USA
J Am Geriatr Soc 56:23-8. 2008..To examine whether symptomatic arthritis in middle age predicts the earlier onset of functional difficulties (difficulty with activities of daily living (ADLs) and walking) that are associated with loss of independence in older persons... - Screening mammography in older women. Effect of wealth and prognosisBrie A Williams
Division of Geriatrics, University of California, San Francisco, CA, USA
Arch Intern Med 168:514-20. 2008..This study examines the relationship between wealth and screening mammography use in older women according to life expectancy... - Coronary bypass surgery and long-term cognitive declineKristine Yaffe
Ann Neurol 63:547-8. 2008 - Chronic conditions and mortality among the oldest oldSei J Lee
San Francisco Veterans Affairs Medical Center, Health Services Research and Development Research Enhancement Award Program, San Francisco, CA 94121, USA
Am J Public Health 98:1209-14. 2008..We sought to determine whether chronic conditions and functional limitations are equally predictive of mortality among older adults... - Anxiety symptoms and decline in physical function over 5 years in the health, aging and body composition studyKala M Mehta
Division of Geriatrics, Department of Psychiatry, University of California at San Francisco, San Francisco, California, USA
J Am Geriatr Soc 55:265-70. 2007..To examine the relationship between anxiety and functional decline... - Mortality risk stratification in chronic kidney disease: one size for all ages?ANN M O'HARE
Department of Medicine, University of California San Francisco, VA Medical Center, San Francisco, 111J Nephrology, 4150 Clement Street, San Francisco, CA 94121, USA
J Am Soc Nephrol 17:846-53. 2006..73 m2 eGFR group... - Unsteadiness reported by older hospitalized patients predicts functional declineElizabeth C Lindenberger
Division of Geriatrics, San Francisco VA Medical Center, California 94121, USA
J Am Geriatr Soc 51:621-6. 2003.... - Association of older age and female sex with inadequate reach of screening flexible sigmoidoscopyLouise C Walter
Division of Geriatrics LCW, KEC, San Francisco Veterans Affairs Medical Center and the University of California, San Francisco, California 94121, USA
Am J Med 116:174-8. 2004..We assessed the frequency of inadequate reach (depth of <50 cm of the colon) in a large U.S. cohort, according to age and sex... - Diagnosis-related group-adjusted hospital costs are higher in older medical patients with lower functional statusKenneth H Chuang
Veterans Affairs National Quality Scholars Fellowship Program Division of Geriatrics, San Francisco VA Medical Center and University of California San Francisco, San Francisco, California 94121, USA
J Am Geriatr Soc 51:1729-34. 2003.... - Depressive symptoms and risk of mortality in frail, community-living elderly personsKristine Yaffe
University of California, San Francisco, Departments of Psychiatry, Neurology, and Epidemiology, San Francisco, California, USA
Am J Geriatr Psychiatry 11:561-7. 2003..The authors determined whether depressive symptoms were associated with mortality in a frail, multi-ethnic cohort... - Predicting 12-month mortality for persons with dementiaRobert Newcomer
Departments of Social and Behavioral Science, University of California, San Francisco, CA 94118, USA
J Gerontol B Psychol Sci Soc Sci 58:S187-98. 2003..We develop and test a model of 12-month mortality among persons (N=3858) with organic dementia... - Additive effects of cognitive function and depressive symptoms on mortality in elderly community-living adultsKala M Mehta
Division of Geriatrics, University of California at San Francisco, 4150 Clement Street, Box 181G, San Francisco, CA 94121, USA
J Gerontol A Biol Sci Med Sci 58:M461-7. 2003..Our aim was to examine whether the combination of varying levels of cognitive function and depressive symptoms affect the risk of mortality in community-living elderly adults... - Diet monotony as a correlate of poor nutritional intake among hemodialysis patientsJennifer L Zimmerer
Division of Nephrology, MetroHealth Medical Center, Cleveland, OH 44109, USA
J Ren Nutr 13:72-7. 2003..Helping patients to identify and increase the intake of these foods may both enhance diet variety and improve nutritional status... - Differences in mortality of black and white patients enrolled in the program of all-inclusive care for the elderlyErwin J Tan
Division of Geriatrics, University of California at San Francisco, San Francisco, California, USA
J Am Geriatr Soc 51:246-51. 2003..To examine the relationship between race and mortality in frail community-dwelling older people with access to a program providing comprehensive access and coordination of services... - Donepezil for nursing home patients with dementia: a reinterpretation of the evidenceMichael A Steinman
J Am Geriatr Soc 51:132; author reply 132-3. 2003 - Risk of hip fracture in disabled community-living older adultsLouise C Walter
Division of Geriatrics, San Francisco VA Medical Center and University of California at San Francisco, 94121, USA
J Am Geriatr Soc 51:50-5. 2003..Persons with these risk factors should be targeted for preventive interventions, which should include strategies for making transferring safer... - Cognitive impairment, depressive symptoms, and functional decline in older peopleKala M Mehta
Division of Geriatrics, Department of Internal Medicine, University of California San Francisco, 4150 Clement Street, Box 181G, San Francisco, CA 94121, USA
J Am Geriatr Soc 50:1045-50. 2002..The purpose of this study is to determine the relative contributions of cognitive impairment and depressive symptoms on decline in activity of daily living (ADL) function over 2 years in an older cohort... - Dementia, prognosis, and the needs of patients and caregiversKenneth E Covinsky
Ann Intern Med 140:573-4. 2004 - Patient and caregiver characteristics and nursing home placement in patients with dementiaKristine Yaffe
University of California, San Francisco, Box 111G, 4150 Clement St, San Francisco, CA 94121, USA
JAMA 287:2090-7. 2002..Most studies have determined predictors of nursing home placement primarily according to patient or caregiver characteristics alone... - Prevalence and correlates of perceived societal racism in older African-American adults with type 2 diabetes mellitusSandra Y Moody-Ayers
San Francisco Veterans Affairs Medical Center, San Francisco, California 94121, USA
J Am Geriatr Soc 53:2202-8. 2005.... - Mortality risk and prospective medicare expenditures for persons with dementiaRobert J Newcomer
Department of Social and Behavioral Science, University of California at San Francisco, San Fransisco, California 94118, USA
J Am Geriatr Soc 53:2001-6. 2005..To determine whether an index that stratifies dementia patients into high- and low-mortality-risk groups can be effective in prospectively identifying persons with high and low expenditures... - Disparities between black and white patients in functional improvement after hospitalization for an acute illnessLaura P Sands
School of Nursing, Purdue University, West Lafayette, Indiana 47907, USA
J Am Geriatr Soc 53:1811-6. 2005.... - Black-white disparities in functional decline in older persons: the role of cognitive functionSandra Y Moody-Ayers
San Francisco VA Medical Center 181G, 4150 Clement Street, San Francisco, CA 94121, USA
J Gerontol A Biol Sci Med Sci 60:933-9. 2005..Black elders have a greater frequency of functional decline than do white elders. The impact of cognitive function on explaining black-white disparities in functional decline has not been extensively explored... - Reports of financial disability predict functional decline and death in older patients discharged from the hospitalAlexander K Li
Veterans Affairs National Quality Scholars Fellowship Program, San Francisco, CA, USA
J Gen Intern Med 20:168-74. 2005..Therefore, we hypothesize that the inability to pay for basic needs, which we call financial disability, predicts adverse health outcomes in older patients discharged from the hospital... - Development and validation of a functional morbidity index to predict mortality in community-dwelling eldersElise C Carey
Division of Geriatrics, University of California San Francisco, San Francisco, California, USA
J Gen Intern Med 19:1027-33. 2004..Our objective in this study was to develop and validate a prognostic index for 2-year mortality in community-dwelling elders, based on self-reported functional status, age, and gender... - Ethnic differences in the prevalence and pattern of dementia-related behaviorsKaycee M Sink
Division of Geriatrics, University of California at San Francisco, California 94121, USA
J Am Geriatr Soc 52:1277-83. 2004.... - Pitfalls of converting practice guidelines into quality measures: lessons learned from a VA performance measureLouise C Walter
Division of Geriatrics, San Francisco VA Medical Center, and the University of California, San Francisco, CA 94121, USA
JAMA 291:2466-70. 2004..Performance measures require more thoughtful specification and interpretation to avoid defining high testing rates as good quality of care regardless of who received the test, why it was performed, or whether the patient wanted it... - Relationship between health status and use of screening mammography and Papanicolaou smears among women older than 70 years of ageLouise C Walter
San Francisco Veterans Affairs Medical Center and University of California, San Francisco, San Francisco, California 94121, USA
Ann Intern Med 140:681-8. 2004..Since life expectancy is better predicted by health status than by age alone, guidelines recommend considering an older woman's general health when making screening decisions... - Urinary incontinence and its association with death, nursing home admission, and functional declineJayna M Holroyd-Leduc
San Francisco VA Medical Center, San Francisco, California, USA
J Am Geriatr Soc 52:712-8. 2004..To determine whether urinary incontinence (UI) is an independent predictor of death, nursing home admission, decline in activities of daily living (ADLs), or decline in instrumental activities of daily living (IADLs)... - Envisioning better approaches for dementia careKenneth E Covinsky
Ann Intern Med 145:780-1. 2006 - Malnutrition and bad outcomesKenneth E Covinsky
Division of Geriatrics, University of California-San Francisco, San Francisco, Calif. USA
J Gen Intern Med 17:956-7. 2002 - Late-life mortality in older Jews exposed to the Nazi regimeLiat Ayalon
School of Social Work, Bar Ilan University, Israel
J Am Geriatr Soc 55:1380-6. 2007..To evaluate the mortality risk associated with exposure to the Nazi regime 6 decades after the war...
Research Grants
- Depressive Symptoms, Aging, Disability and Health OutcomesKenneth Covinsky; Fiscal Year: 2009....
- Midcareer Mentoring Award for Patient-Oriented Research in AgingKenneth Covinsky; Fiscal Year: 2007....
- Depressive Symptoms, Aging, Disability and Health OutcomesKenneth Covinsky; Fiscal Year: 2007....
- Diseases/function/self-health in risk indices for eldersKenneth Covinsky; Fiscal Year: 2006..abstract_text> ..
- Prognosis/Risk Indices for Function/Mortality in EldersKenneth Covinsky; Fiscal Year: 2003..The results of this project will be prognostic indices useful to clinicians, epidemiologic and health services investigators, and policy makers. ..