Patient quality of life in the Mayo Clinic Care Transitions program: a survey study

Figures & data

Table 1 Characteristics of study participants

Characteristics	MCCT cases (N = 83)	Non-MCCT cases (N = 116)	Overall (N = 199)	P-value
Age				0.0187a
Number	83	105	188
Mean (SD)	82.7 (6.3)	78.9 (13.7)	80.6 (11.2)
Median	83.0	82.0	82.5
Q1, Q3	79.0, 88.0	73.0, 89.0	76.0, 88.0
Range	(69.0–100.0)	(21.0–102.0)	(21.0–102.0)
Sex				0.1332b
Female (%)	39 (47.0)	67 (57.8)	106 (53.3)
Male (%)	44 (53.0)	49 (42.2)	93 (46.7)
Number of comorbidities				<0.0001a
Number	80	111	191
Mean (SD)	13.2 (3.1)	8.0 (4.2)	10.2 (4.6)
Median	13.0	7.0	10.0
Q1, Q3	11.0, 15.0	5.0, 11.0	7.0, 14.0
Range	(6.0–21.0)	(1.0–18.0)	(1.0–21.0)
ERA score at time of MCCT				<0.0001a
Number	79	114	193
Mean (SD)	17.8 (3.3)	13.3 (5.4)	15.2 (5.2)
Median	18.0	14.0	16.0
Q1, Q3	16.0, 20.0	9.0, 16.0	13.0, 19.0
Range	(7.0–25.0)	(3.0–30.0)	(3.0–30.0)
Tier at time of MCCT				<0.0001b
Missing	0	2	2
−1	0 (0.0%)	3 (2.6%)	3 (1.5%)
0	0 (0.0%)	3 (2.6%)	3 (1.5%)
1	1 (1.2%)	22 (19.3%)	23 (11.7%)
2	7 (8.4%)	41 (36.0%)	48 (24.4%)
3	21 (25.3%)	25 (21.9%)	46 (23.4%)
4	54 (65.1%)	20 (17.5%)	74 (37.6%)
Number of hospitalizations year prior to MCCT				0.8522c
Number	83	116	199
Mean (SD)	0.8 (1.0)	0.8 (1.4)	0.8 (1.2)
Median	0.0	0.0	0.0
Q1, Q3	0.0, 1.0	0.0, 1.0	0.0, 1.0
Range	(0.0–4.0)	(0.0–8.0)	(0.0–8.0)
Ever inpatient				0.8938b
No	45 (54.2%)	64 (55.2%)	109 (54.8%)
Yes	38 (45.8%)	52 (44.8%)	90 (45.2%)

Notes:

a Equal variance t-test,

b chi-square,

c Wilcoxon.

Abbreviations: ERA, elder risk assessment; MCCT, Mayo clinic care Transitions; SD, standard deviation.

Table 2 Comparisons of quality of life survey responses from study participants

Questions on self-rated health		MCCT cases at baseline (N=83)	MCCT cases at follow-up (N=83)	Non-MCCT cases (N=116)	P-value (baseline vs follow-up)	P-value (follow-up vs control)
1.	In general, would you say your health is:				0.8689	0.4096
	Missing	4	0	1
	Good to excellent	41 (51.9%)	42 (50.6%)	65 (56.5%)
	Fair to poor	38 (48.1%)	41 (49.4%)	50 (43.5%)
2.	In general, would you say your quality of life is:				0.1575	0.2130
	Missing	2	0	1
	Good to excellent	60 (74.1%)	53 (63.9%)	83 (72.2%)
	Fair to poor	21 (25.9%)	30 (36.1%)	32 (27.8%)
3.	In general, how would you rate your physical health?				0.8357	0.8278
	Missing	4	1	3
	Good to excellent	35 (44.3%)	35 (42.7%)	50 (44.2%)
	Fair to poor	44 (55.7%)	47 (57.3%)	63 (55.8%)
4.	In general, how would you rate your mental health, including your mood and ability to think?				0.8629	0.6217
	Missing	1	1	1
	Good to excellent	59 (72.0%)	58 (70.7%)	85 (73.9%)
	Fair to poor	23 (28.0%)	24 (29.3%)	30 (26.1%)
5.	In general, how would you rate your satisfaction with your social activities and relationships?				0.6503	0.2047
	Missing	1	0	1
	Good to excellent	58 (70.7%)	56 (67.5%)	87 (75.7%)
	Fair to poor	24 (29.3%)	27 (32.5%)	28 (24.3%)
6.	In general, please rate how well you carry out your usual activities and roles.				0.3090	0.0497
	Missing	1	2	1
	Good to excellent	50 (61.0%)	43 (53.1%)	77 (67.0%)
	Fair to poor	32 (39.0%)	38 (46.9%)	38 (33.0%)
7.	Extent able to carry out everyday physical activities				0.3722	0.6653
	Missing	1	3	2
	Mostly to completely	24 (29.3%)	22 (27.5%)	37 (32.5%)
	A little to moderately	53 (64.6%)	48 (60.0%)	61 (53.5%)
	Not at all	5 (6.1%)	10 (12.5%)	16 (14.0%)
8.	Bothered by emotional problems				0.4139	0.1350
	Missing	6	5	12
	Rarely to never	40 (51.9%)	38 (48.7%)	54 (51.9%)
	Sometimes	26 (33.8%)	33 (42.3%)	32 (30.8%)
	Often to always	11 (14.3%)	7 (9.0%)	18 (17.3%)
9.	Rate your fatigue on average				0.4638	0.8593
	Missing	6	6	12
	None	1 (1.3%)	3 (3.9%)	4 (3.8%)
	Mild to moderate	64 (83.1%)	59 (76.6%)	83 (79.8%)
	Severe to very severe	12 (15.6%)	15 (19.5%)	17 (16.3%)
10.	Rate your pain on average				0.8976	0.5472
	Missing	8	6	13
	0 – no pain	8 (10.7%)	8 (10.4%)	11 (10.7%)
	1	10 (13.3%)	6 (7.8%)	15 (14.6%)
	2	15 (20.0%)	13 (16.9%)	6 (5.8%)
	3	11 (14.7%)	12 (15.6%)	15 (14.6%)
	4	7 (9.3%)	12 (15.6%)	14 (13.6%)
	5	8 (10.7%)	13 (16.9%)	18 (17.5%)
	6	6 (8.0%)	5 (6.5%)	9 (8.7%)
	7	5 (6.7%)	4 (5.2%)	9 (8.7%)
	8	3 (4.0%)	3 (3.9%)	4 (3.9%)
	9	0 (0%)	0 (0%)	1 (1.0%)
	10–Worst imaginable pain	2 (2.7%)	1 (1.3%)	1 (1.0%)

Abbreviation: MCCT, Mayo clinic care Transitions.