Evidence map›Paper›PMID 19106275›Full record

ArticleAmerican journal of Alzheimer's disease and other dementias

100 years after Alzheimer: contemporary neurology practice assessment of referrals for dementia.

Tiffany W Chow, Carin Binder, Steven Smyth, Sharon Cohen, Alain Robillard

Open access · bronzeAbstract read
In one paragraph

Article in American journal of Alzheimer's disease and other dementias. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Tiffany W ChowDepartment of Medicine, Division of Neurology, University of Toronto, Toronto, Ontario, Canada.
Carin Binder
Steven Smyth
Sharon Cohen
Alain Robillard
Janssen (Belgium) · BEUniversity of Toronto · CAHôpital Maisonneuve-Rosemont · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of dementia is placing an increased burden on specialists.

methodsCanadian neurologists responded to a structured questionnaire to assess reasons for referral and services provided as well as to compare the neurologists' perceptions of their practice characteristics against cases seen over a 3-month period.

resultsThe audit confirmed the participants' perception that family practitioners are the main referral source (358/453, 79%). Sixty-two percent of patients had undergone clinical investigation for dementia prior to being seen by the neurologist; 39% (177/453) were on pharmacotherapy at the time of referral, 68% were initiated on pharmacotherapy by the neurologist. A fifth of the referrals did not meet clinical criteria for dementia, which may be directly related to the prevalence of prior workup that did not include mental status testing.

conclusionsNeurologists currently treat patients referred for dementia who may already have been adequately evaluated and treated by primary care providers.

Indexed as

Attitude of Health PersonnelPractice Patterns, Physicians'CanadaDementiaHumansNeurologyPractice Guidelines as TopicPrimary Health CarePsychiatric Status Rating ScalesReferral and ConsultationSurveys and Questionnaires

Identifiers

PMID19106275
PMCPMC10846208
OpenAlexW2083048660

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.