Trial reportBMJ (Clinical research ed.)2012
Effectiveness of dementia follow-up care by memory clinics or general practitioners: randomised controlled trial.
Trial report in BMJ (Clinical research ed.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00554047 (Effectiveness and Costs of Post-diagnosis Treatment in Dementia Coordinated by Multidisciplinary Memory Clinics in Comparison to Treatment Coordinated by General Practitioners), which is not on this map. Cited by 34 papers, 6 of them syntheses that pooled 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.
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.
Effectiveness and Costs of Post-diagnosis Treatment in Dementia Coordinated by Multidisciplinary Memory Clinics in Comparison to Treatment Coordinated by General Practitioners
Who cites it
34 citing papers in PubMed, 6 syntheses or guidelines pooled it, 102 citations in OpenAlex.
- Comparative efficacy of interventions for reducing symptoms of depression in people with dementia: systematic review and network meta-analysis.BMJ (Clinical research ed.) · 2021Pooled it
- Effectiveness of different post-diagnostic dementia care models delivered by primary care: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Pooled it
- Pooled it
- Can non-pharmacological interventions reduce hospital admissions in people with dementia? A systematic review.PloS one · 2019Pooled it
- Pooled it
- Measuring the impact of informal elderly caregiving: a systematic review of tools.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2016Pooled it
- Short Term Economic Evaluation of the Digital Platform "Support, Monitoring and Reminder Technology for Mild Dementia" (SMART4MD) for People with Mild Cognitive Impairment and their Informal Caregivers.Journal of Alzheimer's disease : JAD · 2022Trial
- Randomized crossover trial of a modified ketogenic diet in Alzheimer's disease.Alzheimer's research & therapy · 2021Trial
- Trial
- Trial
- Development of a Specialized Telemedicine Protocol for Cognitive Disorders: The TeleCogNition Project in Greece.Geriatrics (Basel, Switzerland) · 2025Article
- Diagnostic information in GP referral letters to a memory clinic: a retrospective cohort study.BJGP open · 2025Article
- Self-Assessment Instruments for Supporting Family Caregivers: An Integrative Review.Healthcare (Basel, Switzerland) · 2024Review
- Characteristics of Changes in Caregiver Burden during Follow-up at a Memory Clinic: A Retrospective Cohort Study.Journal of Alzheimer's disease reports · 2024Article
- Article
- Erratum to: Short Term Economic Evaluation of the Digital Platform "Support, Monitoring and Reminder Technology for Mild Dementia" (SMART4MD) for People with Mild Cognitive Impairment and Their Informal Caregivers.Journal of Alzheimer's disease : JAD · 2024Article
- Application of a Novel Endpoint Staging Framework: Proof of Concept in the AMBAR Study.Journal of Alzheimer's disease : JAD · 2024Article
- Effects of DementiaNet's Community Care Network Approach on Admission Rates and Healthcare Costs: A Longitudinal Cohort Analysis.International journal of health policy and management · 2023Article
- A new model for general practice-led, regional, community-based, memory clinics.BMC primary care · 2022Article
- Evaluation of a community-based memory clinic in collaboration with local hospitals to support patients with memory decline.Journal of Taibah University Medical Sciences · 2022Article
Corrections and comments
- Commented on by
Authors and funding
13 authors at 10 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the effectiveness of post-diagnosis dementia treatment and coordination of care by memory clinics compared with general practitioners.
designMulticentre randomised controlled trial.
settingNine memory clinics and 159 general practitioners in the Netherlands.
participants175 patients with a new diagnosis of mild to moderate dementia living in the community and their informal caregivers.
interventionsUsual care provided by memory clinic or general practitioner.
main outcome measuresCaregiver rated quality of life of the patient measured with the quality of life in Alzheimer's disease instrument and self perceived burden of the informal caregiver measured with the sense of competence questionnaire (intention to treat analysis).
resultsThe quality of life of the patients in the memory clinic group was 0.5 (95% confidence interval -0.7 to 1.6) points higher than in the general practitioner group. Caregivers' burden was 2.4 (-5.8 to 1.0) points lower in the memory clinic group than in the general practitioner group.
conclusionNo evidence was found that memory clinics were more effective than general practitioners with regard to post-diagnosis treatment and coordination care for patients with dementia. Without further evidence on the effectiveness of these modalities, other arguments, such as cost minimisation, patients' preferences, or regional health service planning, can determine which type of dementia care is offered.
trial registrationClinical trials NCT00554047.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.