Evidence map›Paper›PMID 23336476›Full record

ReviewThe British journal of general practice : the journal of the Royal College of General Practitioners2013

From forgetfulness to dementia: clinical and commissioning implications of diagnostic experiences.

Jill Manthorpe, Kritika Samsi, Sarah Campbell, Clare Abley, John Keady, John Bond, Sue Watts, Louise Robinson, James Warner, Steve Iliffe

Open access · bronzeAbstract readMulticenter StudyReview
In one paragraph

Review in The British journal of general practice : the journal of the Royal College of General Practitioners, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
28.2field-weighted citation impact, top 1% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Time to Diagnosis in Dementia: A Systematic Review With Meta-Analysis.International journal of geriatric psychiatry · 2025
    Pooled it
  2. Pooled it
  3. Identifying patterns of communication in patients attending memory clinics: a systematic review of observations and signs with potential diagnostic utility.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Pooled it
  4. Article
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  12. Clinician-patient communication during the diagnostic workup: The ABIDE project.Alzheimer's & dementia (Amsterdam, Netherlands) · 2019
    Article
  13. Article
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  15. Article
  16. Review
  17. Clinical history for diagnosis of dementia in men: Caerphilly Prospective Study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015
    Article
  18. Care pathways for dementia: current perspectives.Clinical interventions in aging · 2014
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Jill ManthorpeSocial Care Workforce Research Unit, King's College London, London WC2R 2LS, UK. jill.manthorpe@kcl.ac.uk
Kritika Samsi
Sarah Campbell
Clare Abley
John Keady
John Bond
Sue Watts
Louise Robinson
James Warner
Steve Iliffe
Imperial College London · GBCentral and North West London NHS Foundation Trust · GBKing's College London · GBUniversity of Newcastle Australia · AU

Funding

Department of Health 08/1809/229Department of Health NIHR-RP-011-043
6 · The paper itself

Abstract

backgroundThe National Dementia Strategy in England stressed the importance of earlier diagnosis of dementia. In-depth knowledge of the experiences of patients using such services remains an evidence gap.

aimTo increase understanding of the experiences of people developing dementia and of their carers, to inform practice and decision making. DESIGN AND

settingA retrospective and prospective qualitative interview study of participants recruited from four memory clinics in London, the north-west and the north-east of England.

methodPurposive sampling was used to recruit 27 individuals with memory problems and 26 supporters and carers. Interviews explored referral pathways, assessment processes, disclosure of the diagnosis, experiences of being prescribed medication to help with symptoms, and issues of risk and decision making.

resultsFew participants experienced the process of memory assessment as patient centred. Where assessment processes were lengthy and drawn out, participants experienced considerable uncertainty. Many experienced tests and assessments as distressing, sometimes in settings that were perceived as alarming or potentially stigmatising by association. Information provision and communication were variable and practitioners were not always thought to help people to make sense of their experiences.

conclusionThe transition from the early stages of cognitive impairment is not straightforward. There is potentially much uncertainty and waiting. Primary care practitioners may be better able to provide tailored support to individuals and their carers during this time if they are aware of what patients are anticipating and are informed about the diagnostic 'journey' by the insights of those who have experienced it.

Indexed as

Primary Health CareAgedAged, 80 and overAnxietyAwarenessCommunicationDecision MakingDementiaEnglandFemaleHumansMaleMemory DisordersMiddle AgedPatient-Centered CareProfessional-Family Relations

Identifiers

PMID23336476
PMCPMC3529295
OpenAlexW2042470722

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.