Evidence map›Paper›PMID 23414481›Full record

ArticleJournal of the American Geriatrics Society2013

Health-related resource use and costs in elderly adults with and without mild cognitive impairment.

Carolyn W Zhu, Mary Sano, Steven H Ferris, Peter J Whitehouse, Marian B Patterson, Paul S Aisen

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Geriatrics Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% 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

46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.

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  17. Healthcare costs and effects of post-COVID-19 condition in Canada.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2023
    Article
  18. Article
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  20. Medical and nursing home costs: From cognitively unimpaired through dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Carolyn W ZhuDepartment of Geriatrics and Palliative Medicine, Alzheimer Disease Research Center, Bronx, NY 10468, USA. carolyn.zhu@mssm.edu
Mary Sano
Steven H Ferris
Peter J Whitehouse
Marian B Patterson
Paul S Aisen
Case Western Reserve University · USAlzheimer’s Disease Neuroimaging Initiative · USJames J. Peters VA Medical Center · USNYU Langone Health · USUniversity of California, San Diego · US

Funding

Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
TRIAL OF VALPROATE TO ATTENUATE THE PROGRESSION OF ADU01AG010483 · NIA · UNIVERSITY OF ROCHESTER · PI AISEN, PAUL S. · 1991 to 2012
$116.2M
RECRUITMENT COREU19AG010483 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FELDMAN, HOWARD · 2013 to 2020
$80.6M
VESICULAR LOCALIZATION AND FUNCTION OF PRESENILIN 1 FRAGMENTP50AG005138 · NIA · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI GROSSMAN, HILLEL · 1985 to 2019
$37.9M
VITAMIN E TRIAL IN PERSONS WITH DOWN SYNDROMER01AG016381 · NIA · INSTITUTE FOR BASIC RES IN DEV DISABIL · PI DALTON, ARTHUR · 2000 to 2009
$11.8M
A Phase 2 Trial of AAV-NGF Gene Delivery in Alzheimer's DiseaseR01AG030048 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI AISEN, PAUL S. · 2008 to 2012
$5.3M
NIA NIH HHS P50 AG005138NIA NIH HHS R01 AG016381NIA NIH HHS R01 AG030048NIA NIH HHS R01-AG030048NIA NIH HHS R01-AG16381NIA NIH HHS U01 AG010483NIA NIH HHS U01 AG024904NIA NIH HHS U01-AG024904NIA NIH HHS U01AG10483NIA NIH HHS U19 AG010483
6 · The paper itself

Abstract

objectivesTo assess differences in resource use and cost between older adults with and without mild cognitive impairment (MCI) over time.

designMulticenter, longitudinal study.

settingSixty-eight Alzheimer's Disease Cooperative Study (ADCS) sites in the United States.

participantsTwo hundred fifty-nine individuals diagnosed with MCI and 107 cognitively normal elderly adults followed annually for 3 years. MEASUREMENTS: The Resource Use Instrument (RUI) was used to capture medical and nonmedical care use. Generalized linear latent and mixed models were used to estimate differences in resource use and costs in older adults with and without MCI after controlling for clinical and demographic characteristics.

resultsAt baseline, average annual direct medical cost per person was substantially higher for participants with MCI ($6,499) than for those without ($2,969) P < .001). Informal care use was also substantially higher (33% vs 8.4%, P < .001). Results from multivariate analyses of longitudinal data show that, after controlling for participant and informant characteristics, direct medical costs were 44% higher for participants with MCI than for those without. Participants with MCI were almost five times as likely to use informal care as those without. Number of medical conditions and older age were associated with higher medical cost. Worse functional and cognitive status, older age, being married, and being female were associated with higher likelihood of informal care use. Having an adult child informant was associated with higher likelihood of using informal care.

conclusionThe RUI captured differences in resource use and costs between individuals with and without MCI. Clinicians who care for individuals with MCI should address informal care needs early in the disease course.

Indexed as

Health Care CostsAgedAged, 80 and overCase-Control StudiesCognitive DysfunctionDisease ProgressionFemaleHealth Services for the AgedHumansLinear ModelsLongitudinal StudiesMaleMiddle AgedMultivariate AnalysisUnited States

Identifiers

PMID23414481
PMCPMC3928966
OpenAlexW2076440105

What OpenQuestion holds

Textmetadata
LicenceTDM
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.