Evidence map›Paper›PMID 25157405›Full record

ArticlePloS one2014

Increased healthcare service utilizations for patients with dementia: a population-based study.

Shiu-Dong Chung, Shih-Ping Liu, Jau-Jiuan Sheu, Ching-Chun Lin, Herng-Ching Lin, Chao-Hung Chen

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
9.1field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  9. Health care utilization and costs in the years preceding dementia identification.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
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  14. Healthcare Utilization in Different Stages among Patients with Dementia: A Nationwide Population-Based Study.International journal of environmental research and public health · 2021
    Article
  15. Article
  16. Article
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  18. Population Health Solutions for Assessing Cognitive Impairment in Geriatric Patients.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2018
    Article
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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

6 authors at 4 institutions in 1 country.

Shiu-Dong ChungDivision of Urology, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan; School of Medicine, College of Medicine, Fu Jen Catholic University, Taipei, Taiwan; Sleep Research Center, Taipei Medical University Hospital, Taipei, Taiwan.
Shih-Ping LiuSleep Research Center, Taipei Medical University Hospital, Taipei, Taiwan; Department of Urology, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan.
Jau-Jiuan SheuDepartment of Neurology, Taipei Medical University Hospital, Taipei, Taiwan; Neuroscience Research Center, Taipei Medical University Hospital, Taipei, Taiwan.
Ching-Chun LinGraduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan.
Herng-Ching LinSleep Research Center, Taipei Medical University Hospital, Taipei, Taiwan; School of Health Care Administration Taipei Medical University, Taipei, Taiwan.
Chao-Hung ChenDepartment of Thoracic Surgery, Mackay Memorial Hospital, Taipei, Taiwan; Mackay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan.
Taipei Medical University · TWTaipei Medical University Hospital · TWMackay Junior College of Medicine, Nursing and Management · TWNational Taiwan University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe majority of previous studies investigating the health care utilization of people with dementia were conducted in Western societies. There is little information on the economic burden on the healthcare system attributable to dementia in Asian countries. This study thus investigated differences in utilization of healthcare services between subjects with and those without a diagnosis of dementia using Taiwan's National Health Insurance population-based database.

methodsThis study comprised 5,666 subjects with a dementia diagnosis and 5,666 age- and gender-matched comparison subjects without a dementia diagnosis. We individually followed each subject for a 1-year period starting from their index date to evaluate their healthcare resource utilization. Healthcare resource utilization included the number of outpatient visits and inpatient days, and the mean costs of outpatient and inpatient treatments. In addition, we divided healthcare resource utilization into psychiatric and non-psychiatric services.

resultsAs for utilization of psychiatric services, subjects with a dementia diagnosis had significantly more outpatient visits (2.2 vs. 0.3, p<0.001) and significantly higher outpatient costs (US$124 vs. US$16, p<0.001) than comparison subjects. For non-psychiatric services, subjects with a dementia diagnosis also had significantly more outpatient visits (34.4 vs. 31.6, p<0.001) and significantly higher outpatient costs (US$1754 vs. US$1322, p<0.001) than comparison subjects. For all healthcare services, subjects with a dementia diagnosis had significantly more outpatient visits (36.7 vs. 32.0, p<0.001) and significantly higher outpatient costs (US$1878 vs. US$1338, p<0.001) than comparison subjects. Furthermore, the total cost was about 2-fold greater for subjects with a dementia diagnosis than for comparison subjects (US$3997 vs. US$2409, p<0.001).

conclusionsWe concluded that subjects who had received a clinical dementia diagnosis had significantly higher utilization of all healthcare services than comparison subjects.

Indexed as

Patient Acceptance of Health CareAgedAged, 80 and overDelivery of Health CareDementiaFemaleHealth Care CostsHealth ServicesHumansMaleTaiwan

Identifiers

PMID25157405
PMCPMC4144915
OpenAlexW2092830902

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.