Evidence map›Paper›PMID 27297089›Full record

ArticleJournal of the American Medical Directors Association2016

Who Is Providing the Predominant Care for Older Adults With Dementia?

Mia Yang, Chiang-Hua Chang, Donald Carmichael, Esther S Oh, Julie P W Bynum

Abstract read
In one paragraph

Article in Journal of the American Medical Directors Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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

23 citing papers in PubMed.

  1. Article
  2. Proceedings of the Alzheimer's Diagnosis in Older Adults With Chronic Conditions Network Inaugural Annual Conference.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  3. Article
  4. National Estimates of Incremental Work Absenteeism Costs Associated With Adult Children of Parents With Alzheimer's Disease and Related Dementias.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024
    Article
  5. Article
  6. Article
  7. 2024 Alzheimer's disease facts and figures.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. The Growing Primary Care Nurse Practitioner Workforce: A Solution for the Aging Population Living With Dementia.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021
    Review
  17. Receipt of Timely Primary Care Services Following Post-Acute Skilled Nursing Facility Care.Journal of the American Medical Directors Association · 2021
    Article
  18. Article
  19. Review
  20. Article
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

5 authors.

Mia YangDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Chiang-Hua ChangThe Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH.
Donald CarmichaelThe Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH.
Esther S OhDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD; Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD; Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD.
Julie P W BynumThe Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH. Electronic address: Julie.PW.Bynum@dartmouth.edu.

Funding

UNDERSTANDING AND IMPROVING EPISODE-BASED HOSPITAL CAREP01AG019783 · NIA · DARTMOUTH COLLEGE · PI Alistair James O'MALLEY · 2001 to 2026
$52.9M
'T V ASSESSMENT - MEMORY DISORDERED PATIENTS'P50AG005146 · NIA · JOHNS HOPKINS UNIVERSITY · PI HUGANIR, RICHARD L · 1985 to 2019
$37.6M
CSF predictors of postoperative delirium in non-demented hip fracture patientsK23AG043504 · NIA · JOHNS HOPKINS UNIVERSITY · PI OH, ESTHER SEUNGHEE · 2012 to 2016
$819k
NIA NIH HHS K23 AG043504NIA NIH HHS P01 AG019783NIA NIH HHS P50 AG005146
6 · The paper itself

Abstract

objectivesTo identify which clinical specialties are most central for care of people with dementia in the community and long-term care (LTC) settings.

designCross-sectional analysis.

participantsFee-for-service Medicare beneficiaries aged ≥65 years with dementia. MEASUREMENTS: Specialty, categorized into primary care (internal or family medicine, geriatrics, or nurse practitioners [NPs]) versus other specialties, of the predominant provider of care (PPC) for each patient, defined by providing the most ambulatory visits.

resultsAmong 2,598,719 beneficiaries with dementia, 74% lived in the community and 80% had a PPC in primary care. In LTC, 91% had primary care as their PPC compared with 77% in the community (P < .001). Cardiology and neurology were the most frequent specialties. NPs were PPCs for 19% of dementia patients in LTC versus 7% in the community (P < .001).

conclusionIt is unknown whether specialists are aware of their central role for many dementia patients' care needs. In LTC, NPs play the lead role as PPCs.

Indexed as

DementiaNursing HomesSpecializationAgedAged, 80 and overCross-Sectional StudiesFemaleHumansLong-Term CareMaleMedicarePrimary Health CareUnited Statesdementialong-term careMedicarePredominant providerprimary carespecialist

Identifiers

PMID27297089
PMCPMC5045870

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.