ArticleCMAJ open
Prevalence and management of dementia in primary care practices with electronic medical records: a report from the Canadian Primary Care Sentinel Surveillance Network.
Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review and meta-analysis of rural-urban disparities in Alzheimer's disease dementia prevalence.The journal of prevention of Alzheimer's disease · 2025Pooled it
- Cognitive changes and neural correlates after oral rehabilitation procedures in older adults: a protocol for an interventional study.BMC oral health · 2021Article
- A data quality assessment to inform hypertension surveillance using primary care electronic medical record data from Alberta, Canada.BMC public health · 2021Article
- Changes in the use of psychotropic drugs during the course of Alzheimer's disease: A large-scale longitudinal study of French medical records.Alzheimer's & dementia (New York, N. Y.) · 2021Article
- Achieving quality primary care data: a description of the Canadian Primary Care Sentinel Surveillance Network data capture, extraction, and processing in Alberta.International journal of population data science · 2019Article
- Epidemiology of dementia: prevalence and incidence estimates using validated electronic health records from primary care.Clinical epidemiology · 2019Article
- How well can electronic health records from primary care identify Alzheimer's disease cases?Clinical epidemiology · 2019Article
- Antidepressant and antipsychotic prescribing in primary care for people with dementia.Canadian family physician Medecin de famille canadien · 2018Article
- Article
- Update from CPCSSN.Canadian family physician Medecin de famille canadien · 2016Article
- Article
- Rural-urban disparities of Alzheimer's disease and related dementias: A scoping review.Alzheimer's & dementia (New York, N. Y.)Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe proportion of Canadians living with Alzheimer disease and related dementias is projected to rise, with an increased burden on the primary health care system in particular. Our objective was to describe the prevalence and management of dementia in a community-dwelling sample using electronic medical record (EMR) data from the Canadian Primary Care Sentinel Surveillance Network (CPCSSN), which consists of validated, national, point-of-care data from primary care practices.
methodsWe used CPCSSN data as of Dec. 31, 2012, for patients 65 years and older with at least 1 clinical encounter in the previous 2 years. A validated case definition for dementia was used to calculate the national and provincial prevalence rates, to examine variations in prevalence according to age, sex, body mass index, rural or urban residence, and select comorbid conditions, and to describe patterns in the pharmacologic management of dementia over time at the provincial level.
resultsThe age-standardized prevalence of dementia among community-dwelling patients 65 years and older was 7.3%. Prevalence estimates increased with age; they also varied between provinces, and upward trends were observed. Dementia was found to be associated with comorbid diabetes, depression, epilepsy and parkinsonism. Most of the patients with dementia did not have a prescription for a dementia-related medication recorded in their EMR between 2008 and 2012 inclusive. Those who had a prescription were most often prescribed donepezil by their primary care provider.
interpretationOverall prevalence estimates for dementia based on EMR data in this sample managed in primary care were generally in line with previous estimates based on administrative data, survey results or clinical sources.
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