Evidence map›Paper›PMID 27916749›Full record

ArticleAge and ageing2017

Inequalities in receipt of mental and physical healthcare in people with dementia in the UK.

Claudia Cooper, Rebecca Lodwick, Kate Walters, Rosalind Raine, Jill Manthorpe, Steve Iliffe, Irene Petersen

Abstract readComparative Study
In one paragraph

Article in Age and ageing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
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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

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Claudia CooperCamden and Islington Mental Health and Social Care Trust, Psychiatry of Older People, Archway Campus Holborn Union Building, Highgate Hill, London N19 5NL, United Kingdom of Great Britain and Northern Ireland.
Rebecca LodwickUniversity College London, London, United Kingdom of Great Britain and Northern Ireland.
Kate WaltersUniversity College London, London, United Kingdom of Great Britain and Northern Ireland.
Rosalind RaineUCL, Epidemiology & Public Health, London, United Kingdom of Great Britain and Northern Ireland.
Jill ManthorpeKing's College London, Social Care Workforce Research Unit, London SE1 9NN, United Kingdom of Great Britain and Northern Ireland.
Steve IliffeUniversity College London,  Department of Primary Care & Population Health, London, United Kingdom of Great Britain and Northern Ireland.
Irene PetersenUniversity College London, London, United Kingdom of Great Britain and Northern Ireland.

Funding

Medical Research Council G0400491Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UU_12011/1The Dunhill Medical Trust R296/0513
6 · The paper itself

Abstract

Background: UK Dementia Strategies prioritise fair access to mental and physical healthcare. We investigated whether there are inequalities by deprivation or gender in healthcare received by people with dementia, and compared healthcare received by people with and without dementia. Methods: we investigated primary care records of 68,061 community dwelling dementia patients and 259,337 people without dementia (2002-13). We tested hypotheses that people with dementia from more deprived areas, and who are women receive more psychotropic medication, fewer surgery consultations, are less likely to receive annual blood pressure, weight monitoring and an annual review, compared with those from less deprived areas and men. Results: only half of people with dementia received a documented annual review. Deprivation was not associated with healthcare received. Compared to men with dementia, women with dementia had lower rates of surgery consultations (adjusted incidence rate ratio (IRR) 0.90, 95% CI 0.90-0.91), of annual blood pressure monitoring (adjusted IRR 0.96, 95% CI 0.95-0.97) and of annual weight monitoring (adjusted IRR 0.91, 95% CI 0.90-0.93). Men with dementia were less likely to be taking psychotropic medication than women with dementia. People with dementia had fewer surgery consultations and were less likely to have their weight and blood pressure monitored at least annually, compared to the non-dementia group. Conclusions: people with dementia, in particular women, appear to receive less primary healthcare, but take more psychotropic medication that may negatively impact their physical health. Reducing these inequalities and improving access of people with dementia to preventative healthcare could improve the health of people with dementia.

Indexed as

Healthcare DisparitiesSocioeconomic FactorsAgedAged, 80 and overAnthropometryBlood Pressure DeterminationBody WeightDelivery of Health Care, IntegratedDementiaFemaleGeriatric AssessmentHealth Services for the AgedHumansMaleMental Health ServicesMiddle AgedPsychotropic Drugsdementiadeprivationequalitieshealthcare disparitiesmedicationolder peoplepsychotropic drugs

Identifiers

PMID27916749
PMCPMC5378291

What OpenQuestion holds

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Registered trials

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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.