Evidence map›Paper›PMID 28161279›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2017

Effects of cognition, function, and behavioral and psychological symptoms on out-of-pocket medical and nursing home expenditures and time spent caregiving for persons with dementia.

Eric Jutkowitz, Karen M Kuntz, Bryan Dowd, Joseph E Gaugler, Richard F MacLehose, Robert L Kane

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2017. 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
–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

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

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  8. Microsimulation Model Calibration with Approximate Bayesian Computation in R: A Tutorial.Medical decision making : an international journal of the Society for Medical Decision Making · 2022
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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.

Eric JutkowitzDivision of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA. Electronic address: Jutko001@umn.edu.
Karen M KuntzDivision of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Bryan DowdDivision of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Joseph E GauglerAdult & Gerontological Health Co-Operative, School of Nursing, University of Minnesota, Minneapolis, MN, USA.
Richard F MacLehoseDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Robert L KaneDivision of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA.

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
Economic Model of Dementia: Projecting Costs and the Value of Non-pharmacologic Therapy to Guide Policy MakingR36HS024165 · AHRQ · UNIVERSITY OF MINNESOTA · PI JUTKOWITZ, ERIC · 2015 to 2015
$41k
AHRQ HHS R36 HS024165NIA NIH HHS U01 AG009740
6 · The paper itself

Abstract

introductionClinical features of dementia (cognition, function, and behavioral and psychological symptoms) may differentially affect out-of-pocket medical and nursing home (NH) expenditures and informal care received (outcomes).

methodsWe used cross-sectional data (Aging, Demographics, and Memory Study) to estimate probabilities of experiencing outcomes by clinical features. For those experiencing an outcome, we estimated effects of clinical features on the amount of the outcome.

resultsNo clinical feature predicted the probability of having out-of-pocket medical expenditures. For those with medical expenditures, higher cognition and poorer function were associated with more spending. Poorer function predicted having out-of-pocket NH expenditures. For those with NH expenditures, no clinical feature predicted the amount. Poorer function and a greater number of behavioral and psychological symptoms predicted the probability of receiving caregiving. For those receiving care, poorer function was associated with more caregiving.

conclusionsClinical features differentially impact outcomes with poorer function associated with all types of costs and caregiving received.

Indexed as

CognitionHealth ExpendituresAged, 80 and overCaregiversCross-Sectional StudiesDementiaFemaleHumansMaleNursing HomesTime FactorsUnited StatesAlzheimer's disease costsCaregivingDementia careOut-of-pocket costsTime caregiving

Identifiers

PMID28161279
PMCPMC5644025

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.