Evidence map›Paper›PMID 30037332›Full record

ArticleBMC medicine2018

The impact of dementia on service use by individuals with a comorbid health condition: a comparison of two cross-sectional analyses conducted approximately 10 years apart.

Holly Q Bennett, Sam Norton, Frances Bunn, Louise Robinson, Greta Rait, Claire Goodman, Carol Brayne, Fiona E Matthews

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
5.9field-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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Observational
  4. Article
  5. Article
  6. Review
  7. Article
  8. 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

8 authors at 5 institutions in 1 country.

Holly Q BennettCambridge Institute of Public Health, Forvie Site, Robinson Way, Cambridge, CB2 0SR, UK.
Sam NortonInstitute of Psychiatry, Psychology & Neuroscience, 16 De Crespigny Park King's College London, London, SE5 8AF, UK.
Frances BunnCentre for Research in Public Health and Community Care, University of Hertfordshire, College Lane, Hatfield, Hertfordshire, AL10 9AB, UK.
Louise RobinsonNewcastle University Institute for Ageing and Institute for Health & Society, Newcastle University, Newcastle Biomedical Research Building, Campus for Ageing and Vitality, Newcastle upon Tyne, NE4 5PL, UK.
Greta RaitResearch Department of Primary Care and Population Health, UCL Medical School (Royal Free Campus), Rowland Hill Street, London, NW3 2PF, UK.
Claire GoodmanCentre for Research in Public Health and Community Care, University of Hertfordshire, College Lane, Hatfield, Hertfordshire, AL10 9AB, UK.
Carol BrayneCambridge Institute of Public Health, Forvie Site, Robinson Way, Cambridge, CB2 0SR, UK.
Fiona E MatthewsNewcastle University Institute for Ageing and Institute for Health & Society, Newcastle University, Newcastle Biomedical Research Building, Campus for Ageing and Vitality, Newcastle upon Tyne, NE4 5PL, UK. fiona.matthews@newcastle.ac.uk.ORCID 0000-0002-1728-2388
University of Hertfordshire · GBKing's College London · GBMRC Biostatistics Unit · GBNewcastle Hospitals - Campus for Ageing and Vitality · GBThe Royal Free Hospital · GB

Funding

Alzheimer's Society 294Department of Health 11/1017/07Department of Health HTA/12/192/10Department of Health HTA/13/75/01Medical Research Council G0601022Medical Research Council G9901400Medical Research Council G9901400 and G0601022Medical Research Council MC_U105292687Medical Research Council MC_UU_00002/12
6 · The paper itself

Abstract

backgroundThe presence of concomitant medical conditions in people with dementia is common. Dementia may be related to differential use of health, social and informal care.

methodsData from two large UK population-based studies (CFAS I & II) of adults aged 65 years and older were analysed using logistic regression for binary outcomes and Poisson regression for count outcomes to look at differences in non-dementia service use by those with dementia and a health condition in comparison to those with the health condition alone.

resultsA total of 1619 individuals from CFAS I and 3805 individuals from CFAS II over the age of 75 years were included in this analysis. The presence of dementia and either stroke, diabetes or visual impairment tended to increase the likelihood of a range of different services being used over having any of the health conditions alone. There has been a shift to the use of unpaid care over time. There is now increased use of unpaid care from friends and family by those with dementia and another health condition in comparison to the health condition alone.

conclusionsEither due to the decrease in care home spaces or affordability, people with dementia are now relying on unpaid care more than people with other long-term health conditions.

Indexed as

AgedAged, 80 and overCross-Sectional StudiesDementiaFemaleHumansMaleProspective StudiesCareChange over timeCo-morbidityDementia

Identifiers

PMID30037332
PMCPMC6056993
OpenAlexW2809348953

What OpenQuestion holds

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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.