Evidence map›Paper›PMID 30819136›Full record

ArticleBMC neurology2019

Treatment patterns and burden of behavioral disturbances in patients with dementia in the United States: a claims database analysis.

Myrlene Sanon Aigbogun, Robert Stellhorn, Ann Hartry, Ross A Baker, Howard Fillit

Abstract read
In one paragraph

Article in BMC neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. 2024 Alzheimer's disease facts and figures.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  10. Healthcare Resource Utilization Among Patients With Agitation in Alzheimer Dementia.Journal of health economics and outcomes research · 2024
    Article
  11. Review
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Medications in Patients with Dementia and Behavioral Disturbance.Journal of Alzheimer's disease reports · 2021
    Article
  20. Treatment Patterns of Patients with All-Cause Dementia in Russia.Journal of Alzheimer's disease reports · 2020
    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.

Myrlene Sanon AigbogunHealth Outcomes, Otsuka Pharmaceutical Development & Commercialization, Inc, 508 Carnegie Center, Princeton, New Jersey, 08540, USA. Myrlene.Sanon@otsuka-us.com.
Robert StellhornHealth Outcomes, Otsuka Pharmaceutical Development & Commercialization, Inc, 508 Carnegie Center, Princeton, New Jersey, 08540, USA.
Ann HartryHealth Economics and Outcomes Research, Lundbeck, LLC, Deerfield, IL, USA.
Ross A BakerGlobal Medical Affairs, Otsuka Pharmaceutical Development & Commercialization, Inc, Princeton, NJ, USA.
Howard FillitMount Sinai Medical Center, New York City, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough patients with dementia frequently experience neuropsychological symptoms (NPS) such as agitation, which profoundly impacts patients, caregivers, and the healthcare system, few studies have evaluated the associated burden of agitation or agitation-related symptoms in dementia.

methodsThis retrospective analysis of claims data from the Truven Health MarketScan® database (2012-2015) compared clinical characteristics, treatment patterns, healthcare resource utilization, and costs among patients with dementia with behavioral disturbances (BD) versus patients with dementia without BD. Existing BD diagnosis codes 294.11 or 294.21 were used as a means to identify patients with agitation/agitation-related symptoms.

resultsFrom a starting sample of 6.4 million beneficiaries, 103,402 patients with dementia were identified, of whom 16,440 (16%) had BD during an average of 17 months of follow-up. Patients with BD had significantly more medical and psychiatric comorbidities and greater comedication use (i.e., antidementia drugs, antidepressants, and antipsychotics; all values, P < .0001) compared with patients without BD. A significantly greater number of hospitalizations, hospital days, outpatient hospital/clinic visits, number of skilled nursing visits, and number of patients with hospice visit were reported during follow-up in patients with BD compared with patients without BD (all values, P <  0.0001). Costs were also significantly higher among patients with BD versus those patients without BD ($42,284 vs. $32,640, respectively; P <  0.0001).

conclusionsPatients with dementia with BD had a higher prevalence of comorbidities, greater use of comedications, and greater healthcare utilization and costs than patients with dementia without BD.

Indexed as

Cost of IllnessProblem BehaviorAgedComorbidityDatabases, FactualDementiaFemaleHealth Care CostsHumansMaleMiddle AgedPatient Acceptance of Health CarePrevalenceRetrospective StudiesUnited StatesAgitationAlzheimer’s diseaseBehavioral disturbancesBurdenCostsDementiaHealthcare resource utilizationNeuropsychological symptoms

Identifiers

PMID30819136
PMCPMC6396493

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.