Evidence map›Paper›PMID 31145749›Full record

ArticlePloS one2019

End-of-life experiences in dementia with Lewy bodies: Qualitative interviews with former caregivers.

Melissa J Armstrong, Slande Alliance, Angela Taylor, Pamela Corsentino, James E Galvin

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
4.4field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Examining the lived experience of dementia with Lewy bodies through qualitative research: A systematic review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Pooled it
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  11. Identification and validation of end-of-life nursing care competencies for Kenyan nurses: A modified Delphi technique.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2025
    Article
  12. Article
  13. Necropolitics of Death in Neurodegeneration.Culture, medicine and psychiatry · 2024
    Review
  14. Observational
  15. End-of-Life Healthcare Utilization in Lewy Body Dementia.Journal of Alzheimer's disease : JAD · 2024
    Article
  16. Article
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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

5 authors at 2 institutions in 1 country.

Melissa J ArmstrongDepartment of Neurology, University of Florida College of Medicine, Gainesville, Florida, United States of America.ORCID 0000-0002-2163-1907
Slande AllianceDepartment of Neurology, University of Florida College of Medicine, Gainesville, Florida, United States of America.
Angela TaylorLewy Body Dementia Association, Lilburn, Georgia, United States of America.
Pamela CorsentinoLewy Body Dementia Association, Lilburn, Georgia, United States of America.
James E GalvinComprehensive Center for Brain Health, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, United States of America.
University of Florida · USFlorida Atlantic University · US

Funding

Dementia with Lewy Bodies Consortium - Supplement for ASL sequenceU01NS100610 · NINDS · SEATTLE INST FOR BIOMEDICAL/CLINICAL RES · PI DOUGLAS R GALASKO, JAMES Bruce LEVERENZ · 2016 to 2026
$15.6M
University of Florida - Mt. Sinai Medical Center AD Research CenterP50AG047266 · NIA · UNIVERSITY OF FLORIDA · PI GOLDE, TODD E · 2015 to 2019
$7.3M
The LUCINDA TrialR01AG057681 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI ATWOOD, CRAIG S, BUTLER, TRACY A. · 2018 to 2024
$7.2M
Slow wave sleep (SWS) and the effect of African ancestry on amyloid burden, a longitudinal studyR01AG056531 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI JEAN-LOUIS, GIRARDIN, OSORIO, RICARDO S · 2018 to 2022
$6.7M
Mesoscopic Biomarkers of Neurodegeneration with Diffusion MRIR01NS088040 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI FIEREMANS, ELS, NOVIKOV, DMITRY S · 2014 to 2023
$5.2M
A Multi-Site Cluster RCT of the Dementia Symptom Management At Home ProgramR01AG056610 · NIA · NEW YORK UNIVERSITY · PI BRODY, ABRAHAM AIZER · 2017 to 2021
$3.7M
Multicultural Community Dementia Screening.R01AG040211 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GALVIN, JAMES E · 2011 to 2018
$3.2M
Reducing Disability via a Family-centered Intervention for Acutely-ill Persons with Alzheimer's Disease and Related DementiasR01AG054425 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI BOLTZ, MARIE · 2017 to 2021
$2.8M
Enhancing Clinical Guideline Development via Patient and Stakeholder EngagementK08HS024159 · AHRQ · UNIVERSITY OF MARYLAND BALTIMORE · PI ARMSTRONG, MELISSA JO · 2015 to 2019
$693k
AHRQ HHS K08 HS024159NIA NIH HHS P50 AG047266NIA NIH HHS R01 AG040211NIA NIH HHS R01 AG054425NIA NIH HHS R01 AG056531NIA NIH HHS R01 AG056610NIA NIH HHS R01 AG057681NINDS NIH HHS R01 NS088040NINDS NIH HHS U01 NS100610
6 · The paper itself

Abstract

backgroundDementia caregivers describe knowing what to expect as an unmet need and many are unaware that dementia can be a terminal condition. Dementia with Lewy bodies (DLB) is a common neurodegenerative dementia with unique features which may affect the end of life (EOL). Given the paucity of data on EOL experiences in dementia and unique aspects of DLB affecting EOL, we investigated EOL experiences as reported by caregivers of individuals with DLB.

methodWe conducted telephone interviews with caregivers and family members of individuals who died with DLB in the last 5 years using a semi-structured questionnaire to identify and describe EOL experiences. We used a qualitative descriptive approach to analyze interview transcripts and identify common themes.

resultsThirty individuals participated in interviews. Key themes included lack of knowledge regarding what to expect, end-of-life time course (including end-of-life symptoms, declines after hospitalization and falls, and varied EOL trajectories), advance care planning, lack of family understanding, hospice, views regarding right-to-die, medications at the end of life, approaching end of life, the death experience, and activities that enhanced end of life. Lack of communication between health care teams and families and difficulty predicting death timing were two frequently expressed challenges.

conclusionsStudy results emphasize the need for improved EOL counseling in DLB, recognition of EOL symptoms, earlier hospice involvement, tailoring EOL care to DLB-specific needs, and clinician-family communication. Suggestions for patient and family education are provided. Further research should confirm predictors of approaching EOL in DLB, identify strategies to improve physician recognition of EOL, and develop tools to aid communication and quality EOL care.

Indexed as

Advance Care PlanningCaregiversCommunicationCounselingFemaleHospice CareHumansLewy Body DiseaseMalePhysician-Patient RelationsQualitative ResearchSurveys and QuestionnairesTerminal Care

Identifiers

PMID31145749
PMCPMC6542529
OpenAlexW2947606863

What OpenQuestion holds

Textmetadata
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.