Evidence map›Paper›PMID 31563535›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2019

Differences in service utilization at an urban tribal health organization before and after Alzheimer's disease or related dementia diagnosis: A cohort study.

Krista R Schaefer, Carolyn Noonan, Michael Mosley, Julia Smith, Donna Galbreath, David Fenn, Renee F Robinson, Spero M Manson

Open access · greenAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 25% 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, 23 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

Krista R SchaeferResearch Department, Southcentral Foundation, Anchorage, AK, USA. Electronic address: kschaefer@southcentralfoundation.com.
Carolyn NoonanInstitute for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA.
Michael MosleyData Service Department, Southcentral Foundation, Anchorage, AK, USA.
Julia SmithData Service Department, Southcentral Foundation, Anchorage, AK, USA.
Donna GalbreathMedical Service Administration, Southcentral Foundation, Anchorage, AK, USA.
David FennOrganizational Development and Innovation, Southcentral Foundation, Anchorage, AK, USA.
Renee F RobinsonCollege of Pharmacy, Idaho State University, Anchorage, AK, USA.
Spero M MansonColorado School of Public Health, University of Colorado, Aurora, CO, USA.
Southcentral Foundation · USColorado School of Public Health · USIdaho State University · USWashington State University · US

Funding

Research Education CoreP30AG015292 · NIA · UNIVERSITY OF COLORADO DENVER · PI MULLER, CLEMMA JACOBSEN · 1997 to 2022
$12.3M
Longitudinal Study of MRI, Clinical, and Genetic Biomarkers of Cognitive Impairment and Alzheimer's Disease in Elderly American IndiansU54MD000507 · NIMHD · UNIVERSITY OF COLORADO DENVER · PI BUCHWALD, DEDRA S, MANSON, SPERO MARTIN · 2017 to 2021
$6.5M
Res-Ed-ComponentP30AG059295 · NIA · WASHINGTON STATE UNIVERSITY · PI GALVIN, JAMES E · 2018 to 2024
$4.1M
Population-based Interventions to Improve Behavioral Health in a Tribal Healthcare SystemS06GM123545 · NIGMS · SOUTHCENTRAL FOUNDATION · PI HIRATSUKA, VANESSA Y · 2017 to 2020
$1.6M
NIA NIH HHS P30 AG015292NIA NIH HHS P30 AG059295NIGMS NIH HHS S06 GM123545NIMHD NIH HHS U54 MD000507
6 · The paper itself

Abstract

introductionThe prevalence, mortality, and healthcare impact of Alaska Native and American Indian (ANAI) people with Alzheimer's disease and related dementias (ADRD) are unknown.

methodsWe conducted a cohort study of electronic health record data that compared healthcare service utilization in patients with and without an ADRD diagnosis. Zero-inflated negative binomial regression with robust standard errors was used to estimate utilization rates.

resultsCompared with patients without ADRD, utilization rates were similar before but higher after ADRD diagnosis. For those with diagnosed ADRD, utilization increased gradually over time with sharp upward change during the year of diagnosis. DISCUSSION: This is the only study quantifying changes in healthcare service utilization before and after ADRD diagnosis among ANAI people, which is crucial for tailoring geriatric care for ANAI populations.

Indexed as

AgedAged, 80 and overAlaska NativesAlzheimer DiseaseCohort StudiesDementiaElectronic Health RecordsFemaleHumansIndians, North AmericanMaleMedicareMiddle AgedPatient Acceptance of Health CarePrevalenceUnited StatesAlaska NativeAlzheimer diseaseAmerican IndianDelivery of healthcareDementiaGeriatricsHealth services

Identifiers

PMID31563535
PMCPMC6874738
OpenAlexW2975952340

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.