Evidence map›Paper›PMID 31720369›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)2019

Use and costs of services and unpaid care for people with mild-to-moderate dementia: Baseline results from the IDEAL cohort study.

Catherine Henderson, Martin Knapp, Sharon M Nelis, Catherine Quinn, Anthony Martyr, Yu-Tzu Wu, Ian R Jones, Christina R Victor, James A Pickett, John V Hindle and 8 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

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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

18 authors.

Catherine HendersonCare Policy and Evaluation Centre, London School of Economics and Political Science, London, UK.
Martin KnappCare Policy and Evaluation Centre, London School of Economics and Political Science, London, UK.
Sharon M NelisREACH: The Centre for Research in Ageing and Cognitive Health, University of Exeter, Exeter, UK.
Catherine QuinnREACH: The Centre for Research in Ageing and Cognitive Health, University of Exeter, Exeter, UK.
Anthony MartyrREACH: The Centre for Research in Ageing and Cognitive Health, University of Exeter, Exeter, UK.
Yu-Tzu WuREACH: The Centre for Research in Ageing and Cognitive Health, University of Exeter, Exeter, UK.
Ian R JonesWales Institute for Social and Economic Research, Data and Methods, Cardiff University, Cardiff, UK.
Christina R VictorCollege of Health and Life Sciences, Brunel University London, London, UK.
James A PickettAlzheimer's Society, London, UK.
John V HindleREACH: The Centre for Research in Ageing and Cognitive Health, University of Exeter, Exeter, UK.
Roy W JonesThe Research Institute for the Care of Older People (RICE), Bath, UK.
Michael D KopelmanKing's College London Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Fiona E MatthewsInstitute for Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Robin G MorrisKing's College London Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Jennifer M RustedSchool of Psychology, University of Sussex, Brighton, UK.
Jeanette M ThomSchool of Medical Sciences, University of New South Wales, Sydney, New South Wales, Australia.
Linda ClareREACH: The Centre for Research in Ageing and Cognitive Health, University of Exeter, Exeter, UK.
IDEAL Programme Team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe examined 3-month service use and costs of care for people with mild-to-moderate dementia in Great Britain.

methodsWe analyzed Improving the experience of Dementia and Enhancing Active Life cohort study baseline data on paid care, out-of-pocket expenditure, and unpaid care from participants with dementia (N = 1547) and their carers (N = 1283). In regression analyses, we estimated per-group mean costs of diagnostic and sociodemographic subgroups.

resultsUse of services apart from primary and outpatient hospital care was low. Unpaid care accounted for three-quarters of total costs (mean, £4008 [standard error, £130] per participant). Most participants (87%) received unpaid care equating to 36 hours weekly. Estimated costs for people with Parkinson's dementia were £8609, £4359 for participants with mixed dementia, and £3484 for those with Alzheimer's disease. Total costs were lower for participants with dementia living alone than living with others (£2484 vs. £4360); costs were lower for female than for male participants (£3607 vs. £4272). DISCUSSION: Costs varied by dementia subtype, carer status, and living arrangement. Policy makers should recognize the high costs of unpaid care for people with dementia, who do not always get the support that they need or would like to receive.

Indexed as

CostsDementiaHealth servicesSocial careUnpaid care

Identifiers

PMID31720369
PMCPMC6838500

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.