Observational studyJournal of the American Geriatrics Society2020
State Variability in the Prevalence and Healthcare Utilization of Assisted Living Residents with Dementia.
Observational study in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Pooled it
- Governance of Assisted Living in Long-Term Care: A Systematic Literature Review.International journal of environmental research and public health · 2021Pooled it
- User-Generated Google Maps Ratings, State Staffing and Training Regulations, and the Quality of Hospice Care in Assisted Living Communities.Journal of the American Geriatrics Society · 2026Article
- Comparing Outcomes Among Medicaid Home and Community-Based Service Users: Private Homes vs. Assisted Living Facilities.Health services research · 2025Article
- State-Level Adverse Outcomes Among Long-Term Services and Supports Users With Alzheimer's Disease and Related Dementias.Medical care research and review : MCRR · 2024Article
- A National Typology of Health Service Regulation in Assisted Living.The Gerontologist · 2024Article
- Article
- Assisted living or nursing home: Who is moving in?Journal of the American Geriatrics Society · 2023Article
- Pathways into Assisted Living Communities: Admission Limitations and Assessment Requirements Across the United States.Journal of the American Medical Directors Association · 2023Article
- Health trajectories of elderly living in French senior housing: a longitudinal perspective.Scientific reports · 2023Article
- State Variation in Antipsychotic Use Among Assisted Living Residents With Dementia.Journal of the American Medical Directors Association · 2023Observational
- Use of long-term services and supports among dual-eligible beneficiaries with Alzheimer's disease and related dementias.Journal of the American Geriatrics Society · 2023Article
- Injury-related emergency department use among assisted living residents with Alzheimer's disease and related dementias.Journal of the American Geriatrics Society · 2023Article
- Rates of health services use among residents of retirement homes in Ontario: a population-based cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022Article
- Post-acute care transitions and outcomes among medicare beneficiaries in assisted living communities.Journal of the American Geriatrics Society · 2022Article
- Association of Medicare Mandatory Bundled Payment Reform With Joint Replacement Surgery Use for Beneficiaries With Alzheimer Disease and Related Dementias.JAMA health forum · 2022Article
- The Imperative to Reimagine Assisted Living.Journal of the American Medical Directors Association · 2022Article
- The Relationship Between States' Staffing Regulations And Hospitalizations Of Assisted Living Residents.Health affairs (Project Hope) · 2021Article
- Do assisted living facilities that offer a dementia care program differ from those that do not? A population-level cross-sectional study in Ontario, Canada.BMC geriatrics · 2021Article
- Variability and Potential Determinants of Assisted Living State Regulatory Stringency.Journal of the American Medical Directors Association · 2021Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
objectivesAlmost 1 million older and disabled adults who require long-term care reside in assisted living (AL), approximately 40% of whom have a diagnosis of Alzheimer's disease and related dementias (ADRD). States vary in their regulations specific to dementia care that may influence the presence of residents with ADRD in AL and their outcomes. The objectives of this study were to describe the state variability in the prevalence of ADRD among Medicare beneficiaries residing in larger (25+ bed) ALs and their healthcare utilization.
designRetrospective observational national study.
participantsNational cohort of 293,336 Medicare fee-for-service enrollees residing in larger (25+ bed) ALs in 2016 and 2017 including 88,867 (30.3%) residents with ADRD. We compared this cohort's characteristics and healthcare utilization with that of individuals with ADRD who resided in nursing homes (NHs; n = 602,521) and the community (n = 2,074,420).
methodsMedicare enrollment data, claims, and the NH Minimum Data Set were used to describe differences among ADRD patients in AL, NHs, and the community. We present rates of NH admission and hospitalization, by state, adjusting for age, sex, race, dual eligibility, and chronic conditions.
resultsThe prevalence of ADRD among AL residents varied by state, ranging from 24% to 47%. In 2017, AL residents with ADRD had higher rates of NH admission than their community-dwelling counterparts (adjusted national average = 24%, ranging from 14% to 35% among states). AL residents with ADRD had higher rates of hospitalization (38%) than populations in either NHs (29%) or the community (34%), and ranged from 29% to 45% of residents among states.
conclusionThese findings have implications for states as they regulate AL and for healthcare professionals whose patients reside in AL. Future work is needed to understand specific elements of states' regulatory environments and local markets that may impact access and outcomes for this vulnerable population of residents with ADRD. J Am Geriatr Soc 68:1504-1511, 2020.
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