Evidence map›Paper›PMID 32310969›Full record

SynthesisPloS one2020

Sex and gender differences in caregiving burden experienced by family caregivers of persons with dementia: A systematic review.

Chen Xiong, Melissa Biscardi, Arlene Astell, Emily Nalder, Jill I Cameron, Alex Mihailidis, Angela Colantonio

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 6 pooled it
24.4field-weighted citation impact, top 1% 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

118 citing papers in PubMed, 6 syntheses or guidelines pooled it, 282 citations in OpenAlex.

  1. Pooled it
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  4. Informal Caregiving, Loneliness and Social Isolation: A Systematic Review.International journal of environmental research and public health · 2021
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  18. Health Patterns of Dementia Caregivers With Chronic Pain: Latent Profile Analysis of the PROMIS-29 Measure.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
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  20. Article

58 more citing papers are in PubMed but not listed here.

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

7 authors at 2 institutions in 1 country.

Chen XiongRehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Canada.ORCID 0000-0003-3342-198X
Melissa BiscardiRehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Canada.
Arlene AstellRehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Canada.
Emily NalderRehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Canada.
Jill I CameronRehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Canada.
Alex MihailidisRehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Canada.
Angela ColantonioRehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Canada.
University Health Network · CAUniversity of Toronto · CA

Funding

CIHR CGW-126580CIHR SGB – 155385
6 · The paper itself

Abstract

objectivesMuch is known about the demands of caregiving for persons with dementia (PWD) and its effects on family caregivers, however sex and gender aspects have received less attention. We synthesized the evidence on sex and gender distinctions in: (1) the caregiving burden and (2) the impact of caregiving on the physical and mental health of family caregivers of PWD.

designSystematic review. DATA SOURCES: Medline, Embase, PsycINFO and Cumulative Index to Nursing and Allied Health Literature between January 2007 and October 2019 were searched. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Included studies met the following criteria: (1) examine experiences and/or impacts of caregiving among family caregivers of individuals with any form of dementia; (2) report sex and/or gender distribution of study population and/or report results stratified by sex and/or gender, and (3) include both male and female family caregivers. DATA EXTRACTION AND SYNTHESIS: Two independent reviewers extracted the data and assessed risk of bias using the Critical Appraisal Skills Program checklist and National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-sectional Studies. Data were synthesized using a narrative synthesis approach.

resultsA total of 22 studies were included. Caregiving burden was measured using various methods. A majority of studies reported higher burden among females. All studies that did not report a sex and gender difference in caregiving burden accounted for confounders. Findings on sex and gender differences on physical and mental health conditions were inconsistent with most studies failing to account for confounders in their analyses.

conclusionsCurrent evidence on sex and gender differences in caregiving burden, mental and physical health is limited. Findings suggest presence of sex and gender differences in caregiving burden. Given the variety of mental and physical health constructs that were examined, further research is required to substantiate the evidence. PROPSERO Registration Number: CRD 42018070032.

Indexed as

CaregiversDatabases, FactualDementiaHumansMental HealthQuality of LifeSelf ConceptSex FactorsStress, Psychological

Identifiers

PMID32310969
PMCPMC7170244
OpenAlexW2886320675

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.