Evidence map›Paper›PMID 32424049›Full record

SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2020

Effectiveness of different post-diagnostic dementia care models delivered by primary care: a systematic review.

Rachael Frost, Kate Walters, Su Aw, Greta Brunskill, Jane Wilcock, Louise Robinson, Martin Knapp, Karen Harrison Dening, Louise Allan, Jill Manthorpe and 2 more

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 4 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

27 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Pooled it
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  16. Regional health priorities for dementia: a roadmap for the Western Pacific.The Lancet regional health. Western Pacific · 2024
    Review
  17. Article
  18. Article
  19. Article
  20. Article
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

12 authors.

Rachael FrostDepartment of Primary Care and Population Health, University College London, London, UK.
Kate WaltersDepartment of Primary Care and Population Health, University College London, London, UK.
Su AwSaw Swee Hock School of Public Health, National University of Singapore, Singapore.
Greta BrunskillInstitute for Health and Society, University of Newcastle, UK.
Jane WilcockDepartment of Primary Care and Population Health, University College London, London, UK.
Louise RobinsonInstitute for Health and Society, University of Newcastle, UK.
Martin KnappCare Policy and Evaluation Centre, London School of Economics and Political Science, London, UK.
Karen Harrison DeningDementia UK, London, UK.
Louise AllanCollege of Medicine and HealthUniversity of Exeter, Exeter, UK.
Jill ManthorpeNIHR Health and Social Care Workforce Research Unit, Kings College London, London, UK.
Greta RaitDepartment of Primary Care and Population Health, University College London, London, UK.
PriDem Study project team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobal policy recommendations suggest a task-shifted model of post-diagnostic dementia care, moving towards primary and community-based care. It is unclear how this may best be delivered.

aimTo assess the effectiveness and cost-effectiveness of primary care-based models of post-diagnostic dementia care. DESIGN AND

settingA systematic review of trials and economic evaluations of post-diagnostic dementia care interventions where primary care was substantially involved in care plan decision making.

methodSearches were undertaken of MEDLINE, PsychINFO, EMBASE, Web of Science, and CINAHL (from inception to March 2019). Two authors independently critically appraised studies and inductively classified interventions into types of care models. Random effects meta-analysis or narrative synthesis was conducted for each model where appropriate.

resultsFrom 4506 unique references and 357 full texts, 23 papers were included from 10 trials of nine interventions, delivered in four countries. Four types of care models were identified. Primary care provider (PCP)-led care (

conclusionPartnership models may impact on some clinical outcomes and healthcare costs. More rigorous evaluation of promising primary care-led care models is needed.

Indexed as

DementiaQuality of LifeCost-Benefit AnalysisHealth Care CostsHumansPrimary Health Carecase managementdementiamodels of careprimary caresystematic review

Identifiers

PMID32424049
PMCPMC7239042

What OpenQuestion holds

Textmetadata
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.