Evidence map›Paper›PMID 32494994›Full record

ArticleSocial psychiatry and psychiatric epidemiology2021

Treatment pathway analysis of newly diagnosed dementia patients in four electronic health record databases in Europe.

Glen James, Estelle Collin, Marcus Lawrance, Achim Mueller, Jana Podhorna, Liliana Zaremba-Pechmann, Peter Rijnbeek, Johan van der Lei, Paul Avillach, Lars Pedersen and 11 more

Abstract read
PubMed Publisher
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. 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

21 authors at 12 institutions in 6 countries.

Glen JamesAstraZeneca, Academy House, 136 Hills Road, Cambridge, CB2 8PA, UK. glen-jamesphd@hotmail.com.ORCID http://orcid.org/0000-0003-0080-3156
Estelle CollinServier, Paris, France.
Marcus LawranceGlaxoSmithKline, Stevenage, UK.
Achim MuellerBoehringer Ingelheim, Ingelheim Am Rhein, Germany.
Jana PodhornaBoehringer Ingelheim, Ingelheim Am Rhein, Germany.
Liliana Zaremba-PechmannBoehringer Ingelheim, Ingelheim Am Rhein, Germany.
Peter RijnbeekErasmus Medical Centre, Rotterdam, The Netherlands.
Johan van der LeiErasmus Medical Centre, Rotterdam, The Netherlands.
Paul AvillachErasmus Medical Centre, Rotterdam, The Netherlands.
Lars PedersenAarhus University, Aarhus, Denmark.
David AnsellThe Health Improvement Network, London, UK.
Alessandro PasquaHealth Search Database, Florence, Italy.
Mees MosseveldErasmus Medical Centre, Rotterdam, The Netherlands.
Solène GrosdidierErasmus Medical Centre, Rotterdam, The Netherlands.
Usha GungabissoonGlaxoSmithKline, Stevenage, UK.
Peter EggerGlaxoSmithKline, Stevenage, UK.
Robert StewartKing's College London, London, UK.
Carlos Celis-MoralesUniversity of Glasgow, Glasgow, UK.
Myriam AlexanderGlaxoSmithKline, Stevenage, UK.
Gerald NovakJanssen Pharmaceutical, New York, USA.
Mark Forrest GordonTeva Pharmaceuticals, Inc, Frazer, USA.
Erasmus University Rotterdam · NLGlaxoSmithKline (United Kingdom) · GBBoehringer Ingelheim (Germany) · DEAarhus University · DKAstraZeneca (United Kingdom) · GBHarvard University · USHealthcare Improvement Scotland · GBJanssen (United States) · USKing's College London · GBServier (France) · FRTeva Pharmaceuticals (United States) · USUniversity of Glasgow · GB

Funding

EMIF 115372Medical Research Council MC_PC_17214
6 · The paper itself

Abstract

purposeReal-world studies to describe the use of first, second and third line therapies for the management and symptomatic treatment of dementia are lacking. This retrospective cohort study describes the first-, second- and third-line therapies used for the management and symptomatic treatment of dementia, and in particular Alzheimer's Disease.

methodsMedical records of patients with newly diagnosed dementia between 1997 and 2017 were collected using four databases from the UK, Denmark, Italy and the Netherlands.

resultsWe identified 191,933 newly diagnosed dementia patients in the four databases between 1997 and 2017 with 39,836 (IPCI (NL): 3281, HSD (IT): 1601, AUH (DK): 4474, THIN (UK): 30,480) fulfilling the inclusion criteria, and of these, 21,131 had received a specific diagnosis of Alzheimer's disease. The most common first line therapy initiated within a year (± 365 days) of diagnosis were Acetylcholinesterase inhibitors, namely rivastigmine in IPCI, donepezil in HSD and the THIN and the N-methyl-D-aspartate blocker memantine in AUH.

conclusionWe provide a real-world insight into the heterogeneous management and treatment pathways of newly diagnosed dementia patients and a subset of Alzheimer's Disease patients from across Europe.

Indexed as

Alzheimer DiseaseElectronic Health RecordsEuropeGalantamineHumansIndansItalyNetherlandsPhenylcarbamatesPiperidinesRetrospective StudiesGalantamineIndansPhenylcarbamatesPiperidinesAlzheimer’s diseaseDementiaEpidemiologyReal-world data

Identifiers

PMID32494994
OpenAlexW3031868533

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.