Evidence map›Paper›PMID 32538845›Full record

ArticleJournal of Alzheimer's disease : JAD2020

Pharmaceutical Treatment for Alzheimer's Disease and Related Dementias: Utilization and Disparities.

Douglas Barthold, Geoffrey Joyce, Patricia Ferido, Emmanuel F Drabo, Zachary A Marcum, Shelly L Gray, Julie Zissimopoulos

Open access · greenAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
3.9field-weighted citation impact, top 5% 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

42 citing papers in PubMed, 90 citations in OpenAlex.

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  9. Can Telehealth Improve Access to Amyloid-Targeting Therapies for Veterans Living With Alzheimer Disease?Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025
    Article
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  12. Trends in Co-morbid Dementia and Chronic Kidney Disease.Journal of general internal medicine · 2025
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  14. Review
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  18. Using Under-Represented Subgroup Fine Tuning to Improve Fairness for Disease Prediction.Biomedical engineering systems and technologies, international joint conference, BIOSTEC ... revised selected papers. BIOSTEC (Conference) · 2025
    Article
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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

7 authors at 3 institutions in 1 country.

Douglas BartholdThe Comparative Health Outcomes, Policy, and Economics (CHOICE) Institute, Department of Pharmacy, University of Washington, Seattle, WA, USA.
Geoffrey JoyceSchool of Pharmacy, Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, CA, USA.
Patricia FeridoPrice School of Public Policy, Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, CA, USA.
Emmanuel F DraboHealth Policy and Management Department, Johns Hopkins University, Baltimore, MD, USA.
Zachary A MarcumThe Comparative Health Outcomes, Policy, and Economics (CHOICE) Institute, Department of Pharmacy, University of Washington, Seattle, WA, USA.
Shelly L GrayThe Comparative Health Outcomes, Policy, and Economics (CHOICE) Institute, Department of Pharmacy, University of Washington, Seattle, WA, USA.
Julie ZissimopoulosPrice School of Public Policy, Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, CA, USA.
University of Southern California · USUniversity of Washington · USJohns Hopkins University · US

Funding

Furthering scientific understanding of mechanisms underlying resilience to the effects of AD pathology by incorporating state of the art quantification of gliosis, inflammation, & synaptic toxicityU01AG006781 · NIA · UNIVERSITY OF WASHINGTON · PI CRANE, PAUL K, LARSON, ERIC B · 1986 to 2020
$39.3M
USC Resource Center for Minority Aging Research (US-RCMAR)P30AG043073 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Mireille Jacobson · 2012 to 2026
$10.1M
AN ECONOMIC AND BEHAVIORAL EVALUATION OF MEDICARE PART DP01AG033559 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI GOLDMAN, DANA P · 2011 to 2015
$3.0M
Reducing Racial and Ethnic Disparities in Alzheimer's Disease: Role of ACOsR01AG055401 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ZISSIMOPOULOS, JULIE M · 2017 to 2019
$2.8M
Value of Information Methods for NHLBI TrialsR01HL126804 · NHLBI · UNIVERSITY OF WASHINGTON · PI BASU, ANIRBAN · 2015 to 2018
$2.7M
Effectiveness of Gastric Sleeve vs. Gastric Bypass for Cardiovascular DiseaseR01HL130462 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI COLEMAN, KAREN JACQUELINE · 2016 to 2019
$2.7M
Antihypertensives and the Aging BrainK76AG059929 · NIA · UNIVERSITY OF WASHINGTON · PI MARCUM, ZACHARY ADAM · 2019 to 2021
$694k
Systems Pharmacology for Predictive Alzheimer's Therapeutics: SysPharmRx-ADR34AG049652 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BRINTON, ROBERTA EILEEN · 2014 to 2014
$329k
ACL HHS U01CE002967NHLBI NIH HHS R01 HL126804NHLBI NIH HHS R01 HL130462NIA NIH HHS K76 AG059929NIA NIH HHS P01 AG033559NIA NIH HHS P30 AG043073NIA NIH HHS R01 AG055401NIA NIH HHS R34 AG049652NIA NIH HHS U01 AG006781
6 · The paper itself

Abstract

backgroundFour prescription drugs (donepezil, galantamine, memantine, and rivastigmine) are approved by the US FDA to treat symptoms of Alzheimer's disease (AD). Even modest effectiveness could potentially reduce the population-level burden of AD and related dementias (ADRD), especially for women and racial/ethnic minorities who have higher incidence of ADRD.

objectiveDescribe the prevalence of antidementia drug use and timing of initiation relative to ADRD diagnosis among a nationally representative group of older Americans, and if there are disparities in prevalence and timing by sex and race/ethnicity.

methodsDescriptive analyses and logistic regressions of Medicare claims (2008-2016) for beneficiaries who had an ADRD or dementia-related symptom diagnosis, or use of an FDA approved drug for AD. We investigate prevalence of use and timing of treatment initiation relative to ADRD diagnosis across time and beneficiary characteristics (age, sex, race/ethnicity, socioeconomic status, comorbidities).

resultsAmong persons diagnosed with ADRD or related symptoms, 33.3% used an approved drug over the study period. Odds of use was higher among Whites than non-Whites. Among ADRD drug users, 40% initiated use within 6 months of the initial ADRD or related symptoms diagnosis, and 16% initiated prior to a diagnosis. We observed disparities by race/ethnicity: 28% of Asians, 24% of Hispanics, 16% of Blacks, and 15% of Whites initiated prior to diagnosis.

conclusionsThe use of antidementia drugs is relatively low and varies widely by race/ethnicity. Heterogeneity in timing of initiation and use may affect health and cost outcomes, but these effects merit further study.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseCholinesterase InhibitorsDementiaDonepezilDopamine AgentsFemaleGalantamineHealthcare DisparitiesHumansMaleMedicareMemantineNootropic AgentsPatient Acceptance of Health CareCholinesterase InhibitorsDonepezilDopamine AgentsGalantamineMemantineNootropic AgentsRivastigmineAcetylcholinesterase inhibitorsAlzheimer’s disease and related dementiasdisparitiesdonepezilgalantaminememantinerivastigmine

Identifiers

PMID32538845
PMCPMC7825250
OpenAlexW3034366705

What OpenQuestion holds

Textmetadata
LicenceTDM
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.