Evidence map›Paper›PMID 32609939›Full record

Observational studyAustralasian journal on ageing2020

Supporting community-dwelling older people with cognitive impairment to stay at home: A modelled cost analysis.

Suzanne M Dyer, Lachlan B Standfield, Nicola Fairhall, Ian D Cameron, Meredith Gresham, Henry Brodaty, Maria Crotty

Abstract readObservational Study
In one paragraph

Observational study in Australasian journal on ageing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Observational
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.

Suzanne M DyerRehabilitation, Aged and Extended Care, College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0003-2748-8547
Lachlan B StandfieldThreshold Economics Ltd, Auckland, New Zealand.
Nicola FairhallInstitute for Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia.
Ian D CameronJohn Walsh Centre for Rehabilitation Research, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0003-0147-047X
Meredith GreshamDementia Centre for Research Collaboration, School of Psychiatry, University of NSW, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-6450-4537
Henry BrodatyDementia Centre for Research Collaboration, School of Psychiatry, University of NSW, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0001-9487-6617
Maria CrottyRehabilitation, Aged and Extended Care, College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-2996-5135

Funding

National Health and Medical Research Council (NHMRC) Partnership Centre on Dealing with Cognitive and Related Functional Decline in Older People GNT9100000
6 · The paper itself

Abstract

objectiveTo model the potential financial implications of Australian programs supporting cognitively impaired community-dwelling older people.

methodsMarkov cohort models of (a) an observational study of a residential dyadic training program for carers and people with dementia (GTSAH) and (b) a frailty intervention (FIT) in a cognitively impaired subgroup. Direct health and social welfare costs accrued over 5 years (2018 $AUD prices) were captured. GTSAH costs $3755, FIT costs $1834, and permanent residential aged care (P-RAC) costs $237 per day.

resultsModelling predicted costs break even in approximately 5 months for GTSAH and 7 months for FIT, after which these interventions saved funds. The primary driver of savings was the P-RAC cost (discounted at 5%/annum), at $121 030 for GTSAH vs $231 193 for standard care; and $47 857 with FIT vs $111 359 for standard care.

conclusionsPrograms supporting cognitively impaired community-dwelling older people could be financially beneficial; further evaluation and implementation would be a worthwhile investment.

Indexed as

Cognitive DysfunctionDementiaAgedAustraliaCaregiversHumansIndependent Livingcaregiversdementiahealth resourcehome carenursing homes

Identifiers

PMID32609939
PMCPMC7818109

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.