ArticleBMJ open2020
Trajectories of health system use and survival for community-dwelling persons with dementia: a cohort study.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Do hospital-to-home transitions work for older adults with multiple long-term conditions including dementia? A realist review.BMC geriatrics · 2025Pooled it
- Rural and urban differences in quality of dementia care of persons with dementia and caregivers across all domains: a systematic review.BMC health services research · 2023Pooled it
- Article
- The influence of widowhood and social engagement on cognitive impairment among Chinese older adults and factors mediating their association.Journal of global health · 2024Article
- Profiles of healthcare use of persons living with dementia: A population-based cohort study.Geriatrics & gerontology international · 2024Article
- Study protocol for the development and validation of a clinical prediction tool to estimate the risk of 1-year mortality among hospitalized patients with dementia.Diagnostic and prognostic research · 2024Article
- Rural-Urban Differences in Healthcare Use in Persons With Dementia Between 2000 and 2019: A Quebec Population-Based Study.Healthcare policy = Politiques de sante · 2024Article
- Utilization of Health Services Before and After Diagnosis in a Specialist Rural and Remote Memory Clinic.Canadian geriatrics journal : CGJ · 2023Article
- Trajectories of care of community-dwelling people living with dementia: a multidimensional state sequence analysis.BMC geriatrics · 2023Observational
- Dynamics of Interaction among Professionals, Informal Supporters, and Family Caregivers of People with Dementia along the Dementia Care Pathway: A Nationwide Survey in Japan.International journal of environmental research and public health · 2023Article
- Health service use before and after dementia diagnosis: a retrospective matched case-control study.BMJ open · 2022Article
- Coronavirus Disease-2019 in Older People with Cognitive Impairment.Clinics in geriatric medicine · 2022Review
- Article
- Access to primary care and cognitive impairment: results from a national community study of aging Americans.BMC geriatrics · 2021Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectivesTo determine the long-term trajectories of health system use by persons with dementia as they remain in the community over time.
designPopulation-based cohort study using health administrative data.
settingOntario, Canada from 1 April 2007 to 31 March 2014.
participants62 622 community-dwelling adults aged 65+ years with prevalent dementia on 1 April 2007 matched 1:1 to persons without dementia based on age, sex and comorbidity.
main outcome measuresRates of health service use, long-term care placement and mortality over time.
resultsAfter 7 years, 49.0% of persons with dementia had spent time in long-term care (6.8% without) and 64.5% had died (30.0% without). Persons with dementia were more likely than those without to use home care (rate ratio (RR) 3.02, 95% CI 2.93 to 3.11) and experience hospitalisations with a discharge delay (RR 2.36, 95% CI 2.30 to 2.42). As they remained in the community, persons with dementia used home care at a growing rate (10.7%, 95% CI 10.0 to 11.3 increase per year vs 6.7%, 95% CI 4.3 to 9.0 per year among those without), but rates of acute care hospitalisation remained constant (0.6%, 95% CI -0.6 to 1.9 increase per year).
conclusionsWhile persons with dementia used more health services than those without dementia over time, the rate of change in use differed by service type. These results, particularly enumerating the increased intensity of home care service use, add value to capacity planning initiatives where limited budgets require balancing services.
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