Evidence map›Paper›PMID 33045103›Full record

ArticleInternational journal of geriatric psychiatry2021

Socio-economic predictors of time to care home admission in people living with dementia in Wales: A routine data linkage study.

Clarissa Giebel, Joe Hollinghurst, Ashley Akbari, Christian Schnier, Tim Wilkinson, Laura North, Mark Gabbay, Sarah Rodgers

Open access · hybridAbstract read
In one paragraph

Article in International journal of geriatric psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Emerging directions in tauopathy research.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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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

8 authors at 3 institutions in 1 country.

Clarissa GiebelInstitute of Population Health Sciences, University of Liverpool, Liverpool, UK.ORCID 0000-0002-0746-0566
Joe HollinghurstHealth Data Research UK (HDR-UK), Data Science Building, Swansea University, Swansea, UK.
Ashley AkbariHealth Data Research UK (HDR-UK), Data Science Building, Swansea University, Swansea, UK.
Christian SchnierDementia Platform, London, UK.
Tim WilkinsonDementia Platform, London, UK.
Laura NorthHealth Data Research UK (HDR-UK), Data Science Building, Swansea University, Swansea, UK.
Mark GabbayInstitute of Population Health Sciences, University of Liverpool, Liverpool, UK.
Sarah RodgersInstitute of Population Health Sciences, University of Liverpool, Liverpool, UK.
Swansea University · GBUniversity of Liverpool · GBDementia UK · GB

Funding

British Heart FoundationChief Scientist OfficeDepartment of HealthHCRW_ HRG-16-1325HCRW_ SCG-19-1654Medical Research Council MR/L023784/1Medical Research Council MR/L023784/2Wellcome Trust
6 · The paper itself

Abstract

objectivesLimited research has shown that people with dementia (PwD) from lower socio-economic backgrounds can face difficulties in accessing the right care at the right time. This study examined whether socio-economic status (SES) and rural versus urban living location are associated with the time between diagnosis and care home admission in PwD living in Wales, UK. METHODS/

designThis study linked routine health data and an e-cohort of PwD who have been admitted into a care home between 2000 and 2018 living in Wales. Survival analysis explored the effects of SES, living location, living situation, and frailty on the time between diagnosis and care home admission.

resultsIn 34,514 PwD, the average time between diagnosis and care home admission was 1.5 (±1.4) years. Cox regression analysis showed that increased age, living alone, frailty, and living in less disadvantaged neighbourhoods were associated with faster rate to care home admission. Living in rural regions predicted a slower rate until care home admission.

conclusionsThis is one of the first studies to show a link between socio-economic factors on time to care home admission in dementia. Future research needs to address variations in care needs between PwD from different socio-economic and geographical backgrounds.

Indexed as

DementiaCohort StudiesHospitalizationHumansInformation Storage and RetrievalWalescare homesdementiahealth inequalitiesroutine datasocio-economic status

Identifiers

PMID33045103
PMCPMC7984448
OpenAlexW3092070761

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.