Evidence map›Paper›PMID 33523011›Full record

ArticleJournal of Alzheimer's disease : JAD2021

Quality of Life in Advanced Dementia with Late Onset, Young Onset, and Very Young Onset.

Julia Hartmann, Carola Roßmeier, Lina Riedl, Bianca Dorn, Julia Fischer, Till Slawik, Mareike Fleischhaker, Florentine Hartmann, Silvia Egert-Schwender, Victoria Kehl and 5 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06264362 (Developing a Nonpharmacological Pain Intervention for Community-dwelling Older Adults With Dementia), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% 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.

NCT06264362 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Developing a Nonpharmacological Pain Intervention for Community-dwelling Older Adults With Dementia

TypeinterventionalSponsorDrexel UniversityRan2025 to 2027Enrolled40ConditionsPain, Chronic, Dementia, Mild, Mobility Limitation, Physical DisabilityArmsTailored Physical Activity Program
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Observational
  9. How Do Persons with Young and Late Onset Dementia Die?Journal of Alzheimer's disease : JAD · 2021
    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

15 authors at 3 institutions in 2 countries.

Julia HartmannTechnical University of Munich, School of Medicine, Department of Psychiatry and Psychotherapy, Munich, Germany.
Carola RoßmeierTechnical University of Munich, School of Medicine, Department of Psychiatry and Psychotherapy, Munich, Germany.
Lina RiedlTechnical University of Munich, School of Medicine, Department of Psychiatry and Psychotherapy, Munich, Germany.
Bianca DornTechnical University of Munich, School of Medicine, Department of Psychiatry and Psychotherapy, Munich, Germany.
Julia FischerTechnical University of Munich, School of Medicine, Department of Psychiatry and Psychotherapy, Munich, Germany.
Till SlawikTechnical University of Munich, School of Medicine, Department of Psychiatry and Psychotherapy, Munich, Germany.
Mareike FleischhakerTechnical University of Munich, School of Medicine, Department of Psychiatry and Psychotherapy, Munich, Germany.
Florentine HartmannTechnical University of Munich, School of Medicine, Department of Psychiatry and Psychotherapy, Munich, Germany.
Silvia Egert-SchwenderTechnical University of Munich, School of Medicine, Münchner Studienzentrum, Munich, Germany.
Victoria KehlTechnical University of Munich, School of Medicine, Institute of Medical Informatics, Statistics and Epidemiology, Munich, Germany.
Bernhard HallerTechnical University of Munich, School of Medicine, Institute of Medical Informatics, Statistics and Epidemiology, Munich, Germany.
Helga Schneider-SchelteGerman Alzheimer Society, Berlin, Germany.
Andreas DinkelTechnical University of Munich, School of Medicine, Department of Psychosomatic Medicine and Psychotherapy, Munich, Germany.
Ralf J JoxPalliative and Supportive Care Service, Chair in Geriatric Palliative Care, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Janine Diehl-SchmidTechnical University of Munich, School of Medicine, Department of Psychiatry and Psychotherapy, Munich, Germany.
Technical University of Munich · DEMunich Cluster for Systems Neurology · DEUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvanced stages of dementia are characterized by severe cognitive and physical impairment. It has not yet been investigated whether persons with young onset dementia (YOD) and late onset dementia (LOD) differ in advanced disease stages.

objectivesTo compare quality of life (QoL) between persons with advanced YOD and LOD; to explore the determinants of QoL; to investigate whether YOD and LOD differ with regard to symptoms and care.

methodsThe study was performed in the context of EPYLOGE (IssuEs in Palliative care for persons in advanced and terminal stages of YOD and LOD in Germany). Persons with advanced dementia (PWAD) were assessed and caregivers were interviewed. QoL was measured with the proxy rating Quality of Life in Late Stage Dementia (QUALID) scale.

results93 persons with YOD and 98 with LOD were included. No significant differences in QoL were detected. Determinants of QoL were similar in YOD and LOD. Behavioral and psychological symptoms of dementia (BPSD), suffering and other distressing symptoms were associated with a lower QoL. In YOD but not in LOD antipsychotic treatment was associated with low QoL. The group of persons who were younger than 65 years at the time of the study visit experienced significantly more distressing symptoms than older PWAD.

conclusionOverall, persons with advanced YOD do not appear to be disadvantaged compared to old and oldest PWAD. Special attention, however, must be paid to the group of the very young persons who seem to be particularly vulnerable.

Indexed as

Age of OnsetQuality of LifeAdultAgedAged, 80 and overAntipsychotic AgentsBehavioral SymptomsCaregiversDementiaDisease ProgressionFemaleGermanyHome Care ServicesHumansIndividualityMaleAntipsychotic AgentsPsychotropic DrugsAntipsychoticscaregiversdementiahome carelate onset dementialong term carequality of lifeyoung onset dementia

Identifiers

PMID33523011
PMCPMC8075393
OpenAlexW3125661203

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.