ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2022
Continuity of GP care for patients with dementia: impact on prescribing and the health of patients.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 5 of them syntheses that pooled it.
What it found
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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.
The trial behind it
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Who cites it
41 citing papers in PubMed, 5 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Mind the gap: a systematic review of barriers, facilitators, and experiences of care transitions for people living with dementia and their informal caregivers.The Gerontologist · 2026Pooled it
- Delirium among older adults living at home: a systematic review of prevalence, incidence, and risk factors.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Pooled it
- The Relationship of Continuity of Care, Polypharmacy and Medication Appropriateness: A Systematic Review of Observational Studies.Drugs & aging · 2023Pooled it
- Global prevalence of polypharmacy and potentially inappropriate medication in older patients with dementia: a systematic review and meta-analysis.Frontiers in pharmacology · 2023Pooled it
- Impact of relational continuity of primary care in aged care: a systematic review.BMC geriatrics · 2022Pooled it
- Trial
- Trial
- Can Care Coordination for Multiple Long-Term Conditions Be Meaningfully Measured Using Routine Data? A Multi-Stage Consultation.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Maintaining continuity in fragmented healthcare systems.Journal of the Royal Society of Medicine · 2026Article
- Urbanicity, Neighborhood Conditions, and Dementia Mortality.JAMA network open · 2026Article
- Why has continuity of general practitioner care been neglected?International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Article
- Communicating the risk of psychiatric in-patient or enhanced community care in dementia.BJPsych open · 2026Article
- What do patients and clinicians think about interventions which prioritise continuity for certain patients in primary care?BMC primary care · 2026Article
- Effect of Continuity of Care on Emergency Care and Hospital Admissions Among Patients Receiving Home-Based Care: A Population-Based Cohort Study.Annals of family medicine · 2026Article
- Family physician and specialist care for persons with dementia living in the community: through thick and thin.Family practice · 2025Article
- Continuity of care for all? Associations between migration background and personal continuity among persons aged 50 and older in Dutch primary care: a registry-based observational study.Family practice · 2025Observational
- 'It gives a sense of purpose': a survey exploring GP registrars' views on relational continuity of care.BJGP open · 2025Article
- Development of a nurse-led clinical pathway to prevent delirium in older adults in general hospital wards: a realist review protocol.BMJ open · 2025Article
- Discontinuity of social support among US adults with cognitive impairment before and after the confirmed diagnosis of dementia: a matched ambidirectional cohort study.BMC medicine · 2025Article
- Frailty indices based on routinely collected data: a scoping review.The Journal of frailty & aging · 2025Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigher continuity of GP care (CGPC), that is, consulting the same doctor consistently, can improve doctor-patient relationships and increase quality of care; however, its effects on patients with dementia are mostly unknown.
aimTo estimate the associations between CGPC and potentially inappropriate prescribing (PIP), and with the incidence of adverse health outcomes (AHOs) in patients with dementia. DESIGN AND
settingA retrospective cohort study with 1 year of follow-up anonymised medical records from 9324 patients with dementia, aged ≥65 years living in England in 2016.
methodCGPC measures include the Usual Provider of Care (UPC), Bice-Boxerman Continuity of Care (BB), and Sequential Continuity (SECON) indices. Regression models estimated associations with PIPs and survival analysis with incidence of AHOs during the follow-up adjusted for age, sex, deprivation level, 14 comorbidities, and frailty.
resultsThe highest quartile (HQ) of UPC (highest continuity) had 34.8% less risk of delirium (odds ratio [OR] 0.65, 95% confidence interval [CI] = 0.51 to 0.84), 57.9% less risk of incontinence (OR 0.42, 95% CI = 0.31 to 0.58), and 9.7% less risk of emergency admissions to hospital (OR 0.90, 95% CI = 0.82 to 0.99) compared with the lowest quartile. Polypharmacy and PIP were identified in 81.6% (
conclusionHigher CGPC for patients with dementia was associated with safer prescribing and lower rates of major adverse events. Increasing continuity of care for patients with dementia may help improve treatment and outcomes.
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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.