Evidence map›Paper›PMID 35176207›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2022

The costs of treating all-cause dementia among American Indians and Alaska native adults who access services through the Indian Health Service and Tribal health programs.

Joan O'Connell, Laura Grau, Turner Goins, Marcelo Perraillon, Blythe Winchester, Maria Corrada, Spero M Manson, Luohua Jiang

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 46% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

8 authors at 4 institutions in 1 country.

Joan O'ConnellUniversity of Colorado, Colorado School of Public Health, Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0003-3498-1153
Laura GrauUniversity of Colorado, Colorado School of Public Health, Department of Biostatistics and Informatics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Turner GoinsCollege of Health and Human Sciences, Western Carolina University, Cullowhee, North Carolina, USA.
Marcelo PerraillonUniversity of Colorado, Colorado School of Public Health, Department of Health Systems, Management, and Policy, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Blythe WinchesterEastern Band of Cherokee Indians, Cherokee Indian Hospital; Indian Health Service, Chief Clinical Consultant, Geriatrics and Palliative Care, Cherokee Indian Hospital, Cherokee, North Carolina, USA.
Maria CorradaUniversity of California Irvine, College of Health Sciences, Department of Epidemiology and Biostatistics, Irvine, California, USA.
Spero M MansonUniversity of Colorado, Colorado School of Public Health, Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Luohua JiangUniversity of California Irvine, College of Health Sciences, Department of Epidemiology and Biostatistics, Irvine, California, USA.
Colorado School of Public Health · USUniversity of California, Irvine · USIndian Health Service · USWestern Carolina University · US

Funding

Research Education CoreP30AG015292 · NIA · UNIVERSITY OF COLORADO DENVER · PI MULLER, CLEMMA JACOBSEN · 1997 to 2022
$12.3M
TRANSLATIONAL RESEARCH COREP30DK092923 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Angela Gwen Brega · 2011 to 2026
$10.2M
Dementia epidemiology, health service utilization and treatment costs among American Indian and Alaska Native EldersR01AG061189 · NIA · UNIVERSITY OF COLORADO DENVER · PI JIANG, LUOHUA, OCONNELL, JOAN M · 2019 to 2023
$2.9M
Effectiveness of advanced practice pharmacy services among American Indian and Alaska Native adults with diabetesR18DK114757 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI MANSON, SPERO MARTIN, OCONNELL, JOAN M · 2017 to 2019
$681k
AHRQ HHS T32 HS000078NIA NIH HHS P30 AG015292NIA NIH HHS R01 AG061189NIDDK NIH HHS P30 DK092923NIDDK NIH HHS R18 DK114757
6 · The paper itself

Abstract

introductionLittle is known about treatment costs for American Indian and Alaska Native (AI/AN) adults with dementia who access services through the Indian Health Service (IHS) and Tribal health programs.

methodsWe analyzed fiscal year 2013 IHS/Tribal treatment costs for AI/ANs aged 65+ years with dementia and a matched sample without dementia (n = 1842) to report actual and adjusted total treatment costs and costs by service type. Adjusted costs were estimated using multivariable regressions.

resultsMean total treatment cost for adults with dementia were $13,027, $5400 higher than for adults without dementia ($7627). The difference in adjusted total treatment costs was $2943 (95% confidence interval [CI]: $1505, $4381), the majority of which was due to the difference in hospital inpatient costs ($2902; 95% CI: $1512, $4293). DISCUSSION: Knowing treatment costs for AI/ANs with dementia can guide enhancements to policies and services for treating dementia and effectively using health resources.

Indexed as

DementiaHealth ExpendituresAdultAmerican Indian or Alaska NativeHealth Care CostsHumansMorbidityUnited StatesUnited States Indian Health ServiceAmerican Indian and Alaska native peoplesdementiadisparitieshealth expenditureshospital expendituresmorbidity burden

Identifiers

PMID35176207
PMCPMC10440154
OpenAlexW4212957710

What OpenQuestion holds

Textmetadata
LicenceTDM
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.