ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2022
Primary care contacts, continuity, identification of palliative care needs, and hospital use: a population-based cohort study in people dying with dementia.
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 15 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Quality indicators for palliative care for older people: An umbrella review.Palliative medicine · 2026Pooled it
- Continuity of care in UK primary care: a scoping review of measures, challenges, and future interventions.Primary health care research & development · 2026Article
- Continuity of primary care and end-of-life care costs in dementia: a retrospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Article
- 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
- 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
- "You like to be in control of your own destiny to a degree, don't you?": conscientious autonomy and planning for future care with dementia.BMC palliative care · 2025Article
- Primary care usage at the end of life: a retrospective cohort study of cancer patients using linked primary and hospital care data.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Understanding patient views and experiences of the IDENTIfication of PALLiative care needs (IDENTI-PALL): a qualitative interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Dementia and comorbidities in primary care: a scoping review.BMC primary care · 2023Article
- Survival and critical care use among people with dementia in a large English cohort.Age and ageing · 2023Article
- Article
- Inclusion of palliative and end of life care in health strategies aimed at integrated care: a documentary analysis [version 2; peer review: 2 approved].AMRC open research · 2023Article
- Patterns of long-term care utilization during the last five years of life among Swedish older adults with and without dementia.PloS one · 2023Article
- The Wall of Evidence for Continuity of Care: How Many More Bricks Do We Need?Annals of family medicineArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReducing hospital admissions among people dying with dementia is a policy priority.
aimTo explore associations between primary care contacts, continuity of primary care, identification of palliative care needs, and unplanned hospital admissions among people dying with dementia. DESIGN AND
settingThis was a retrospective cohort study using the Clinical Practice Research Datalink linked with hospital records and Office for National Statistics data. Adults (>18 years) who died between 2009 and 2018 with a diagnosis of dementia were included in the study.
methodThe association between GP contacts, Herfindahl-Hirschman Index continuity of care score, palliative care needs identification before the last 90 days of life, and multiple unplanned hospital admissions in the last 90 days was evaluated using random-effects Poisson regression.
resultsIn total, 33 714 decedents with dementia were identified: 64.1% (
conclusionMultiple hospital admissions among people dying with dementia are increasing. Higher continuity of care and identification of palliative care needs are associated with a lower risk of multiple hospital admissions in this population, and might help prevent these admissions at the end of life.
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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.