Evidence map›Paper›PMID 36148476›Full record

ArticleJournal of palliative care2023

Dementia Care in the Last Year of Life: Experiences in a Community Practice and in Skilled Nursing Facilities.

Mairead M Bartley, Jennifer M Manggaard, Karen M Fischer, Diane E Holland, Paul Y Takahashi

Open access · hybridAbstract read
In one paragraph

Article in Journal of palliative care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.6field-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.

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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Physical Activity and Acute Care Utilization Among Older Adults With Mild Cognitive Impairment and Dementia.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  4. Article
  5. 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

5 authors at 2 institutions in 1 country.

Mairead M BartleyDivision of Community Internal Medicine, 384842Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-1142-2797
Jennifer M ManggaardDivision of Community Internal Medicine, 384842Mayo Clinic, Rochester, MN, USA.
Karen M FischerDivision of Clinical Trials and Biostatistics, 384842Mayo Clinic, Rochester, MN, USA.
Diane E HollandRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, 384842Mayo Clinic, Rochester, MN, USA.
Paul Y TakahashiDivision of Community Internal Medicine, 384842Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USMayo Clinic · US

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
NCATS NIH HHS UL1 TR002377
6 · The paper itself

Abstract

objectivePeople living with dementia often have high care needs at the end-of-life. We compared care delivery in the last year of life for people living with dementia in the community (home or assisted living facilities [ALFs]) versus those in skilled nursing facilities (SNFs).

methodsA retrospective study was performed of older adults with a dementia diagnosis who died in the community or SNFs from 2013 through 2018. Primary outcomes were numbers of hospitalizations and emergency department visits in the last year of life. Secondary outcomes were completed advance care plans, hospice enrollment, time in hospice, practitioner visits, and intensive care unit admissions.

resultsOf 1203 older adults with dementia, 622 (51.7%) lived at home/ALFs; 581 (48.3%) lived in SNFs. At least 1 hospitalization was recorded for 70.7% living at home/ALFs versus 50.8% in SNFs (

conclusionsOlder adults with dementia frequently receive acute care in their last year of life. Hospice care was more common for home/ALF residents. Time in hospice was short.

Indexed as

DementiaHospice CareHospicesAgedHumansRetrospective StudiesSkilled Nursing FacilitiesUnited Statesadvance care planningcare deliverycare utilizationdementiahospicepalliative care

Identifiers

PMID36148476
PMCPMC10026163
OpenAlexW4296798149

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.