Evidence map›Paper›PMID 36874514›Full record

ArticleIndian journal of psychiatry2023

Indian Psychiatric Society multicentre study: Diagnostic patterns, comorbidity and prescription practices for patients with Dementia.

Ct Sudhir Kumar, Mathew Varghese, Venugopal Duddu, Sridhar Vaitheswaran, Shrikant Srivastava, K S Shaji, Sanju George, Narendra Kumar Singh, Nishant Goyal, Ajay Bakhla and 21 more

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

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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

31 authors at 17 institutions in 2 countries.

Ct Sudhir KumarAlzheimer's and Related Disorders Society of India (ARDSI) - Kottayam Chapter, Aymanam, Kerala, India.
Mathew VargheseDepartment of Psychiatry, NIMHANS, Bengaluru, Karnataka, India.
Venugopal DudduEast Lancashire Hospitals NHS Trust, United Kingdom.
Sridhar VaitheswaranDementia Care in SCARF - DEMCARES, Schizophrenia Research Foundation (SCARF) Chennai, Tamil Nadu, India.
Shrikant SrivastavaDepartment of Geriatric Mental Health, King George's Medical University, Lucknow, UP, India.
K S ShajiKerala University of Health Sciences, Thrissur, Kerala, India.
Sanju GeorgeDepartment of Psychology, Rajagiri College of Social Sciences, Kalamassery, Ernakulam, Kerala, India.
Narendra Kumar SinghDepartment of Psychiatry, Central Institute of Psychiatry, Kanke, Ranchi, Jharkhand, India.
Nishant GoyalDepartment of Psychiatry, Central Institute of Psychiatry, Kanke, Ranchi, Jharkhand, India.
Ajay BakhlaDepartment of Psychiatry, Rajendra Institute of Medical Sciences, Bariyatu, Ranchi, India.
S ShajiBethseda Hospital, Vengola, Perumbavoor, Kerala, India.
Vikas MenonDepartment of Psychiatry, JIPMER, Puducherry, India.
Tajamul HussainDepartment of Psychiatry, Government Medical College, Baramulla, Jammu and Kashmir, India.
Sandeep GroverDepartment of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Aseem MehraDepartment of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Lokesh Kumar SinghDepartment of Psychiatry, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
A PurushothamDepartment of Psychiatry, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Avinash DesousaDepartment of Psychiatry, Lokmanya Tilak Municipal Medical College Mumbai, Maharashra, India.
Nilesh ShahDepartment of Psychiatry, Lokmanya Tilak Municipal Medical College Mumbai, Maharashra, India.
Sagar KariaDepartment of Psychiatry, Lokmanya Tilak Municipal Medical College Mumbai, Maharashra, India.
I AnandDepartment of Psychiatry, PSGIMS&R, Peelamedu Coimbatore, Tamil Nadu, India.
Shafana AfroonDepartment of Psychiatry, PSGIMS&R, Peelamedu Coimbatore, Tamil Nadu, India.
Ritambhara MehtaDepartment of Psychiatry, Government Medical College, Surat, Gujarat, India.
Gargi KukrejaDepartment of Psychiatry, Government Medical College, Surat, Gujarat, India.
Dimple DadarwalaDepartment of Psychiatry, Government Medical College, Surat, Gujarat, India.
K L VidyaDepartment of Geriatric Mental Health, King George's Medical University, Lucknow, UP, India.
P T SivakumarDepartment of Psychiatry, NIMHANS, Bengaluru, Karnataka, India.
Preeti SinhaDepartment of Psychiatry, NIMHANS, Bengaluru, Karnataka, India.
Shivashankar ReddyDepartment of Psychiatry, NIMHANS, Bengaluru, Karnataka, India.
Thomas IsaacDepartment of Psychiatry, NIMHANS, Bengaluru, Karnataka, India.
Mina ChandraDepartment of Psychiatry, Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia Hospital, New Delhi, India.
National Institute of Mental Health and Neurosciences · INGovernment Medical College · INLokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College · INAll India Institute of Medical Sciences Raipur · INCentral Institute of Psychiatry · INKing George's Medical University · INPost Graduate Institute of Medical Education and Research · INAlzheimer's and Related Disorders Society of India · INAtal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital · INBethesda Hospital · INEast Lancashire Hospitals NHS Trust · GBGovernment Medical College · INJawaharlal Institute of Post Graduate Medical Education and Research · INKerala University of Health Sciences · INRajagiri Hospital · INRajendra Institute of Medical Sciences · INSchizophrenia Research Foundation · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There are more than 5 million people with dementia in India. Multicentre studies looking at details of treatment for people with dementia In India are lacking. Clinical audit is a quality improvement process which aims to systematically assess, evaluate, and improve patient care. Evaluating current practice is the key to a clinical audit cycle. Aim: This study aimed to assess the diagnostic patterns and prescribing practices of psychiatrists for patients with dementia in India. Method: A retrospective case file study was conducted across several centers in India. Results: Information from the case records of 586 patients with dementia was obtained. Mean age of the patients was 71.14 years (standard deviation = 9.42). Three hundred twenty one (54.8%) were men. Alzheimer's disease (349; 59.6%) was the most frequent diagnosis followed by vascular dementia (117; 20%). Three hundred fifty five (60.6%) patients had medical disorders and 47.4% patients were taking medications for their medical conditions. Eighty one (69.2%) patients with vascular dementia had cardiovascular problems. Majority of the patients (524; 89.4%) were on medications for dementia. Most frequently prescribed treatment was Donepezil (230; 39.2%) followed by Donepezil-Memantine combination (225; 38.4%). Overall, 380 (64.8%) patients were on antipsychotics. Quetiapine (213, 36.3%) was the most frequently used antipsychotic. Overall, 113 (19.3%) patients were on antidepressants, 80 (13.7%) patients were on sedatives/hypnotics, and 16 (2.7%) patients were on mood stabilizers. Three hundred nineteen (55.4%) patients and caregivers of 374 (65%) patients were receiving psychosocial interventions. Conclusions: Diagnostic and prescription patterns in dementia which emerged from this study are comparable to other studies both nationally and internationally. Comparing current practices at individual and national levels against accepted guidelines, obtaining feedback, identifying gaps and instituting remedial measures help to improve the standard of care provided.

Indexed as

Alzheimer’santipsychoticsauditdementiadonepezilIndiamedicationmemantineprescriptionvascular

Identifiers

PMID36874514
PMCPMC9983449
OpenAlexW4315643382

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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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.