Evidence map›Paper›PMID 36938733›Full record

ArticleJournal of Alzheimer's disease : JAD2023

Temporal Dementia and Cognitive Impairment Trends in the Very Old in the 21st Century.

Bodil Weidung, Hugo Lövheim, Håkan Littbrand, Johanna Wahlin, Birgitta Olofsson, Yngve Gustafson

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. 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

6 authors.

Bodil WeidungDepartment of Public Health and Caring Sciences, Section of Geriatrics, Uppsala University, Uppsala, Sweden.
Hugo LövheimDepartment of Community Medicine and Rehabilitation, Division of Geriatic Medicine, Umeå University, Umeå, Sweden.
Håkan LittbrandDepartment of Community Medicine and Rehabilitation, Division of Geriatic Medicine, Umeå University, Umeå, Sweden.
Johanna WahlinDepartment of Community Medicine and Rehabilitation, Division of Geriatic Medicine, Umeå University, Umeå, Sweden.
Birgitta OlofssonDepartment of Nursing, Umeå University, Umeå, Sweden.
Yngve GustafsonDepartment of Community Medicine and Rehabilitation, Division of Geriatic Medicine, Umeå University, Umeå, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-increasing dementia incidence and prevalence trends may be shifting. Whether such shifts have reached the very old is unknown.

objectiveTo investigate temporal trends in the incidence of dementia and cognitive impairment and prevalence of dementia, cognitive impairment, Alzheimer's disease, vascular dementia, and unclassified dementia among 85-, 90-, and ≥ 95-year-olds in Sweden during 2000-2017.

methodsThis study was conducted with Umeå 85 + /Gerontological Regional Database data from 2182 85-, 90-, and ≥ 95-year-olds in Sweden collected in 2000-2017. Using logistic regression, trends in the cumulative 5-year incidences of dementia and cognitive impairment; prevalences of dementia, cognitive impairment, Alzheimer's disease, and vascular dementia; and Mini-Mental State Examination thresholds for dementia diagnosis were estimated.

resultsDementia and cognitive impairment incidences decreased in younger groups, which generally showed more-positive temporal trends. The prevalences of overall dementia, cognitive impairment, and Alzheimer's disease were stable or increasing; longer disease durations and increasing dementia subtype classification success may mask positive changes in incidences. Vascular dementia increased while unclassified dementia generally decreased.

conclusionThe cognitive health of the very old may be changing in the 21st century, possibly indicating a trend break.

Indexed as

Alzheimer DiseaseCognitive DysfunctionDementia, VascularHumansSwedenAged 80 and overAlzheimer’s diseasecognition disorderscohort studiescross-sectional studiesdementiaepidemiologic studieslongitudinal studiesneurocognitive disordersvascular dementia

Identifiers

PMID36938733
PMCPMC10200221

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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.