Evidence map›Paper›PMID 37276482›Full record

ArticleHealth affairs (Project Hope)2023

Dementia Care Is Widespread In US Nursing Homes; Facilities With The Most Dementia Patients May Offer Better Care.

Dana B Mukamel, Debra Saliba, Heather Ladd, R Tamara Konetzka

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health affairs (Project Hope), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
–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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
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  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. The National Dementia Workforce Study: Overview.Journal of the American Geriatrics Society · 2025
    Article
  14. Article
  15. Article
  16. The dementia care workforce: Essential to care but large research gaps exist.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  17. Article
  18. Article
  19. Article
  20. 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

4 authors.

Dana B MukamelDana B. Mukamel (dmukamel@hs.uci.edu), University of California Irvine, Irvine, California.
Debra SalibaDebra Saliba, University of California Los Angeles and Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California.
Heather LaddHeather Ladd, University of California Irvine.
R Tamara KonetzkaR. Tamara Konetzka, University of Chicago, Chicago, Illinois.

Funding

Staffing and Health Outcomes in Nursing Homes for Residents with and without DementiaR01AG066742 · NIA · UNIVERSITY OF CALIFORNIA-IRVINE · PI MUKAMEL, DANA B · 2020 to 2024
$3.0M
NIA NIH HHS R01 AG066742
6 · The paper itself

Abstract

More than three million US nursing home residents were diagnosed with Alzheimer's disease and related dementias (ADRD) between 2017 and 2019. This number is expected to increase as the population ages and ADRD prevalence increases. People with ADRD require specialized care from trained staff. This study addressed two questions: Are residents with ADRD concentrated in nursing homes where they are the majority? If not, what are the implications for their quality of care and life? We answered the first question by determining the ADRD census for each nursing home in the country during the period 2017-19. Using the Minimum Data Set and Medicare claims, we compared characteristics of nursing homes with high and low ADRD census along several dimensions, including staffing, resident outcomes, and resident characteristics. We found that residents with ADRD were dispersed throughout all nursing homes, with fewer than half residing in nursing homes where residents with ADRD accounted for 60-90 percent of the census. Furthermore, only facilities exceeding 90 percent of residents with ADRD seemed to offer better care. These findings raise concerns about the quality of care and life for the majority of residents with ADRD, suggesting that current National Institutes of Health dementia research initiatives and the Biden administration's policies to improve nursing home care should be coordinated.

Indexed as

Alzheimer DiseaseDementiaAgedHumansMedicareNursing HomesUnited States

Identifiers

PMID37276482
PMCPMC10796080

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.