Evidence map›Paper›PMID 37840491›Full record

ArticleJournal of Alzheimer's disease : JAD2023

Dementia Attributable Healthcare Utilizations in the Caribbean versus United States.

Jing Li, Jordan Weiss, Ashish Rajadhyaksha, Daisy Acosta, Amal Harrati, Ivonne Z Jiménez Velázquez, Mao-Mei Liu, Jorge J Llibre Guerra, Juan de Jesús Llibre Rodriguez, William H Dow

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Jing LiThe Comparative Health Outcomes, Policy and Economics (CHOICE) Institute, Department of Pharmacy, University of Washington, Seattle, WA, USA.
Jordan WeissStanford Center on Longevity, Stanford University, Stanford, CA, USA.
Ashish RajadhyakshaNew York-Presbyterian Hospital, New York, NY, USA.
Daisy AcostaUniversidad Nacional Pedro Henriquez Ureña (UNPHU), Santo Domingo, Dominican Republic.
Amal HarratiMathematica Policy Research, Oakland, CA, USA.
Ivonne Z Jiménez VelázquezDepartment of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan, PR, USA.
Mao-Mei LiuDepartment of Demography, University of California at Berkeley, Berkeley, CA, USA.
Jorge J Llibre GuerraDepartment of Neurology, Washington University in St. Louis, St. Louis, MO, USA.
Juan de Jesús Llibre RodriguezMedical University of Havana, Havana, Cuba.
William H DowDepartment of Demography, University of California at Berkeley, Berkeley, CA, USA.

Funding

Dementia Determinants in Caribbean and U.S. HispanicsR01AG064778 · NIA · UNIVERSITY OF CALIFORNIA BERKELEY · PI DOW, WILLIAM H. · 2019 to 2023
$3.6M
Effect of Medicare Reimbursement for Care Planning on End of Life Care among Patients with Alzheimer's Disease and Related Dementias: A Quasi-Experimental StudyK01AG066946 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI LI, JING · 2020 to 2024
$633k
NIA NIH HHS K01 AG066946NIA NIH HHS R01 AG064778
6 · The paper itself

Abstract

backgroundDespite the high burden of Alzheimer's disease and other dementias among the Hispanic population worldwide, little is known about how dementia affects healthcare utilizations among this population outside of the US, in particular among those in the Caribbean region.

objectiveThis study examines healthcare utilization associated with Alzheimer's disease and other dementias among older adults in the Caribbean as compared to the US.

methodsWe conducted harmonized analyses of two population-based surveys, the 10/66 Dementia Group Research data collected in Dominican Republic, Cuba, and Puerto Rico, and the US-based Health and Retirement Study. We examined changes in hospital nights and physician visits in response to incident and ongoing dementias.

resultsIncident dementia significantly increased the risk of hospitalization and number of hospital nights in both populations. Ongoing dementia increased the risk of hospitalization and hospital nights in the US, with imprecise estimates for the Caribbean. The number of physician visits was elevated in the US but not in the Caribbean.

conclusionsThe concentration of increased healthcare utilization on hospital care and among patients with incident dementia suggests an opportunity for improved outpatient management of new and existing dementia patients in the Caribbean.

Indexed as

Alzheimer DiseaseAgedDelivery of Health CareEthnicityHumansPatient Acceptance of Health CarePuerto RicoUnited StatesAlzheimer’s diseaseCaribbeandementiahealthcare utilizationHispanics

Identifiers

PMID37840491
PMCPMC10754385

What OpenQuestion holds

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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.