Evidence map›Paper›PMID 37879685›Full record

ArticleBMJ open2023

Estimating the prevalence of diagnosed Alzheimer disease in England across deprivation groups using electronic health records: a clinical practice research datalink study.

Thomas Patrick Leahy, Alex Simpson, Cormac Sammon, Clive Ballard, Sandro Gsteiger

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In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Observational
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  3. Visual interpretation of [European journal of nuclear medicine and molecular imaging · 2026
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Thomas Patrick LeahyPutnam LLC, Toronto, Ontario, Canada.ORCID 0000-0003-3958-6224
Alex SimpsonGlobal Access, F Hoffmann-La Roche AG, Basel, Switzerland.
Cormac SammonPutnam LLC, Westport, Ireland.
Clive BallardUniversity of Exeter Medical School, Exeter, UK.
Sandro GsteigerGlobal Access, F Hoffmann-La Roche AG, Basel, Switzerland sandro.gsteiger@roche.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEstimate the prevalence of diagnosed Alzheimer's disease (AD) and early Alzheimer's disease (eAD) overall and stratified by age, sex and deprivation and combinations thereof in England on 1 January 2020.

designCross-sectional.

settingPrimary care electronic health record data, the Clinical Practice Research database linked with secondary care data, Hospital Episode Statistics (HES) and patient-level deprivation data, Index of Multiple Deprivation (IMD). OUTCOME MEASURES: The prevalence per 100 000 of the population and corresponding 95% CIs for both diagnosed AD and eAD overall and stratified by covariates. Sensitivity analyses were conducted to assess the sensitivity of the population definition and look-back period.

resultsThere were 448 797 patients identified in the Clinical Practice Research Datalink that satisfied the study inclusion criteria and were eligible for HES and IMD linkage. For the main analysis of AD and eAD, 379 763 patients are eligible for inclusion in the denominator. This resulted in an estimated prevalence of diagnosed AD of 378.39 (95% CI, 359.36 to 398.44) per 100 000 and eAD of 292.81 (95% CI, 276.12 to 310.52) per 100 000. Prevalence estimates across main and sensitivity analyses for the entire AD study population were found to vary widely with estimates ranging from 137.48 (95% CI, 127.05 to 148.76) to 796.55 (95% CI, 768.77 to 825.33). There was significant variation in prevalence of diagnosed eAD when assessing the sensitivity with the look-back periods, as low as 120.54 (95% CI, 110.80 to 131.14) per 100 000, and as high as 519.01 (95% CI, 496.64 to 542.37) per 100 000.

conclusionsThe study found relatively consistent patterns of prevalence across both AD and eAD populations. Generally, the prevalence of diagnosed AD increased with age and increased with deprivation for each age category. Women had a higher prevalence than men. More granular levels of stratification reduced patient numbers and increased the uncertainty of point prevalence estimates. Despite this, the study found a relationship between deprivation and prevalence of AD.

Indexed as

Alzheimer DiseaseCross-Sectional StudiesElectronic Health RecordsEnglandFemaleHumansMalePrevalencedementiaepidemiologyretrospective studies

Identifiers

PMID37879685
PMCPMC10603427

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