Evidence map›Paper›PMID 37997896›Full record

ArticleDementia (London, England)2024

Vascular cognitive impairment: When memory loss is not the biggest challenge.

Sara Aj van de Schraaf, Merel F Smit, Majon Muller, Cees Mpm Hertogh, Hanneke Fm Rhodius-Meester, Eefje M Sizoo

Open access · hybridAbstract read
In one paragraph

Article in Dementia (London, England), 2024. 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
1.1field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 5 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

6 authors at 2 institutions in 2 countries.

Sara Aj van de SchraafAmsterdam UMC, Location Vrije Universiteit Amsterdam, Medicine for Older People, Amsterdam, Netherlands; Amsterdam Public Health, Aging & Later Life, Amsterdam, Netherlands; Amsterdam UMC, Location Vrije Universiteit Amsterdam, Internal Medicine, Geriatric Medicine Section, Amsterdam, Netherlands.ORCID 0000-0002-2660-4115
Merel F SmitAmsterdam UMC, Location Vrije Universiteit Amsterdam, Medicine for Older People, De Boelelaan 1117, Amsterdam, Netherlands.
Majon MullerAmsterdam Public Health, Aging & Later Life, Amsterdam, Netherlands; Amsterdam UMC, Location Vrije Universiteit Amsterdam, Internal Medicine, Geriatric Medicine Section, De Boelelaan 1117, Amsterdam, Netherlands; Amsterdam Cardiovascular Sciences, Atherosclerosis & Ischemic Syndromes, Amsterdam, Netherlands.ORCID 0000-0002-7127-6413
Cees Mpm HertoghAmsterdam UMC, Location Vrije Universiteit Amsterdam, Medicine for Older People, De Boelelaan 1117, Amsterdam, Netherlands; Amsterdam Public Health, Aging & Later Life, Amsterdam, Netherlands.
Hanneke Fm Rhodius-MeesterAmsterdam UMC, Location Vrije Universiteit Amsterdam, Internal Medicine, Geriatric Medicine Section, De Boelelaan 1117, Amsterdam, Netherlands; Amsterdam Cardiovascular Sciences, Atherosclerosis & Ischemic Syndromes, Amsterdam, Netherlands; Amsterdam UMC, Location Vrije Universiteit Amsterdam, Alzheimer Center Amsterdam, Neurology, De Boelelaan 1117, Amsterdam, Netherlands; Amsterdam Neuroscience, Neurodegeneration, Amsterdam, Netherlands; Oslo University Hospital, Geriatric Memory Clinic, Kirkeveien 166, Oslo, Norway.ORCID 0000-0002-6476-4670
Eefje M SizooAmsterdam UMC, Location Vrije Universiteit Amsterdam, Medicine for Older People, De Boelelaan 1117, Amsterdam, Netherlands; Amsterdam Public Health, Aging & Later Life, Amsterdam, Netherlands.ORCID 0000-0001-5994-0652
Amsterdam University Medical Centers · NLOslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesVascular cognitive impairment is the second most common type of cognitive impairment. Care needs of community-dwelling people with vascular cognitive impairment and their caregivers have not been thoroughly studied. Therefore, we aimed to explore care needs of people with vascular cognitive impairment and their family caregivers.

designA qualitative interview study. SETTING AND

participantsParticipants were purposefully sampled community-dwelling people with vascular cognitive impairment and their family caregivers.

methodsInterviews were audiotaped and transcribed verbatim. Analysis and data collection followed an iterative process, until data saturation was achieved. We conducted 18 interviews (nine people with vascular cognitive impairment and nine caregivers), concerning 13 unique people with vascular cognitive impairment. We analyzed the data using inductive thematic analysis following the Braun & Clark method. The study was reported in accordance with the COREQ criteria.

findingsFive themes were identified in the care needs reported by people with vascular cognitive impairment and family caregivers: (1) Specific information need with subtheme (1A) No memory problem, no dementia? (2) Being respected as a person, (3) Differing concerns about the future, (4) The roles of the caregiver and (5) Decisiveness from professional healthcare. CONCLUSIONS AND IMPLICATIONS: The care needs of people with vascular cognitive impairment and their caregivers were affected by (a lack of knowledge about) the characteristic symptoms of this condition. Participants equated cognitive impairment or dementia to memory loss ("Alzheimerization"), although memory loss was not their biggest challenge. People with vascular cognitive impairment and caregivers preferred resolute and decisive healthcare professionals. These professionals activate the person with vascular cognitive impairment who lacks initiative and diminishe role conflict of the caregiver. Care for people with vascular cognitive impairment and their caregivers could be improved by providing tailored information, promoting awareness of neuropsychiatric symptoms, particularly apathy, and by healthcare professionals providing more guidance in decision-making.

Indexed as

Cognitive DysfunctionDementiaCaregiversData CollectionHumansMemory DisordersQualitative Researchcognitive disorderdementiadementia carefamily carelong-term carevascular dementia

Identifiers

PMID37997896
PMCPMC10798009
OpenAlexW4388972170

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.