Evidence map›Paper›PMID 38263052›Full record

Observational studyBMC geriatrics2024

Which factors preceding dementia identification impact future healthcare use trajectories: multilevel analyses in administrative data.

Anaïs Couret, Maryse Lapeyre-Mestre, Eugénie Gombault-Datzenko, Axel Renoux, Hélène Villars, Virginie Gardette

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 15% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. 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 at 3 institutions in 1 country.

Anaïs CouretAgence Régionale de Santé Occitanie, Toulouse, France. anais.couret1@univ-tlse3.fr.
Maryse Lapeyre-MestreDepartment of Pharmacology, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
Eugénie Gombault-DatzenkoDepartment of Medical Information (DIM), Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
Axel RenouxMaintain Aging Research team, CERPOP, Université de Toulouse, Université Paul Sabatier, Inserm, Toulouse, France.
Hélène VillarsGeriatric Department, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
Virginie GardetteMaintain Aging Research team, CERPOP, Université de Toulouse, Université Paul Sabatier, Inserm, Toulouse, France.
Centre Hospitalier Universitaire de Toulouse · FRAgence Régionale de Santé Ile-de-France · FRInserm · FR

Funding

Agence Nationale de la Recherche et des Technologies 2020/0774
6 · The paper itself

Abstract

backgroundHealthcare use patterns preceding a diagnosis of Alzheimer's Disease and Related Diseases (ADRD) may be associated with the quality of healthcare use trajectories (HUTs) after diagnosis. We aimed to identify determinants of future favorable HUTs, notably healthcare use preceding ADRD identification.

methodsThis nationwide retrospective observational study was conducted on subjects with incident ADRD identified in 2012 in the French health insurance database. We studied the 12-month healthcare use ranging between 18 and 6 months preceding ADRD identification. The five-year HUTs after ADRD identification were qualified by experts as favorable or not. In order to take into account geographical differences in healthcare supply, we performed mixed random effects multilevel multivariable logistic regression model to identify determinants of future favorable HUTs. Analyses were stratified by age group (65-74, 75-84, ≥ 85).

resultsBeing a woman, and preventive and specialist care preceding ADRD identification increased the probability of future favorable HUT, whereas institutionalization, comorbidities, medical transportation and no reimbursed drug during [-18;-6] months decreased it. Besides, some specificities appeared according to age groups. Among the 65-74 years subjects, anxiolytic dispensing preceding ADRD identification decreased the probability of future favorable HUT. In the 75-84 years group, unplanned hospitalization and emergency room visit preceding ADRD identification decreased this probability. Among subjects aged 85 and older, short hospitalization preceding ADRD identification increased the probability of future favorable HUTs.

conclusionRegular healthcare use with preventive and specialist care preceding ADRD identification increased the probability of future favorable HUTs whereas dependency decreased it.

Indexed as

Alzheimer DiseaseAnti-Anxiety AgentsDatabases, FactualEmergency Room VisitsFemaleHumansMultilevel AnalysisRetrospective StudiesAnti-Anxiety AgentsAdministrative databaseAlzheimer’s diseaseDementiaHealthcare use

Identifiers

PMID38263052
PMCPMC10807194
OpenAlexW4391135003

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.