Evidence map›Paper›PMID 38657587›Full record

ArticleNeuroepidemiology2024

Incidence and Prevalence of Dementia: A 2015-2020 Population-Based Study in the Campania Region of Italy.

Giuseppina Affinito, Vito Salerno, Massimo Di Gennaro, Luca Scafa, Alessandro Russo, Maria Grazia Fumo, Roberta Giordana, Fabrizia Falco, Flavio Della Pia, Angelica Di Cecca and 9 more

Abstract read
In one paragraph

Article in Neuroepidemiology, 2024. 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

19 authors.

Giuseppina AffinitoDepartment of Public Health, University of Naples Federico II, Naples, Italy, giuseppinaaffinito1992@gmail.com.
Vito SalernoRegional Healthcare Society (So.Re.Sa), Naples, Italy.
Massimo Di GennaroInnovation and Data Analytics, Regional Healthcare Society (So.Re.Sa), Naples, Italy.
Luca ScafaRegional Healthcare Society (So.Re.Sa), Naples, Italy.
Alessandro RussoRegional Healthcare Society (So.Re.Sa), Naples, Italy.
Maria Grazia FumoRegional Healthcare Society (So.Re.Sa), Naples, Italy.
Roberta GiordanaRegional Healthcare Society (So.Re.Sa), Naples, Italy.
Fabrizia FalcoDepartment of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy.
Flavio Della PiaDepartment of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy.
Angelica Di CeccaIRCCS Synlab SDN Spa, Naples, Italy.
Miriana MigliaccioIRCCS Synlab SDN Spa, Naples, Italy.
Ciro Rosario IlardiIRCCS Synlab SDN Spa, Naples, Italy.
Chiara CriscuoloNeurology Unit, Policlinico Federico II University Hospital, Naples, Italy.
Myriam SpistoDepartment of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.
Maria TriassiDepartment of Public Health, University of Naples Federico II, Naples, Italy.
Vincenzo Brescia MorraDepartment of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy.
Raffaele PalladinoDepartment of Public Health, University of Naples Federico II, Naples, Italy.
Elena SalvatoreCognitive Impairment and Neurorehabilitation Unit, Policlinico Federico II University Hospital, Naples, Italy.
Marcello MocciaNeurology Unit, Policlinico Federico II University Hospital, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aims of this study were to provide population-based estimates of prevalence and incidence of any dementia and Alzheimer's dementia (AD) in the Campania region (South Italy) and to validate towards a clinical registry.

methodsThis was a population-based study, using routinely collected healthcare data of individuals living in the Campania region (South Italy) from 2015 to 2020. We included individuals aged ≥65 years alive at the prevalence day (January 1, 2021) who had at least one administrative record for dementia and/or AD from 2015 to 2020. Age-and sex-standardised prevalence rates were calculated using direct standardisation method (European population in 2020 as the reference population). To estimate the incidence, we tested three possible algorithms, which differed for the duration of the time interval between study baseline (January 1, 2015) and index date (first record for dementia and/or AD in administrative databases). We employed a clinical database for the validation of our algorithms towards neuropsychological test results.

resultsAmong individuals aged over 65 years, 80,392 had dementia, of which 35,748 had AD. The age- and sex-standardised prevalence rates per 1,000 individuals for any dementia and AD were 77.64 (95% confidence interval [CI] = 77.57; 77.68) and 34.05 (95% CI = 34.01; 34.09), respectively. There were 82.10 incident cases of any dementia per 100,000 per year (0.79 sensitivity and 0.62 specificity) and 59.89 incident cases of AD per 100,000 per year (0.80 sensitivity and 0.59 specificity). The capture-recapture method showed a very low number of undetected cases (1.7% for any dementia and 3.0% for AD). Our algorithms showed acceptable performance with the area under the curve ranging from 0.59 to 0.72 and a double likelihood ratio of correctly identifying individuals above and below mini-mental status examination (MMSE) standard cut-offs (24 and 26).

conclusionsPrevalence and incidence of any dementia and AD in the Campania region (South Italy) from 2015 to 2020 are in line with previous estimates from other countries. Our algorithm, integrating administrative and clinical data, holds potential for assessing dementia's epidemiological burden, identifying risk factors, planning healthcare access, and developing prevention strategies.

Indexed as

DementiaAgedAged, 80 and overAlzheimer DiseaseFemaleHumansIncidenceItalyMalePrevalenceAlzheimerDementiaEpidemiologyIncidencePrevalence

Identifiers

PMID38657587
PMCPMC11633899

What OpenQuestion holds

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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.