Evidence map›Paper›PMID 39302373›Full record

ArticleJournal of Alzheimer's disease : JAD2024

Identifying Gaps and Barriers in Alzheimer's Disease and Related Dementia Research and Management in Low- and Middle-Income Countries: A Survey of Health Professionals and Researchers.

Ganesh M Babulal, Wenqing Zha, Jean-Francois Trani, Jorge Llibre Guerra, Boon Lead Tee, Yiqi Zhu, Yaohua Chen, Ling Chen, Michael Bubu, Sylvia Josephy-Hernandez and 5 more

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Scientific knowledge about dementia: From the Global South to the world.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  7. The landscape of dementia research, diagnosis, treatment, and care in Latin America.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  8. Review
  9. Article
  10. Article
  11. Capacity building in dementia research: insights from the World Young Leaders in Dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. 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

15 authors.

Ganesh M BabulalDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Wenqing ZhaDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Jean-Francois TraniInstitute of Public Health, Washington University, St. Louis, MO, USA.
Jorge Llibre GuerraDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Boon Lead TeeGlobal Brain Health Institute, University of California, San Francisco, CA, USA.
Yiqi ZhuSchool of Social Work, Adelphi University, Garden City, NY, USA.
Yaohua ChenDepartment of Geriatrics, Univ Lille, CHU Lille, Lille Neurosciences & Cognition, UMR-S1172, Degenerative and Vascular Cognitive Disorders, Lille, France.
Ling ChenDivision of Biostatistics, Washington University School of Medicine, St. Louis, MO, USA.
Michael BubuDepartments of Psychiatry, Neurology, and Population Health, NYU Grossman School of Medicine, New York, NY, USA.
Sylvia Josephy-HernandezDepartment of Neurology, Hospital México, Caja Costarricense de Seguro Social, San José, Torre A - Centro Corporativo Internacional, Barrio don Bosco, Costa Rica.
Stephen WanderaDepartment of Population Studies, School of Statistics and Planning, College of Business and Management Sciences, Makerere University, Kampala, Uganda.
Wambūi KaranjaAKU Brain & Mind Institute, Nairobi, Kenya.
Ratnavalli EllajosyulaCognitive Neurology Clinic, Manipal Hospital & Annasawmy Mudaliar Hospital, Bangalore, India.
Paulo CaramelliBehavioral and Cognitive Neurology Unit, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Diversity and Disparity Professional Interest Area, Low-and-Middle-Income Working Group

Funding

Using a Health Disparity Research Framework to examine mechanisms linking Obstructive Sleep Apnea with higher Alzheimer’s disease risk in older Blacks/African-AmericansR01AG082278 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI OMONIGHO A MICHAEL Bubu · 2023 to 2026
$6.9M
Naturalistic driving as a functional neurobehavioral marker of preclinical and symptomatic Alzheimer diseaseR01AG068183 · NIA · WASHINGTON UNIVERSITY · PI BABULAL, GANESH M · 2020 to 2024
$6.7M
Treatment of OSA on sleep-dependent memory and blood biomarkers in blacksRF1AG083975 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI OMONIGHO A MICHAEL Bubu, Korey Kam · 2023 to 2026
$4.2M
The impact of bilingualism on cognitive reserve/resilience using socio-demographically and linguistically diverse populationsR01AG080469 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Suvarna Alladi, Ganesh M Babulal · 2023 to 2026
$4.0M
The Impact of Depression and Preclinical Alzheimer Disease on Driving Among Older AdultsR01AG067428 · NIA · WASHINGTON UNIVERSITY · PI BABULAL, GANESH M · 2020 to 2024
$4.0M
Aging Research Characterizing Health Exposome via Social drivers (ARCHES)R01AG074302 · NIA · WASHINGTON UNIVERSITY · PI BABULAL, GANESH M · 2021 to 2025
$3.7M
The mediating role of Slow Wave Sleep and Vascular Risk Factors on Alzheimer Disease related disparity between African-Americans and non-Hispanic WhitesK23AG068534 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BUBU, OMONIGHO A MICHAEL · 2021 to 2025
$958k
NIA NIH HHS K23 AG068534NIA NIH HHS L30 AG064670NIA NIH HHS R01 AG067428NIA NIH HHS R01 AG068183NIA NIH HHS R01 AG074302NIA NIH HHS R01 AG080469NIA NIH HHS R01 AG082278NIA NIH HHS RF1 AG083975
6 · The paper itself

Abstract

Background: The significant increase in Alzheimer's disease and related dementia prevalence is a global health crisis, acutely impacting low- and lower-middle and upper-middle-income countries (LLMICs/UMICs). Objective: The objective of this study is to identify key barriers and gaps in dementia care and research in LLMICs and UMICs. Methods: We conducted an international, cross-sectional survey among clinicians and healthcare professionals (n = 249 in 34 countries) across LLMICs and UMICs, exploring patient demographics, use of clinical diagnosis, dementia evaluation, screening/evaluation tools, and care and treatment. Results: Significant disparities were found in diagnostic practices, access to assessments, and access to care. On average, clinicians in LLMICs saw more patients, had less time for evaluations, lower use of formal screening and tools, and less access to biomarkers. They were also under-resourced compared to UMICs. Conclusions: The findings provide insights for policymakers, healthcare organizations, and researchers to address the complex challenges associated with dementia care in diverse settings. Addressing these challenges requires a multipronged approach involving local, national, and international stakeholders.

Indexed as

Alzheimer DiseaseDementiaDeveloping CountriesHealth PersonnelBiomedical ResearchCross-Sectional StudiesFemaleHealth Services AccessibilityHumansMaleResearch PersonnelSurveys and QuestionnairesAlzheimer’s diseasedementiadisparitylow and middle-income countriesresourcesunderserved

Identifiers

PMID39302373
PMCPMC11934044

What OpenQuestion holds

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Read underepoch 390

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.