Evidence map›Paper›PMID 40044610›Full record

Trial reportAustralasian journal on ageing2025

Detection of cognitive impairment, dementia and associated risk factors among Aboriginal and Torres Strait Islander peoples: Retrospective baseline audit results from a stepped-wedge cluster-randomised controlled trial.

Kate Bradley, Jo-Anne Hughson, Zoë Hyde, David Atkinson, Sarah Russell, Rachel Quigley, Dawn Bessarab, Leon Flicker, Kylie Radford, Kate Smith and 14 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Australasian journal on ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

24 authors.

Kate BradleyThe University of Melbourne, Faculty of Medicine, Dentistry and Health Sciences, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Jo-Anne HughsonThe University of Melbourne, Faculty of Medicine, Dentistry and Health Sciences, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Zoë HydeWestern Australian Centre for Health and Ageing, Medical School, University of Western Australia, Perth, Western Australia, Australia.ORCID https://orcid.org/0000-0002-5985-1729
David AtkinsonRural Clinical School of Western Australia, The University of Western Australia, Broome, Western Australia, Australia.
Sarah RussellCollege of Medicine & Dentistry, James Cook University, Cairns, Queensland, Australia.ORCID https://orcid.org/0000-0003-2845-5990
Rachel QuigleyCollege of Medicine & Dentistry, James Cook University, Cairns, Queensland, Australia.ORCID https://orcid.org/0000-0002-9943-9384
Dawn BessarabCentre for Aboriginal Medical and Dental Health, Medical School, University of Western Australia, Perth, Western Australia, Australia.
Leon FlickerWestern Australian Centre for Health and Ageing, Medical School, University of Western Australia, Perth, Western Australia, Australia.ORCID https://orcid.org/0000-0002-3650-0475
Kylie RadfordNeuroscience Research Australia, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0001-8095-5314
Kate SmithCentre for Aboriginal Medical and Dental Health, Medical School, University of Western Australia, Perth, Western Australia, Australia.ORCID https://orcid.org/0000-0003-4077-1996
Edward StrivensCollege of Medicine & Dentistry, James Cook University, Cairns, Queensland, Australia.
Sandra ThompsonWestern Australian Centre for Rural Health, The University of Western Australia, Geraldton, Western Australia, Australia.
Irene BlackberryJohn Richards Centre for Rural Ageing Research, La Trobe University, Wodonga, Victoria, Australia.
Mary BelfrageThe University of Melbourne, Faculty of Medicine, Dentistry and Health Sciences, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Robyn SmithThe University of Melbourne, Faculty of Medicine, Dentistry and Health Sciences, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Roslyn MalayWestern Australian Centre for Health and Ageing, Medical School, University of Western Australia, Perth, Western Australia, Australia.
Belinda DuckerNeuroscience Research Australia, Sydney, New South Wales, Australia.
Kylie SullivanNeuroscience Research Australia, Sydney, New South Wales, Australia.
Wendy AllanNeuroscience Research Australia, Sydney, New South Wales, Australia.
Bonnie GilesJohn Richards Centre for Rural Ageing Research, La Trobe University, Wodonga, Victoria, Australia.
Tina HumphryDerbarl Yerrigan Health Service, Perth, Western Australia, Australia.
Louise M LavrencicNeuroscience Research Australia, Sydney, New South Wales, Australia.
Dimity PondBerowra Family Medical Practice, Sydney, New South Wales, Australia.
Dina LoGiudiceThe University of Melbourne, Faculty of Medicine, Dentistry and Health Sciences, Royal Melbourne Hospital, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-0391-3898

Funding

National Health and Medical Research Council 1137425National Health and Medical Research Council 1150337
6 · The paper itself

Abstract

objectiveAboriginal and Torres Strait Islander peoples experience high rates of dementia, cognitive impairment not dementia (CIND) and associated risk factors. The objective of this paper is to outline baseline audit results of documented dementia, CIND and associated risk factors in patients attending Aboriginal Community-Controlled Health Organisations (ACCHOs).

methodsTwelve ACCHOs in urban, regional and remote locations across Queensland, New South Wales, Victoria and Western Australia participated in the study. A specialised audit tool identified documented CIND, dementia and risk factors. Medical record audits of 1655 clients aged 50 years or older for the period from 1 September 2016 to 31 January 2019 were completed.

resultsThe mean age of patients was 60.3 ± 8.2 years, and 57% were female. The overall prevalence of documented CIND or dementia was low, noted for only 67 (4%) patients. The prevalence of risk factors was high, with over two thirds (71%, n = 1168) of the cohort having ≥4 risk factors associated with dementia and CIND. These included high rates of hypertension (56%), diabetes (45%), dyslipidaemia (48%), obesity (40%) and current smoking (42%).

conclusionsThere was a low detection of CIND and dementia accompanied by a high prevalence of associated risk factors in this primary health-care setting. These findings highlight the need to improve dementia and CIND detection in Aboriginal and Torres Strait Islander patient groups across varied geographical settings. The findings also provide insights into risk factor prevalence to inform management strategies. Responsive models of cognitive care that are culturally appropriate and co-designed with ACCHOs are required to address this need.

Indexed as

Australian Aboriginal and Torres Strait Islander PeoplesCognitive DysfunctionDementiaAgedAustraliaCognitionFemaleHealth Services, IndigenousHumansMaleMedical AuditMiddle AgedPrevalenceRetrospective StudiesRisk FactorsageingAustralian Aboriginal and Torres Strait Islander peoplesdementiarisk factors

Identifiers

PMID40044610
PMCPMC11882482

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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.