Evidence map›Paper›PMID 40189832›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Trends in the use of advance care planning and cognitive assessment and care planning service visits: moving toward a palliative-informed approach for ambulatory care of community-dwelling persons with dementia and their caregivers.

Jennifer B Seaman, Yurun Cai, Dianxu Ren

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 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. Documented follow-up to memory concerns reported at the Medicare Annual Wellness Visit.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  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

3 authors.

Jennifer B SeamanDepartment of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-2461-5590
Yurun CaiDepartment of Health and Community Systems, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Dianxu RenCenter for Research and Evaluation, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Funding

Nursing Health Services and Policy ResearchSchool of Nursing, University of Pittsburgh n/athe Aging and Gerontological Nursing Research Hubs
6 · The paper itself

Abstract

introductionBoth the advance care planning (ACP) visit and cognitive assessment and care planning service (CAACPS) visit offer palliative-oriented care for persons with Alzheimer's disease and related dementias (ADRD); however, the rate of ACP visits remains low, and little has been reported regarding CAACPS visits. Furthermore, few reports describe use of either visit among Medicare Advantage (MA) beneficiaries. This study describes provision of ACP and CAACPS visits to community-dwelling older adult MA beneficiaries with ADRD.

methodsUsing deidentified Optum Clinformatics Data Mart claims data, we evaluated ambulatory care visits for community-dwelling older adult MA beneficiaries with ADRD for the years 2018 to 2019.

resultsFor 2018 and 2019, 3.5% and 5.4% received ACP visits, and 0.4% and 0.5% received CAACPS visits, similar to use reported elsewhere. DISCUSSION: Few MA beneficiaries with ADRD received ACP or CAACPS visits, and the delivery of CAACPs visits is similar to that reported for non-MA beneficiaries. HIGHLIGHTS: Most persons with dementia are community-dwelling and disproportionately disadvantaged. Access to palliative care is limited for community-dwelling persons with dementia. CAACPS visits may address this gap. Our findings show the use of CAACPS visits is very low.

Indexed as

Advance Care PlanningAmbulatory CareCaregiversDementiaIndependent LivingPalliative CareAgedAged, 80 and overFemaleHumansMaleMedicare Part CUnited StatesAlzheimer's diseaseambulatory carecare settingdementiadisparitieshomepalliative care

Identifiers

PMID40189832
PMCPMC11973133

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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.