Evidence map›Paper›PMID 41225397›Full record

ArticleBMC public health2025

Epidemiological evolution and healthcare services utilization in elderly dementia patients of Catalonia.

Eva M Melendo-Azuela, Albert Lladó, Emili Vela, Sonia Mariscal, Montserrat Cleries, Gerard Piñol-Ripoll, Sebastià J Santaeugènia

Abstract read
In one paragraph

Article in BMC public health, 2025. 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

7 authors.

Eva M Melendo-Azuela *Intermediate Care Program, Department of Health, Generalitat de Catalunya, Barcelona, Spain.
Albert Lladó *Alzheimer's Disease and Other Cognitive Disorders Unit, Neurology Service, Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain.
Emili VelaÀrea de Sistemes d'Informació, Servei Català de la Salut, Barcelona, Spain.
Sonia MariscalIntermediate Care Program, Department of Health, Generalitat de Catalunya, Barcelona, Spain.
Montserrat CleriesÀrea de Sistemes d'Informació, Servei Català de la Salut, Barcelona, Spain.
Gerard Piñol-RipollUnitat Trastorns Cognitius, Cognition and Behavior Study Group, Hospital Universitari Santa Maria, IRB Lleida, UDL, Lleida, Spain. gerard_437302@hotmail.com.
Sebastià J SantaeugèniaIntermediate Care Program, Department of Health, Generalitat de Catalunya, Barcelona, Spain.

Funding

PERIS 2019 SLT008/18/00050PERIS 2019 SLT008/18/00061
6 · The paper itself

Abstract

backgroundAssessing the dynamics and burden of dementia is necessary to improve healthcare plans. This study aimed to describe the epidemiology and characteristics of dementia diagnoses in Catalonia (North-East of Spain) and evaluate healthcare services utilization and associated expenditures in people with dementia compared with people without.

methodsRetrospective study including all the dementia population (2013–2020) using data from an administrative database, the Catalan Health Surveillance System, covering a 7.5–7.7-million population. Data included demographic, clinical, healthcare services utilization, and morbidity-associated risk variables, and was analyzed according to dementia type, including Alzheimer’s disease (AD), vascular dementia (VD), frontotemporal dementia (FTD), dementia with Lewy bodies (LBD), and unspecified dementia (UD). We compared comorbidities and morbidity-associated risk, healthcare services utilization and associated expenditures, and mortality rates between people with dementia and the population without dementia adjusted for age, sex, and income level.

resultsDuring the study period, dementia prevalence remained stable, and incidence modestly decreased. AD and VD incidence rates decreased, whereas UD modestly increased, being the highest in 2019. Patients with dementia had a higher prevalence of comorbidities, morbidity-associated risk, healthcare services utilization, specially admissions in nursing homes and intermediate care, healthcare-associated expenditures, and mortality than people without dementia adjusted by age, sex, and income level in 2019. An expenditure €1311.7 per person per year was attributable to dementia, representing an increase of 44.1% of total healthcare costs. Compared to other dementia types, AD and VD had increased admissions, and VD had the highest expenditures. The use of antidepressants and benzodiazepines progressively decreased.

conclusionsUsing a population dataset, this study showed that dementia is associated with a high burden and healthcare needs, providing useful information to design improved healthcare plans.

Indexed as

DementiaPatient Acceptance of Health CareAgedAged, 80 and overComorbidityFemaleHealth ExpendituresHumansIncidenceMalePrevalenceRetrospective StudiesSpainCognitive impairmentDementiaDementia expendituresEpidemiologyHealthcare services utilizationIncidenceMortalityPrevalence

Identifiers

PMID41225397
PMCPMC12613386

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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.