Evidence map›Paper›PMID 41612821›Full record

ArticleGeriatrics & gerontology international2026

Correlation Between the Dementia Assessment Sheet for Community-Based Integrated Care System-21 Scores and Criteria for Determination of the Daily Life Independence Level of Older Adults With Dementia Using the Diagnosis Procedure Combination Database.

Takuaki Tani, Yoshitomo Shimazaki, Shinobu Imai

Abstract readValidation Study
In one paragraph

Article in Geriatrics & gerontology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

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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

2 citing papers in PubMed.

  1. Article
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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.

Takuaki TaniDepartment of Pharmacoepidemiology, Showa Medical University Graduate School of Pharmacy, Tokyo, Japan.ORCID https://orcid.org/0000-0002-0798-524X
Yoshitomo ShimazakiDepartment of Pharmacoepidemiology, Showa Medical University Graduate School of Pharmacy, Tokyo, Japan.
Shinobu ImaiDepartment of Pharmacoepidemiology, Showa Medical University Graduate School of Pharmacy, Tokyo, Japan.

Funding

Mitsui Sumitomo Insurance Welfare Foundation Research, Grant 2023
6 · The paper itself

Abstract

aimThis study aimed to assess the validity of the criteria for determination of the daily life independence level of older adults with dementia (CDED) in the diagnosis procedure combination (DPC) database, compared with the dementia assessment sheet for community-based integrated care system (DASC-21), to promote the use of CDED in DPC data for clinical and policy research on in-patients.

methodsA validation study was conducted using a DPC database and medical records. Data from patients aged ≥ 65 years hospitalized at Tokyo Metropolitan Geriatric Hospital and the Institute of Gerontology were extracted. The CDED scores range across five levels of dementia severity, and their validity was confirmed using the DASC-21 as a reference standard. The association between both scales was assessed using descriptive statistics and a generalized linear model.

resultsData from 9401 patients were analyzed. As CDED scores increased, age, Charlson Comorbidity Index, and frailty risk increased, while activities of daily living scores decreased. Additionally, higher CDED scores were associated with higher mean DASC-21 scores, indicating worsening cognitive and functional status. A generalized linear regression model with a Gaussian link function showed that DASC-21 scores significantly increased with higher CDED scores (CDED 1: 1.19, CDED 2: 1.48, CDED 3: 1.64, CDED 4: 1.84, and CDED M: 1.80; p < 0.001).

conclusionsThe CDED reliably assessed dementia severity and showed a strong association with the DASC-21, reflecting dementia progression. It is useful for patient assessment and policy research on dementia.

Indexed as

Activities of Daily LivingDelivery of Health Care, IntegratedDementiaGeriatric AssessmentAgedAged, 80 and overDatabases, FactualFemaleHumansMaleSeverity of Illness Indexcriteria for determining the daily life independence level of older adults with dementiadementiadementia assessment sheet for community‐based integrated care systemdiagnosis procedure combinationhospital

Identifiers

PMID41612821
PMCPMC12856388

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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.