Evidence map›Paper›PMID 42473950›Full record

SynthesisAlzheimer's & dementia : the journal of the Alzheimer's Association2026

The effect of psychosocial and healthcare interventions on reducing hospitalization in people with dementia: an umbrella review.

Connie Howard, Alba Fernández-Sanlés, Nawal Abukar, Daniel Davis, Claire Goodman, Sanjiv Gupta, Melanie Handley, Naaheed Mukadam, Carol Riddington, Kate Walters and 2 more

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

12 authors.

Connie HowardDivision of Psychiatry, University College London, London, UK.
Alba Fernández-SanlésDivision of Psychiatry, University College London, London, UK.
Nawal AbukarDivision of Psychiatry, University College London, London, UK.
Daniel DavisInstitute of Health Informatics, University College London, London, UK.
Claire GoodmanCentre for Research in Public Health & Community Care (CRIPACC), University of Hertfordshire, Hatfield, UK.
Sanjiv GuptaDivision of Psychiatry, University College London, London, UK.
Melanie HandleyCentre for Research in Public Health & Community Care (CRIPACC), University of Hertfordshire, Hatfield, UK.
Naaheed MukadamDivision of Psychiatry, University College London, London, UK.
Carol RiddingtonDivision of Psychiatry, University College London, London, UK.
Kate WaltersCentre for Ageing Population Studies, University College London, London, UK.
Gill LivingstonDivision of Psychiatry, University College London, London, UK.
Andrew SommerladDivision of Psychiatry, University College London, London, UK.ORCID https://orcid.org/0000-0002-8895-7055

Funding

Philanthropic donation from Mr. Laurence Geller CBE
6 · The paper itself

Abstract

People with dementia are at increased risk of hospitalization compared to individuals without dementia, yet the efficacy of psychosocial and healthcare interventions in reducing hospitalization is unclear. We conducted an umbrella review examining the effects of psychosocial and healthcare interventions compared to controls on reducing hospitalization in people with dementia. We included 25 systematic reviews comprising 77 unique studies totaling 1,483,077 participants. There was high-certainty evidence that case management and exercise programs had no effect on reducing hospitalization, low-certainty evidence that advance care planning reduced hospital admissions, and moderate-certainty evidence that clinical pharmacists in multidisciplinary teams (MDTs) reduced medication-related hospital re-admissions. The evidence for psychosocial and healthcare interventions in reducing hospitalization in dementia is insufficient to make strong positive recommendations, but there are indications that advance care planning and clinical pharmacists in MDTs may be beneficial. High-quality randomized controlled trials are required to establish more confident clinical recommendations.

Indexed as

DementiaHospitalizationHumansdementiaemergency departmenthealthcare usehospitalizationpsychosocial interventions

Identifiers

PMID42473950
PMCPMC13383009

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.