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Every row of the evidence table
One row per finding: what was tested, which way the result went, and how the study was built. The answer by area, and where the studies disagree, are on the main page.
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Showing 9 of 382 rows. One row per study per exposure: a study that tested two different things appears twice, once for each.
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| Exposure | Question | Direction | Outcome measured | Design | People | Effect size, as the source reported it | Source |
|---|---|---|---|---|---|---|---|
| Blood biomarker test (p-tau217 / amyloid ratio) Care, carers and services | Treatment |
No effect
whyDirection is for the blood test's ability to detect treatment-related amyloid clearance on PET: AUC 0.61, which the authors call suboptimal and not currently usable for that purpose. It says nothing about the drug's effect. |
Detection of PET-confirmed amyloid clearance after donanemab (AUC at 52 weeks) | phase 3 trial | 830 | Plasma p-tau217 showed suboptimal performance in detecting TRAC by PET in donanemab-treated participants (N = 830), with an area under the ROC curve of 0.61 at 52 weeks |
Alzheimer's & Dementia
2026 ✓ Peer-reviewed PMID 42565262 |
| Caregiving itself (exposure to the carer) Care, carers and services | Treatment |
No effect
whyNo significant difference in 5-year cumulative spending between spouses of people with and without dementia ($3,974, 95% CI -$3,199 to $11,477); year-5 spending was higher (+$2,748), driven by inpatient costs. |
Spouse's cumulative Medicare expenditures in the 5 years after the partner's dementia onset | cohort study | not stated | This difference ($3974, 95% CI = [-$3,199; $11,477]) was not significant. However, there were significant differences in the 5th year's total expenditures (+$2,748 [$321; $5,447]), driven by inpatient expenditures ($1,562 [$22; $3,277]) |
Journal of the American Geriatrics Society
2024 ✓ Peer-reviewed PMID 38975882 |
| Carer psychosocial / skills intervention Care, carers and services | Treatment |
No effect
whyNo difference from waitlist control on the primary burden outcome or on mood, WHOQOL-Bref or productivity; only the CarerQoL-VAS quality-of-life score was higher in the intervention group. The trial recruited 93 of a 194 target. |
Carer burden on the Zarit Burden Interview at 6 and 12 weeks (primary); mood, quality of life, productivity | randomised trial | 93 | No statistically significant differences were observed between the intervention and control groups on the ZBI, CES-D, WHOQOL-Bref and WPAI:CG ... A statistically significantly higher mean CarerQoL-VAS score was found for the intervention group (mean difference = 0.75, 95% CL: 0.25 to 1.24, P = .003) over 6- and 12-weeks, compared to the control |
Age and ageing
2026 ✓ Peer-reviewed PMID 41719424 |
| Carer psychosocial / skills intervention Care, carers and services | Treatment |
No effect
whyBurden fell in both arms with no significant difference between the two platforms. There was no untreated control, so the within-arm improvement cannot be separated from time or attention. |
Caregiver burden at 6 months | randomised trial | 240 | Burden: GamePlan4Care effect size 0.50 (p<0.001); Resources4Care effect size 0.23 (p=0.030). Social support GP4C ES 0.21 (p=0.035); distress GP4C ES 0.30 (p=0.010) |
Alzheimer's & Dementia
2025 ✓ Peer-reviewed PMID 41085219 |
| Dementia care management / navigation Care, carers and services | Treatment |
No effect
whyNo difference between health-system care, community-based care or usual care on either primary outcome. Caregiver self-efficacy did improve in both active arms. |
NPI-Q behavioural symptoms and caregiver strain (co-primary) | randomised trial | 2,176 | NPI-Q difference health-system vs community 0.30 (97.5% CI -0.18 to 0.78); caregiver self-efficacy vs usual care +0.70 (health system) and +0.85 (community), both significant |
JAMA
2025 ✓ Peer-reviewed PMID 39878968 |
| Dementia screening / case finding Care, carers and services | Treatment |
No effect
whyNo benefit and no harm: screening did not change family-member quality of life, preparedness or self-efficacy, and did not raise depression or anxiety. Only 5.1% screened positive. |
Family-member quality of life (SF-36) at 24 months | randomised trial | 1,808 | 24-month SF-36 mental component difference 0.58 (95% CI -0.18 to 1.33), not significant |
JAMA Internal Medicine
2026 ✓ Peer-reviewed PMID 42008257 |
| Health-system and payment model Care, carers and services | Treatment |
No effect
whyDifference-in-differences around ACO entry found no change in end-of-life care processes, outcomes or spending. |
Hospice use and end-of-life spending | cohort study | 162,034 | Hospice use difference -0.4 percentage points (95% CI -1.4 to 0.5); last-6-months spending -$632 (95% CI -$1,377 to $113) |
JAMA Health Forum
2025 ✓ Peer-reviewed PMID 40343716 |
| Palliative / advance care planning Care, carers and services | Treatment |
No effect
whyThe primary outcome did not improve. Emergency department visits and hospitalisations were lower (RR 0.45, 95% CI 0.31-0.65), which is a secondary outcome. |
NPI-Q neuropsychiatric symptom severity at 24 months (primary) | randomised trial | 201 | ED visits + hospitalisations: RR 0.45 (95% CI 0.31-0.65); NPI-Q severity difference -0.24 (95% CI -2.33 to 1.84, not significant) |
JAMA
2025 ✓ Peer-reviewed PMID 39878993 |
| Respite care Care, carers and services | Treatment |
No effect
whyThree trials comparing respite with no respite found no significant benefit on any carer outcome; the four included trials were too different to pool. |
Carer burden and institutionalisation | systematic review | 753 | No significant benefit found on any caregiver outcome |
Cochrane Database of Systematic Reviews
2014 ✓ Peer-reviewed PMID 24435941 |