27,380 Alzheimer's and dementia studies in plain English, each scored out of 100.
A lower proportion of patients with cancer had palliative care initiated in the home (16 088 [14.5%]) compared with patients with chronic organ failure (6904 [32.8%]; absolute difference, -18.3%) or dementia (3922 [27.9%]; absolute difference, -13.4%). 5 key findings →
Design: cohort study Participants: 709 Evidence: moderate
Full summary, score breakdown and related studies → Original source
These findings highlight the potential benefits of palliative care in some non-cancer illnesses. 5 key findings →
Design: cohort study Participants: 6,936 Evidence: moderate
Full summary, score breakdown and related studies → Original source
During the study period, 82,118 patients with dementia (mean (SD) age, 83.04 (10.04), 51,170 (62.21%) female) underwent an acute hospitalization, of which 41,227 (50.27%) received care in hospitals that implemented a palliative care program. 4 key findings →
Design: cohort study Participants: 82,118 Evidence: moderate
Full summary, score breakdown and related studies → Original source
Of 4267 participants with probable dementia in HRS, the mean (SD) age was 82.2 (7.6) years, 2930 (survey-weighted 69.4%) were female, and 785 (survey-weighted 12.1%) identified as Black. 1 key finding →
Design: cohort study Participants: 2,404 Evidence: moderate
Full summary, score breakdown and related studies → Original source
Early specialist PC exposure reduced the risk of hospital-based acute care in the last 30 days of life for all chronic disease groups except dementia. 2 key findings →
Design: cohort study Participants: 169 Evidence: moderate
Full summary, score breakdown and related studies → Original source
A risk score based on 12 variables from the MDS estimates 6-month mortality for nursing home residents with advanced dementia with greater accuracy than existing prognostic guidelines. 5 key findings →
Design: cohort study Participants: 6,799 Evidence: moderate
Full summary, score breakdown and related studies → Original source
Surgical repair of a hip fracture was associated with lower mortality among NH residents with advanced dementia and should be considered together with the residents' goals of care in management decisions. 2 key findings →
Design: cohort study Participants: 2,441 Evidence: moderate
Full summary, score breakdown and related studies → Original source
ED attendance in the last year of life for people with dementia is common and is increasing. 2 key findings →
Design: cohort study Participants: 4,867 Evidence: moderate
Full summary, score breakdown and related studies → Original source
The final cohort included 27 243 nursing home residents with advanced dementia (19 363 [71.1%] women) who died between June 1, 2010, and March 31, 2015, at the median (interquartile range) age of 88 (83-92) years. 3 key findings →
Design: cohort study Participants: 27 Evidence: moderate
Full summary, score breakdown and related studies → Original source
Medicare beneficiaries with a diagnosis of dementia receiving postacute care in HH or SNF experienced similar rates of readmission and mortality across settings. 2 key findings →
Design: retrospective cohort Participants: 977,946 Evidence: moderate
Full summary, score breakdown and related studies → Original source
There is small but significant increase in access to specialist palliative care services in Western Australia, specifically in patients dying with non-cancer conditions. 5 key findings →
Design: cohort study Participants: 4,928 Evidence: moderate
Full summary, score breakdown and related studies → Original source
As outlined in the original cohort profile,1 The Irish Longitudinal Study on Ageing (TILDA) is a prospective cohort study designed to provide an evidence base for addressing the challenges and opportunities associated with population ageing in Ireland. 4 key findings →
Design: cohort study Participants: 2,525 Evidence: moderate
Full summary, score breakdown and related studies → Original source
Overall, uptake was lower among men than among women (odds ratio [OR] 0·91 [95% CI 0·88-0·94]; p<0·0001), and higher among older age groups (1·48 [1·42-1·54] among those aged 65-69 years vs those aged 55-59 years; p<0·0001), groups with less deprivation (1·89 [1·76-2·04] for the most vs the least deprived areas; p<0·0001), individuals of Asian ethnicity (1·14 [1·09-1·20] vs White ethnicity; p<0·0001), and individuals who were former smokers (1·89 [1·83-1·95] vs current smokers; p<0·0001). 2 key findings →
Design: cohort study Participants: 488 Evidence: moderate
Full summary, score breakdown and related studies → Original source
Further studies are needed to identify modifiable risk factors for FI detection and its symptom management in this patient population. 5 key findings →
Design: cohort study Participants: 4,314 Evidence: moderate
Full summary, score breakdown and related studies → Original source
Patients with dementia are significantly more likely to be disenrolled from hospice following a long enrollment period compared with patients without dementia. 5 key findings →
Design: cohort study Participants: 149,814 Evidence: moderate
Full summary, score breakdown and related studies → Original source
There were 1 561 940 patients, including 17 963 hospitalized for ruptured AAA, 304 980 for AMI, 1 181 648 for stroke, 19 675 for aortic dissection, and 37 674 for SAH. 3 key findings →
Design: cohort study Participants: 940 Evidence: moderate
Full summary, score breakdown and related studies → Original source
Policies regarding sustained hospice eligibility should account for the variable and protracted end-of-life trajectory of patients with dementia. 3 key findings →
Design: cohort study Participants: 2,629 Evidence: moderate
Full summary, score breakdown and related studies → Original source
The survival prediction model demonstrated moderate accuracy for predicting mortality at 6 and 12 months before death in elderly patients with dementia. 2 key findings →
Design: longitudinal study Participants: 37,289 Evidence: moderate
Full summary, score breakdown and related studies → Original source
Little is known about preferred place of death, or the factors associated with achieving this, for people with dementia. 5 key findings →
Design: cohort study Participants: 472 Evidence: moderate
Full summary, score breakdown and related studies → Original source
Younger family caregivers caring for clinically unstable patients with severe neuropsychiatric symptoms experienced greater burden without informal paid help. 3 key findings →
Design: cohort study Participants: 377 Evidence: moderate
Full summary, score breakdown and related studies → Original source
In 46 634 participants (51.7% female; mean [SD] age at death, 82.4 [9.0] years), SBPs and DBPs peaked 18 to 14 years before death and then decreased progressively. 2 key findings →
Design: retrospective cohort Participants: 634 Evidence: moderate
Full summary, score breakdown and related studies → Original source
A mortality risk score derived from MDS data predicted six-month survival in advanced dementia with moderate accuracy. 1 key finding →
Design: cohort study Participants: 22,405 Evidence: moderate
Full summary, score breakdown and related studies → Original source
Hospice enrollment correlates with reduced Medicare expenditures among younger decedents with cancer but increased expenditures among decedents without cancer and those older than 84 years of age. 2 key findings →
Design: retrospective cohort Participants: 245 Evidence: moderate
Full summary, score breakdown and related studies → Original source
NHs appear to provide less-aggressive end-of-life care to decedents with dementia than to those without. 4 key findings →
Design: longitudinal study Participants: 1,261,726 Evidence: moderate
Full summary, score breakdown and related studies → Original source
Extrapolating results to the US population, we estimate that annually nearly a million individuals who are likely eligible for hospice die without its services. 4 key findings →
Design: cohort study Participants: 1,209 Evidence: moderate
Full summary, score breakdown and related studies → Original source
Free full text links and the Full text may need a subscription label come from Unpaywall, Europe PMC and OpenAlex records of free copies, checked 10 Oct 2026. A study with neither is unknown, not paywalled. Show only studies that are free to read
This is alzhub's own score. It is not an official metric, not an impact factor, and no journal, publisher or ranking body endorses it. We built it so that a reader who is not a scientist can tell a landmark trial from a conference abstract without having to already know the difference. Every point comes from one of 20 components, all of them printed on the study itself, so you can disagree with our arithmetic rather than having to trust the total.
Journals are placed in ordered tiers, never given a numeric impact factor — we could not verify current impact factors from a source we control, and an invented one would be worse than none. Tier 1 is the top-tier general journals (NEJM, The Lancet, JAMA, Nature, Science, Nature Medicine); tier 2 is the leading specialty journals; tier 3 is every other peer-reviewed journal. A separate part scores how much the journal's own papers are cited, which tells the tier-3 journals apart.
Two rules we don't bend. First, we never fill in a missing value: if a record does not state a sample size or a design, that component scores zero, and if we simply have no data for a part, such as a citation count, that part is left out and the study is scored on the parts we could check. The study card says which. Second, anything that is not a peer-reviewed article is capped at 16/100 and carries a warning chip — so a conference abstract or a company press release can never outrank a peer-reviewed paper, no matter how good it looks.
We rank a rigorous null result — a good trial showing that something does not work — above an early positive finding. Someone deciding whether to buy a supplement is served by that, and the rigour is already counted by the design and journal components.
The score is computed from the published data alone and is reproducible: the same file always yields the same numbers.
See the whole rubric drawn out → — four charts covering all 27,380 studies: how the scores are spread and where the cap bites, which of the 20 components the library is strong and weak on, which subjects rest on stronger evidence, and what kinds of study each subject is actually built from.
This is a large sample of the Alzheimer's literature, not an exhaustive index of it. It holds 27,380 records, built mostly from automated pulls of Europe PMC (60.6% of the library) and OpenAlex (18.6%), plus smaller pulls from PubMed, Crossref and medRxiv. If a study, a drug, or a finding isn't here, that is not evidence it doesn't exist in the literature — it may simply not have been pulled in yet.
1,032 records (3.8% of the library) are not peer-reviewed — 962 of those are preprints posted before any journal review, and the rest are conference abstracts, regulatory notices and reports. Every study card on this page states its status plainly, and the score above is capped for anything that isn't a peer-reviewed article.
See the full, machine-readable breakdown of this library's coverage →