The crude incidence rate was 16 (CI: 13-20) cases per 1,000 person-years (pyr) with 17 (CI: 12-21) per 1,000 pyr for females and 14 (CI: 9-21) per 1,000 pyr for males. 5 key findings →
Design: meta-analysis
Participants: 748
Evidence: high
Full summary, score breakdown and related studies →
Original source
EQ-5D utility scores averaged 0·03 (95% CI 0·01-0·05; p=0·0002) better with levodopa than with levodopa-sparing therapy; rates of dementia (hazard ratio [HR] 0·81, 95% CI 0·61-1·08, p=0·14), admissions to institutions (0·86, 0·63-1·18; p=0·4), and death (0·85, 0·69-1·06, p=0·17) were not significantly different, but the upper CIs precluded any substantial increase with levodopa compared with levodopa-sparing therapy. 179 (28%) of 632 patients allocated dopamine agonists and 104 (23%) of 460 patients allocated MAOBI discontinued allocated treatment because of side-effects compared with 11 (2%) of 528 patients allocated levodopa (p<0·0001). 2 key findings →
Design: randomized controlled trial
Participants: 1,620
Evidence: high
Full summary, score breakdown and related studies →
Original source
Contemporary healthcare policies are designed to shape the conditions that can help delay the institutionalization of patients with dementia. 4 key findings →
Design: systematic review
Participants: 9,043
Evidence: high
Full summary, score breakdown and related studies →
Original source
Letters16 October 2007Adjusted-Dose Warfarin versus Aspirin for Preventing Stroke in Patients with Atrial FibrillationRobert G. The study's important results indicate that the relative efficacy and safety of warfarin for stroke prevention can be extended to very elderly patients who are managed by nonspecialists. 5 key findings →
Design: randomized controlled trial
Participants: 973
Evidence: high
Full summary, score breakdown and related studies →
Original source
Twelve of 5536 studies met the inclusion criteria. 5 key findings →
Design: systematic review
Evidence: high
Full summary, score breakdown and related studies →
Original source
Among Medicare beneficiaries with dementia who visited an ED, there was no evidence that hospital admission was associated with mortality rates. 5 key findings →
Design: cohort
Participants: 872,085
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
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74/100
✓ Peer-reviewed
alzhub usefulness score 74 out of 100.
·
BMJ global health
·
2022-04-01
The estimated costs of dementia in LMICs are lower than in high-income countries. 3 key findings →
Design: systematic review
Evidence: high
Full summary, score breakdown and related studies →
Original source
ACP billing codes from 6 months before to 6 months after admission for inpatient surgery. 5 key findings →
Design: cohort study
Participants: 289,428
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Dementia was diagnosed at a mean of 5.1 ± 3.4 years post-KTx. 5 key findings →
Design: cohort study
Participants: 3,285
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Our findings demonstrate that 10-year CP exposure was associated with a 1.707-fold increase in the risk of developing AD. 5 key findings →
Design: cohort study
Participants: 9,291
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
71/100
✓ Peer-reviewed
alzhub usefulness score 71 out of 100.
·
JAMA Network Open
·
2024-07-01
Participants receiving CDCM showed significantly fewer behavioral and psychological symptoms (adjusted mean difference [AMD] in NPI score, -10.26 [95% CI, -16.95 to -3.58]; P = .003; Cohen d, -0.78 [95% CI, -1.09 to -0.46]), better mental health (AMD in SF-12 Mental Component Summary score, 2.26 [95% CI, 0.31-4.21]; P = .02; Cohen d, 0.26 [95% CI, -0.11 to 0.51]), and lower caregiver burden (AMD in BIZA-D score, -0.59 [95% CI, -0.81 to -0.37]; P Conclusions and relevance In this secondary analysis of a cluster randomized clinical trial, CDCM was associated with improved patient, caregiver, and health system-relevant outcomes over 36 months beyond the intervention period. 3 key findings →
Design: RCT
Participants: 428
Evidence: high
Full summary, score breakdown and related studies →
Original source
Free full text
71/100
✓ Peer-reviewed
alzhub usefulness score 71 out of 100.
·
PloS one
·
2013-10-24
SA may be a gender-dependent, age-dependent, and time-dependent risk factor for dementia. 2 key findings →
Design: cohort study
Participants: 1,414
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
LASI is India’s first ageing study and the world’s largest in terms of sample size, and will provide comprehensive longitudinal data for designing policies and programmes targeted toward the overall well-being of the older population. 3 key findings →
Design: longitudinal study
Participants: 250
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Cognitive stimulation therapy for people with dementia has effectiveness advantages over, and may be more cost-effective than, treatment as usual. 1 key finding →
Design: randomized controlled trial
Participants: 91
Evidence: high
Full summary, score breakdown and related studies →
Original source
Residents enrolled in managed care (n = 133) were more likely to have do-not-hospitalize orders compared with those in traditional Medicare fee for service (n = 158) (63.7% vs 50.9%; adjusted odds ratio, 1.9; 95% CI, 1.1-3.4), were less likely to be transferred to the hospital for acute illness (3.8% vs 15.7%; adjusted odds ratio, 0.2; 95% CI, 0.1-0.5), had more primary care visits per 90 days (mean [SD], 4.8 [2.6] vs 4.2 [5.0]; adjusted rate ratio, 1.3; 95% CI, 1.1-1.6), and had more nurse practitioner visits (3.0 [2.1] vs 0.8 [2.6]; adjusted rate ratio, 3.0; 95% CI, 2.2-4.1). 3 key findings →
Design: cohort study
Participants: 133
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
A total of 38 064 older Medicare beneficiaries experienced a TBI. 5 key findings →
Design: cohort study
Participants: 38
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Our sample included 3,361,950 Medicare enrollees with ADRD (2,156,995 women [64%]; mean [SD] age, 83 [8.0] years; 2,646,405 white [78%], 344,478 black [10%], 224,010 Hispanic [7%]). 5 key findings →
Design: cohort study
Participants: 3,361,950
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Epidemiological evidence reveals that patients with type 2 diabetes mellitus (T2DM) have an increased risk of neurodegenerative diseases (NDs), including dementia and Parkinson's disease (PD). 3 key findings →
Design: cohort study
Participants: 4,651
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Between April 30, 2020, and May 9, 2022, we randomly allocated 204 participants (109 [53%] women and 95 [47%] men) to the intervention group and 98 (60 [61%] women and 38 [39%] men) to the control group. 218 (72%) participants at 6 months and 178 (59%) at 12 months provided cost data. 2 key findings →
Design: RCT
Participants: 302
Evidence: high
Full summary, score breakdown and related studies →
Original source
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Despite the growth in Medicare managed care enrollment, only 9 papers report the costs of care for individuals with ADRD within these plans, and only 1 study reports data less than 10 years old. 5 key findings →
Design: systematic review
Evidence: high
Full summary, score breakdown and related studies →
Original source
Our sample included 1001 participating and 3873 matched control SNFs. 5 key findings →
Design: cohort study
Participants: 1,001
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
The findings of this study suggest an increased risk of dementia among individuals with TBI. 3 key findings →
Design: cohort study
Participants: 44,925
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Using a nationally representative survey of older Americans with in-home cognitive testing, researchers estimated that dementia cost the US between $157 billion and $215 billion in 2010, depending on how unpaid family caregiving time is valued. 4 key findings →
Design: cohort
Participants: 856
Evidence: high
Full summary, score breakdown and related studies →
Original source
This study followed a national sample of Medicare beneficiaries who died and compared total health and long-term care spending in their final five years of life. 4 key findings →
Design: cohort
Participants: 1,702
Evidence: high
Full summary, score breakdown and related studies →
Original source
66/100
✓ Peer-reviewed
alzhub usefulness score 66 out of 100.
·
JAMA network open
·
2024-10-01
The sample included 1 626 127 Medicare beneficiaries (mean [SD] age, 80.1 [8.0] years; 922 194 women [56.7%]) who received diagnoses of the 4 conditions in 2016. 5 key findings →
Design: cohort study
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
How the 0–100 score works — and why some entries are capped
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.
- Journal tier up to 10 pts
- Journal's citation record up to 4 pts
- Study design up to 12 pts
- Strength of evidence up to 5 pts
- Peer-review validation up to 10 pts
- How recent up to 5 pts
- Sample size up to 4 pts
- Effect reported up to 3 pts
- Studied in people up to 3 pts
- Randomised / blinded up to 2 pts
- Times cited up to 7 pts
- Citations per year up to 5 pts
- Impact for its field and year up to 6 pts
- Cited by studies here up to 6 pts
- Still being cited up to 4 pts
- Senior author's track record up to 4 pts
- Institution's track record up to 3 pts
- Multi-centre collaboration up to 3 pts
- Indexed in PubMed up to 2 pts
- Free to read up to 2 pts
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 30,980 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.