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Association of the Area Deprivation Index With Dementia Basic Workup and Diagnosis in Central and Western Virginia
Anelyssa D’Abreu, Azziza Bankole, Jaideep Kapur, Carol A. Manning, Pavel Chernyavskiy. Neurology Clinical Practice, 2024-06-10
Topic: Risk, prevention and care in population studies
The study included 13,431 individuals diagnosed with dementia at UVA (n = 7,152) and Carillion Clinic (n = 6,279). Of those, 32.5% and 20.4% received "disease-specific" diagnoses at UVA and Carillion Clinic and 8.2% and 20.4% underwent "adequate" workup, respectively. The adjusted relationship between census tract ADI and the likelihood of a disease-specific diagnosis was U-shaped: Residence in moderately disadvantaged areas was associated with the lowest likelihood of disease-specific diagnosis. Most patients diagnosed with dementia did not receive an adequate evaluation or an etiologic diagnosis. Those living in locations just above the national median ADI levels had the lowest likelihood of receiving an etiologic diagnosis, lower than those in the least and most deprived areas. Renewed awareness efforts among providers are needed to increase compliance with diagnostic guidelines.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
D’Abreu, A., Bankole, A., Kapur, J., Manning, C. A., & Chernyavskiy, P. (2024). Association of the Area Deprivation Index With Dementia Basic Workup and Diagnosis in Central and Western Virginia. Neurology Clinical Practice. https://doi.org/10.1212/cpj.0000000000200323
Vancouver
D’Abreu A, Bankole A, Kapur J, Manning CA, Chernyavskiy P. Association of the Area Deprivation Index With Dementia Basic Workup and Diagnosis in Central and Western Virginia. Neurology Clinical Practice. 2024. doi:10.1212/cpj.0000000000200323. PMID: 38919929.
BibTeX
@article{dabreu2024-38919929,
author = {D’Abreu, Anelyssa and Bankole, Azziza and Kapur, Jaideep and Manning, Carol A. and Chernyavskiy, Pavel},
title = {{Association of the Area Deprivation Index With Dementia Basic Workup and Diagnosis in Central and Western Virginia}},
journal = {Neurology Clinical Practice},
year = {2024},
doi = {10.1212/cpj.0000000000200323},
pmid = {38919929},
url = {https://doi.org/10.1212/cpj.0000000000200323}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- The study included 13,431 individuals diagnosed with dementia at UVA (n = 7,152) and Carillion Clinic (n = 6,279).
- Of those, 32.5% and 20.4% received "disease-specific" diagnoses at UVA and Carillion Clinic and 8.2% and 20.4% underwent "adequate" workup, respectively.
- The adjusted relationship between census tract ADI and the likelihood of a disease-specific diagnosis was U-shaped: Residence in moderately disadvantaged areas was associated with the lowest likelihood of disease-specific diagnosis.
- Most patients diagnosed with dementia did not receive an adequate evaluation or an etiologic diagnosis.
- Those living in locations just above the national median ADI levels had the lowest likelihood of receiving an etiologic diagnosis, lower than those in the least and most deprived areas.
Why it matters
This study found that most patients diagnosed with dementia did not receive an adequate evaluation or a specific diagnosis, and that the likelihood of a specific diagnosis varied with neighborhood deprivation in a U-shaped pattern. It is about diagnostic practices, not about treating, curing, or preventing Alzheimer's disease.
New to this subject? Start with our plain-English guide: Risk factors, ranked →
Study details
- Participants7,152
- Effect size32.5%; 20.4%; 8.2%
- Evidence strengthLow
How this study scored 40/100
Published in a peer-reviewed journal. Scored zero for study design and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Neurology Clinical Practice) |
| Journal's citation record | 0 / 4 | Neurology Clinical Practice: journal h-index 60 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2024 — within 3 year(s) of the newest study here |
| Sample size | 3 / 4 | 7,152 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 2 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.5 citations a year over 4 year(s) since 2024 |
| Impact for its field and year | 1 / 6 | Cited 0.5× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 2 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Pavel Chernyavskiy: h-index 20 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | University of Virginia: institution h-index 1,118 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 38919929) |
| Free to read | 2 / 2 | Free to read |
| Total | 40 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1212/cpj.0000000000200323
- PubMed: 38919929
- Original source →
- Free full text: PubMed Central →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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