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60/100

✓ Peer-reviewed alzhub usefulness score 60 out of 100. Risk factors

Topic: Risk, prevention and care in population studies

A total of 844 eligible individuals were consecutively approached, 294 consented to participate, and 204 completed the study (mean [SD] age, 70.0 [5.1] years; 127 women [62.3%]). One hundred eight participants (52.9%) were African American, 5 (2.5%) were Hispanic, 199 (97.5%) were not Hispanic, and 90 (44.1%) were White. The mean (SD) duration of education was 13.1 (2.6) years, and the mean (SD) Area Deprivation Index score was 78.3 (19.9), indicating a high level of neighborhood disadvantage. In total, 127 patients (62.3%) met the diagnostic criteria for MCI, 25 (12.3%) had dementia, and 52 (25.5%) had no cognitive impairment. Compared with non-Hispanic White individuals and after adjusting for age, sex, and education level, African American individuals were more than twice as likely to have MCI or dementia (odds ratio, 2.73; 95% CI, 1.38-5.53; P = .02). Conclusions and Relevance: This cross-sectional study found that unrecognized cognitive impairment is ubiquitous among older adults from underrepresented, minoritized racial and ethnic groups and those who are socially vulnerable receiving primary care from FQHCs. To overcome the disparity in early detection of cognitive impairment, timely, equitable, scalable, and sustainable detection approaches need to be developed.

Cite this study APA, Vancouver, BibTeX · download .bib or .ris

APA 7th

Kulshreshtha, A., Parker, E. S., Fowler, N. R., Summanwar, D., Miled, Z. B., Owora, A. H., et al. (2024). Prevalence of Unrecognized Cognitive Impairment in Federally Qualified Health Centers. JAMA Network Open. https://doi.org/10.1001/jamanetworkopen.2024.40411

Vancouver

Kulshreshtha A, Parker ES, Fowler NR, Summanwar D, Miled ZB, Owora AH, et al. Prevalence of Unrecognized Cognitive Impairment in Federally Qualified Health Centers. JAMA Network Open. 2024. doi:10.1001/jamanetworkopen.2024.40411. PMID: 39436648.

BibTeX

@article{kulshreshtha2024-39436648,
  author  = {Kulshreshtha, Ambar and Parker, Erik S. and Fowler, Nicole R. and Summanwar, Diana and Miled, Zina Ben and Owora, Arthur Hamie and Galvin, James E. and Boustani, Malaz A.},
  title   = {{Prevalence of Unrecognized Cognitive Impairment in Federally Qualified Health Centers}},
  journal = {JAMA Network Open},
  year    = {2024},
  doi     = {10.1001/jamanetworkopen.2024.40411},
  pmid    = {39436648},
  url     = {https://doi.org/10.1001/jamanetworkopen.2024.40411}
}

Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 8 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.

Key findings

A total of 844 eligible individuals were consecutively approached, 294 consented to participate, and 204 completed the study (mean [SD] age, 70.0 [5.1] years; 127 women [62.3%]).
One hundred eight participants (52.9%) were African American, 5 (2.5%) were Hispanic, 199 (97.5%) were not Hispanic, and 90 (44.1%) were White.
The mean (SD) duration of education was 13.1 (2.6) years, and the mean (SD) Area Deprivation Index score was 78.3 (19.9), indicating a high level of neighborhood disadvantage.
In total, 127 patients (62.3%) met the diagnostic criteria for MCI, 25 (12.3%) had dementia, and 52 (25.5%) had no cognitive impairment.
Compared with non-Hispanic White individuals and after adjusting for age, sex, and education level, African American individuals were more than twice as likely to have MCI or dementia (odds ratio, 2.73; 95% CI, 1.38-5.53; P = .02).

Why it matters

This cross-sectional study found that unrecognized cognitive impairment was very common among older adults from underrepresented, minoritized racial and ethnic groups and those who are socially vulnerable receiving primary care from federally qualified health centers. It calls for timely, equitable detection approaches, but it does not test a dementia treatment or cure.

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Study details

Study designcross-sectional
Participants127
Effect size62.3%; 52.9%; 2.5%
Evidence strengthLow

How this study scored 60/100

Published in a leading specialty journal, and it is a snapshot of people at one point in time. Scored zero for randomized / blinded because the record does not state it.

Component	Points	Why
Journal tier	9 / 10	Tier 2 — leading specialty journal (JAMA Network Open)
Journal's citation record	2 / 4	JAMA Network Open: journal h-index 235 (OpenAlex, 2026-10-29)
Study design	4 / 12	A snapshot of people at one point in time
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	2 / 4	127 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)
Randomized / blinded	0 / 2	No randomization or blinding stated — scores zero (not stated in the record — scored 0)
Times cited	3 / 7	Cited 30 times (OpenAlex, 2026-10-10)
Citations per year	2 / 5	7.5 citations a year over 4 year(s) since 2024
Impact for its field and year	4 / 6	Cited 8.2× the average for papers of its field and year (OpenAlex FWCI)
Cited by studies here	2 / 6	Cited by 5 other studies in this library
Still being cited	2 / 4	Cited 30 times in 2024–2026 (2026 still in progress; OpenAlex)
Senior author's track record	3 / 4	Last-listed author Malaz A. Boustani: h-index 65 (OpenAlex, whole career)
Institution's track record	1 / 3	Emory University: institution h-index 1,360 (OpenAlex)
Multicenter collaboration	2 / 3	OpenAlex lists 8 institution(s) in 1 country
Indexed in PubMed	2 / 2	Indexed in PubMed (PMID 39436648)
Free to read	2 / 2	Free to read
Total	60 / 100	—

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