Topic: Risk, prevention and care in population studies
Objectives To determine how unmet needs for activity of daily living tasks influenced nursing home placement, death, or loss to follow-up in dementia. Design An 18-month longitudinal design, with interviews administered every 6 months. Setting Eight catchment areas in the United States. Participants Five thousand eight hundred thirty-one dementia patients and their caregivers were included at baseline. Measurements Measures of sociodemographic context of care; functional, cognitive, and behavioral status of care recipients; caregiver stress and well-being; and formal and informal resources served as covariates. The independent variables of interest were unweighted unmet care need scores and unmet need scores weighted by importance and severity in a prior sample of older consumers of long-term care. Outcomes included nursing home placement, death, and loss to follow-up. Results Cox regression models suggested that greater unmet need was predictive of nursing home placement, death, and loss to follow-up. These results were apparent when the unweighted and the weighted scores for unmet need with activity of daily living dependencies were used. Conclusion Unmet need may be useful in identifying dementia care recipients at risk for nursing home placement and death. Further study of unmet need is needed to effectively assess and target intervention protocols during the course of dementia.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Gaugler, J. E., Kane, R. L., Kane, R. A., & Newcomer, R. (2005). Unmet care needs and key outcomes in dementia. Journal of the American Geriatrics Society. https://doi.org/10.1111/j.1532-5415.2005.00495.x
Vancouver
Gaugler JE, Kane RL, Kane RA, Newcomer R. Unmet care needs and key outcomes in dementia. Journal of the American Geriatrics Society. 2005. doi:10.1111/j.1532-5415.2005.00495.x. PMID: 16398893.
BibTeX
@article{gaugler2005-16398893,
author = {Gaugler, J. E. and Kane, R. L. and Kane, R. A. and Newcomer, R.},
title = {{Unmet care needs and key outcomes in dementia}},
journal = {Journal of the American Geriatrics Society},
year = {2005},
doi = {10.1111/j.1532-5415.2005.00495.x},
pmid = {16398893},
url = {https://doi.org/10.1111/j.1532-5415.2005.00495.x}
}
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Key findings
- Results Cox regression models suggested that greater unmet need was predictive of nursing home placement, death, and loss to follow-up.
- These results were apparent when the unweighted and the weighted scores for unmet need with activity of daily living dependencies were used.
Why it matters
In this 18-month study of 5,831 dementia patients, greater unmet need for help with daily activities predicted nursing home placement, death, and loss to follow-up. The authors say unmet need may help identify care recipients at risk, but that further study is needed to effectively assess and target intervention protocols.
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Study details
- Study designlongitudinal study
- Evidence strengthModerate
How this study scored 54/100
Published in a peer-reviewed journal, and it is a longitudinal study following the same people over time. Scored zero for sample size, effect reported, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of the American Geriatrics Society) |
| Journal's citation record | 3 / 4 | Journal of the American Geriatrics Society: journal h-index 344 (OpenAlex, 2026-10-29) |
| Study design | 7 / 12 | A longitudinal study following the same people over time |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2005 — older than 20 years, still counted |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 5 / 7 | Cited 280 times (OpenAlex, 2026-10-10) |
| Citations per year | 3 / 5 | 12.2 citations a year over 23 year(s) since 2005 |
| Impact for its field and year | 3 / 6 | Cited 3.1× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 2 / 6 | Cited by 7 other studies in this library |
| Still being cited | 2 / 4 | Cited 36 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Robert J. Newcomer: h-index 28 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University of California, San Francisco: institution h-index 1,915 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | PubMed indexes it as a multicentre study |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 16398893) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 54 / 100 | — |
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