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Utilization patterns of ambulatory medical care before and after the diagnosis of dementia in Germany--results of a case-control study
Eisele M, van den Bussche H, Koller D, Wiese B, Kaduszkiewicz H, Maier W, Glaeske G, Steinmann S et al.. Dementia and geriatric cognitive disorders, 2010-06-03
Topic: Health services, long-term care and technology
Aims To analyze how the diagnosis of dementia changes the utilization of the ambulatory medical care services in the German statutory health insurance. Methods In this case-control study, claims data of 1,848 insurants aged >or=65 years with incident dementia and 7,392 matched controls were compared regarding their utilization of ambulatory medical care services. Results We found an increase in the utilization of ambulatory medical care services by demented patients of 50% in the year before and of 40% in the year after the incidence, predominantly in primary care and neurology/psychiatry settings. A negative interaction effect of age and gender (p <or= 0.000) was found regarding the number of visited physicians. Conclusion Service utilization by demented patients increases already within the year before the first diagnosis and stays on a relatively high level within the year after. Especially (female) patients aged 80 years and older at dementia onset ought to be observed to prevent a possible undersupply.
Key findings
- Results We found an increase in the utilization of ambulatory medical care services by demented patients of 50% in the year before and of 40% in the year after the incidence, predominantly in primary care and neurology/psychiatry settings.
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Study details
- Study designcase-control study
- Effect sizeor= 0.000
- Evidence strengthModerate
How this study scored 53/100
Published in a peer-reviewed journal, and it is a case-control study. Scored zero for sample size, studied in people and randomised / blinded because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record and multi-centre collaboration, so those were left out: it earned 31 of the 58 points we could judge it on, which is 53 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Dementia and geriatric cognitive disorders) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 6 / 12 | A case-control study |
| 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 | 2010 — within 20 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| 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 | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 20523045) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Points | 31 / 58 | Scored on 11 of 20 parts. We have no data for the rest, so they are left out: 31 of the 58 points we could judge it on is 53 out of 100. |
| Total | 53 / 100 | — |
What each of these 20 components measures, and what this score is not →
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Cite this study APA, Vancouver, BibTeX · download .bib or .ris
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APA 7th
Eisele, M., van den Bussche, H., Koller, D., Wiese, B., Kaduszkiewicz, H., Maier, W., et al. (2010). Utilization patterns of ambulatory medical care before and after the diagnosis of dementia in Germany--results of a case-control study. Dementia and geriatric cognitive disorders. https://doi.org/10.1159/000310350
Vancouver
Eisele M, van den Bussche H, Koller D, Wiese B, Kaduszkiewicz H, Maier W, et al. Utilization patterns of ambulatory medical care before and after the diagnosis of dementia in Germany--results of a case-control study. Dementia and geriatric cognitive disorders. 2010. doi:10.1159/000310350. PMID: 20523045.
BibTeX
@article{eisele2010-20523045,
author = {Eisele, M. and van den Bussche, H. and Koller, D. and Wiese, B. and Kaduszkiewicz, H. and Maier, W. and Glaeske, G. and Steinmann, S. and others},
title = {{Utilization patterns of ambulatory medical care before and after the diagnosis of dementia in Germany--results of a case-control study}},
journal = {Dementia and geriatric cognitive disorders},
year = {2010},
doi = {10.1159/000310350},
pmid = {20523045},
url = {https://doi.org/10.1159/000310350}
}
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