A Longitudinal Study of Transitions Between Informal and Formal Care in Alzheimer Disease Using Multistate Models in the European ICTUS Cohort.
Identifieur interne : 002583 ( PubMed/Curation ); précédent : 002582; suivant : 002584A Longitudinal Study of Transitions Between Informal and Formal Care in Alzheimer Disease Using Multistate Models in the European ICTUS Cohort.
Auteurs : Nicola Coley [France] ; Adeline Gallini [France] ; Valérie Garès [Australie] ; Virginie Gardette [France] ; Sandrine Andrieu [France]Source :
- Journal of the American Medical Directors Association [ 1538-9375 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- geographic : Europe.
- therapy : Alzheimer Disease.
- Aged, Aged, 80 and over, Caregivers, Female, Humans, Longitudinal Studies, Male, Multivariate Analysis, Patient Care, Patient Transfer.
Abstract
We aimed to describe longitudinal patterns of care in community-dwelling European patients with Alzheimer disease (AD), and determine patient-, caregiver-, and country-related predictors of transitions across different care levels.
DOI: 10.1016/j.jamda.2015.09.010
PubMed: 26593306
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Electronic address: nicola.coley@inserm.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Inserm, UMR 1027, Toulouse, France; Université Toulouse III, Toulouse, France; CHU Toulouse, Service d'Epidémiologie, Toulouse</wicri:regionArea></affiliation></author><author><name sortKey="Gallini, Adeline" sort="Gallini, Adeline" uniqKey="Gallini A" first="Adeline" last="Gallini">Adeline Gallini</name><affiliation wicri:level="1"><nlm:affiliation>Inserm, UMR 1027, Toulouse, France; Université Toulouse III, Toulouse, France; CHU Toulouse, Service d'Epidémiologie, Toulouse, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Inserm, UMR 1027, Toulouse, France; Université Toulouse III, Toulouse, France; CHU Toulouse, Service d'Epidémiologie, Toulouse</wicri:regionArea></affiliation></author><author><name sortKey="Gares, Valerie" sort="Gares, Valerie" uniqKey="Gares V" first="Valérie" last="Garès">Valérie Garès</name><affiliation wicri:level="1"><nlm:affiliation>Inserm, UMR 1027, Toulouse, France; Université Toulouse III, Toulouse, France; NHMRC Clinical Trials Centre, The University of Sydney, Sydney, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Inserm, UMR 1027, Toulouse, France; Université Toulouse III, Toulouse, France; NHMRC Clinical Trials Centre, The University of Sydney, Sydney</wicri:regionArea></affiliation></author><author><name sortKey="Gardette, Virginie" sort="Gardette, Virginie" uniqKey="Gardette V" first="Virginie" last="Gardette">Virginie Gardette</name><affiliation wicri:level="1"><nlm:affiliation>Inserm, UMR 1027, Toulouse, France; Université Toulouse III, Toulouse, France; CHU Toulouse, Service d'Epidémiologie, Toulouse, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Inserm, UMR 1027, Toulouse, France; Université Toulouse III, Toulouse, France; CHU Toulouse, Service d'Epidémiologie, Toulouse</wicri:regionArea></affiliation></author><author><name sortKey="Andrieu, Sandrine" sort="Andrieu, Sandrine" uniqKey="Andrieu S" first="Sandrine" last="Andrieu">Sandrine Andrieu</name><affiliation wicri:level="1"><nlm:affiliation>Inserm, UMR 1027, Toulouse, France; Université Toulouse III, Toulouse, France; CHU Toulouse, Service d'Epidémiologie, Toulouse, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Inserm, UMR 1027, Toulouse, France; Université Toulouse III, Toulouse, France; CHU Toulouse, Service d'Epidémiologie, Toulouse</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of the American Medical Directors Association</title><idno type="eISSN">1538-9375</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Alzheimer Disease (therapy)</term><term>Caregivers</term><term>Europe</term><term>Female</term><term>Humans</term><term>Longitudinal Studies</term><term>Male</term><term>Multivariate Analysis</term><term>Patient Care</term><term>Patient Transfer</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Aidants</term><term>Analyse multivariée</term><term>Europe</term><term>Femelle</term><term>Humains</term><term>Maladie d'Alzheimer ()</term><term>Mâle</term><term>Soins aux patients</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Transfert de patient</term><term>Études longitudinales</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Europe</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Alzheimer Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Caregivers</term><term>Female</term><term>Humans</term><term>Longitudinal Studies</term><term>Male</term><term>Multivariate Analysis</term><term>Patient Care</term><term>Patient Transfer</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Aidants</term><term>Analyse multivariée</term><term>Europe</term><term>Femelle</term><term>Humains</term><term>Maladie d'Alzheimer</term><term>Mâle</term><term>Soins aux patients</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Transfert de patient</term><term>Études longitudinales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We aimed to describe longitudinal patterns of care in community-dwelling European patients with Alzheimer disease (AD), and determine patient-, caregiver-, and country-related predictors of transitions across different care levels.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26593306</PMID><DateCreated><Year>2015</Year><Month>11</Month><Day>23</Day></DateCreated><DateCompleted><Year>2016</Year><Month>09</Month><Day>15</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>23</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1538-9375</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><Issue>12</Issue><PubDate><Year>2015</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Journal of the American Medical Directors Association</Title><ISOAbbreviation>J Am Med Dir Assoc</ISOAbbreviation></Journal><ArticleTitle>A Longitudinal Study of Transitions Between Informal and Formal Care in Alzheimer Disease Using Multistate Models in the European ICTUS Cohort.</ArticleTitle><Pagination><MedlinePgn>1104.e1-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jamda.2015.09.010</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1525-8610(15)00610-6</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">We aimed to describe longitudinal patterns of care in community-dwelling European patients with Alzheimer disease (AD), and determine patient-, caregiver-, and country-related predictors of transitions across different care levels.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Two-year follow-up data from ICTUS cohort (1375 patients with AD, 12 countries) were analyzed using multistate Markov models to describe transitions across states of care and identify their predictors.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the patients, 61.3% stayed in the same state during follow-up, and only 9.5% experienced ≥2 changes between states. Six-month transition probabilities were 11% for informal to formal care and 13% for formal to informal care (in the community). Older age, male gender, poorer cognitive and behavioral scores, and country of residence were associated with transitioning from informal to formal care, but only country of residence was associated with the reverse transition.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Changes between different types of care were rare during follow-up, and country factors in particular influenced these transitions.</AbstractText><CopyrightInformation>Copyright © 2015 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. 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MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000544" MajorTopicYN="Y">Alzheimer Disease</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017028" MajorTopicYN="Y">Caregivers</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005060" MajorTopicYN="N" Type="Geographic">Europe</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015999" 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