Evidence map›Paper›PMID 41231424›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Access of medication review for people living with dementia: An analysis of inequality using Swedish register data.

Sanjib Saha, Sofie Persson, Johan Jarl, Dominic Trepel, Cecilia Lenander, Elisabet Londos, Patrik Midlöv, Brian Lawlor, Håkan Toresson, UlfG Gerdtham

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sanjib SahaDepartment of Clinical Science (Malmö), Health Economics Unit, Lund University, Lund, Sweden.
Sofie PerssonDepartment of Clinical Science (Malmö), Health Economics Unit, Lund University, Lund, Sweden.
Johan JarlDepartment of Clinical Science (Malmö), Health Economics Unit, Lund University, Lund, Sweden.
Dominic TrepelTrinity Institute of Neurosciences (TCIN), Trinity College, Dublin, Ireland.
Cecilia LenanderDepartment of Clinical Sciences in Malmö, Centre for Primary Health Care Research, Lund University, Malmö, Sweden.
Elisabet LondosDepartment of Clinical Sciences in Malmö, Centre for Primary Health Care Research, Lund University, Malmö, Sweden.
Patrik MidlövDepartment of Clinical Sciences in Malmö, Centre for Primary Health Care Research, Lund University, Malmö, Sweden.
Brian LawlorTrinity Institute of Neurosciences (TCIN), Trinity College, Dublin, Ireland.
Håkan ToressonDepartment of Clinical Science (Malmö), Clinical Memory Research Unit, Lund University, Malmö, Sweden.
UlfG GerdthamDepartment of Clinical Science (Malmö), Health Economics Unit, Lund University, Lund, Sweden.

Funding

Familjen Kamprads Stiftelse 20210167Swedish Research Council 2023-02768Swedish Research Council for Health, Working Life and Welfare dnr:2023-01128
6 · The paper itself

Abstract

introductionThis study examines medication reviews (MRs) among people living with dementia (PWD) in Sweden, focusing on frequency and factors influencing access.

methodsUsing nationwide register data, all diagnosed PWD from 2010 to 2016 were assessed for MR receipt in 2015 and/or 2016. The analysis guided by the Andersen healthcare utilization framework, considered predisposing, enabling, and need-based factors through multiple logistic regression.

resultsThe MR rate was 16% in 2015, 21% in 2016, and 30% across both years. Increased MR likelihood was linked to higher comorbidity (adjusted odds ratio [aOR] = 1.45, p = 0.00), polypharmacy (aOR = 1.55, p = 0.00), and residential care (aOR = 3.92, p = 0.00), while being married or cohabiting reduced (aOR = 0.80, p = 0.00) MR receipt. DISCUSSION: Despite national guidelines recommending annual MRs since 2012, rates remain low, especially outside residential care. The findings highlight the need for more equitable MR access for all PWD, particularly those not in residential care. HIGHLIGHTS: Only 16%-21% of people with dementia received a medication review in 2015-2016 in Sweden. Higher comorbidity, polypharmacy, and residential care increased likelihood of receiving a medication review. Being married or cohabiting lowered the chance of receiving a medication review. Education level and gender did not affect access to medication reviews.

Indexed as

DementiaHealthcare DisparitiesHealth Services AccessibilityAgedAged, 80 and overComorbidityFemaleHumansMalePolypharmacyRegistriesSwedenmedication managementmedication reviewpharmaceutical reviewregistry data

Identifiers

PMID41231424
PMCPMC12614082

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.