Cochrane · systematic review · CD008345
Case management approaches to home support for people with dementia
Reilly, S, Miranda‐Castillo, C, Malouf, R, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
Dementia and Cognitive ImprovementAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 42.9%Moderate 2 · 28.6%High 2 · 28.6%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Case management versus usual care for people with dementia
Population: people with dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Institutionalised (number of participants admitted to residential or nursing homes) at 10 ‐ 12 months Case management vs usual care | OR 0.95 [0.83, 1.08] | 9 studies · 5990 participants | Low Downgraded: risk of bias |
Time to institutionalisation at 12 months Case management vs usual care | no estimate extracted | 1 study · 125 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Hospital admission (number of participants admitted) at 12 months Case management vs usual care | OR 0.87 [0.59, 1.3] | 5 studies · 585 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Mortality (number of deaths) at 12 months Case management vs usual care | OR 1 [0.83, 1.2] | 8 studies · 6112 participants | High |
Quality of life (participants) at 12 months Case management vs usual care | SMD 0.05 | 3 studies · 511 participants | High |
Quality of life (carers) at 12 months Case management vs usual care | SMD 0.21 [0.06, 0.37] | 5 studies · 681 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Carer burden at 10 ‐ 12 months Case management vs usual care | no estimate extracted | 7 studies · 3772 participants | Low Downgraded: risk of bias, imprecision, inconsistency |