{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T15:48:42Z","timestamp":1790869722108,"version":"4.1.0"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009360","name":"King's College London","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009360","id-type":"DOI","asserted-by":"publisher"}]},{"name":"The Clinical Records Interactive Search"},{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Mental Health Biomedical Research Centre at South London"},{"name":"Maudsley NHS Foundation Trust"},{"name":"NIHR Maudsley Biomedical Research Centre at the South London"},{"name":"NIHR Health Tech Research Centre in Brain Health"},{"DOI":"10.13039\/501100023232","name":"NIHR Applied Research Collaboration South London","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100023232","id-type":"DOI","asserted-by":"publisher"}]},{"name":"UKRI\u2013Medical Research Council"},{"name":"DATA-MIND HDR UK Mental Health Data Hub","award":["MR\/W014386\/1"],"award-info":[{"award-number":["MR\/W014386\/1"]}]},{"name":"DATA-MIND HDR UK Mental Health Data Hub","award":["MR\/Z504816\/1"],"award-info":[{"award-number":["MR\/Z504816\/1"]}]},{"DOI":"10.13039\/100031401","name":"UK Prevention Research Partnership","doi-asserted-by":"publisher","award":["Violence, Health and Society; MR-VO49879\/1"],"award-info":[{"award-number":["Violence, Health and Society; MR-VO49879\/1"]}],"id":[{"id":"10.13039\/100031401","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006662","name":"NIHR","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006662","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000276","name":"Department of Health and Social Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000276","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Primary care services play a key role in dementia care, yet activity may vary between subtypes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate longitudinal determinants of primary care contact across Alzheimer\u2019s disease (ad), vascular dementia (VD), dementia with Lewy bodies (DLB), and Parkinson\u2019s disease dementia (PDD) 5\u00a0years pre-and-post-diagnosis, encompassing clinical, cognitive, functional, and sociodemographic factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data on 4384 individuals with first dementia diagnoses (2008\u20132023) were obtained from a South London catchment linking dementia services with primary care records. Linear mixed-effects models were run on 3-month interval counts (up to 40 intervals per individual, 20 pre-and-post-diagnosis). Separate pre-and-post-diagnosis models assessed longitudinal trends, adjusted for age, sex, and antidepressant use, with subgroup analyses by dementia subtype and cognitive status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>Service utilisation increased over time, with VD showing a steeper pre-diagnosis rise and PDD moderate post-diagnosis increases compared to ad. Across both periods, worse cognitive impairment and antipsychotic receipt were associated with lower contacts, while older age and Black\/British Black ethnicity were associated with higher contact. Pre-diagnosis, agitation, depressed mood, relationship and living conditions problems were linked to lower contact, whereas hallucinations were associated with higher use. Post-diagnosis, hypnotic\/anxiolytic use predicted lower contact, while acetylcholinesterase inhibitor receipt, comorbidities, daily living difficulties, and mixed ethnicity were associated with increased utilisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Person-centred care pathways should anticipate subtype-specific and individual patterns, providing targeted support for those with reduced pre-diagnosis contact who may have unmet needs, while considering early intervention for groups anticipated to require increased service use after diagnosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ageing\/afag016","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T12:32:24Z","timestamp":1768912344000},"source":"Crossref","is-referenced-by-count":2,"title":["Primary care service utilisation pattern in dementia: a 10-year longitudinal population-based study"],"prefix":"10.1093","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9927-871X","authenticated-orcid":false,"given":"Anna","family":"Tjin","sequence":"first","affiliation":[{"name":"King's College London - Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience , 16 De Crespigny Park, Denmark Hill Campus, London, SE5 8AF , United Kingdom of Great Britain and Northern Ireland"},{"name":"National University of Singapore - Department of Japanese Studies , Faculty of Arts and Social Sciences, 10 Kent Ridge Crescent, Singapore 119260 ,","place":["Singapore"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leng Leng","family":"Thang","sequence":"additional","affiliation":[{"name":"National University of Singapore - Department of Japanese Studies , Faculty of Arts and Social Sciences, 10 Kent Ridge Crescent, Singapore 119260 ,","place":["Singapore"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Stewart","sequence":"additional","affiliation":[{"name":"King's College London - Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience , 16 De Crespigny Park, Denmark Hill Campus, London, SE5 8AF , United Kingdom of Great Britain and Northern Ireland"},{"name":"South London and Maudsley NHS Foundation Trust , London SE5 8AZ , England, United Kingdom of Great Britain and Northern Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,2,5]]},"reference":[{"key":"2026020602493519100_ref1","volume-title":"Global Status Report on the Public Health Response to Dementia","author":"World Health Organization","year":"2021"},{"key":"2026020602493519100_ref2","doi-asserted-by":"crossref","first-page":"100504","DOI":"10.1016\/j.lanepe.2022.100504","article-title":"Challenges for addressing dementia","volume":"20","author":"Health\u2013Europe, T. 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