Evidence map›Paper›PMID 19392962›Full record

ArticleJournal of the American Geriatrics Society2009

Treatment practices of mild cognitive impairment in California Alzheimer's Disease Centers.

Andrea M Weinstein, Cynthia Barton, Leslie Ross, Joel H Kramer, Kristine Yaffe

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Treatment of Mild Cognitive Impairment.Current treatment options in neurology · 2015
    Article
  8. Donepezil treatment in ethnically diverse patients with Alzheimer disease.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2015
    Observational
  9. Review
  10. Article
  11. Potentially inappropriate medication use in older adults with mild cognitive impairment.The journals of gerontology. Series A, Biological sciences and medical sciences · 2010
    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

5 authors.

Andrea M WeinsteinSan Francisco Veterans Affairs Medical Center, San Francisco, California, USA.
Cynthia Barton
Leslie Ross
Joel H Kramer
Kristine Yaffe

Funding

Predictors & Outcomes of Cognitive Trajectories in the Oldest OldK24AG031155 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI YAFFE, KRISTINE · 2007 to 2020
$1.5M
NIA NIH HHS 1K24AG031155-01NIA NIH HHS K24 AG031155
6 · The paper itself

Abstract

objectivesTo examine "real world" treatments for patients with mild cognitive impairment (MCI).

designCross-sectional.

settingCalifornia Department of Public Health Alzheimer's Disease (AD) Research Centers of California.

participantsFive hundred seventy-eight patients diagnosed with MCI. MEASUREMENTS: All patients underwent comprehensive neurological and neuropsychological evaluations. Logistic regression models were used to determine patient characteristics associated with use of anti-AD medications, statins, antioxidants, and folic acid.

resultsOne hundred sixty-six patients (28.7%) were taking anti-AD medications; use was associated with greater functional impairment, higher education, MCI subtype, and older age (P<.05 for all). Two hundred fifty-two patients (43.6%) were taking statins; use was associated with diabetes mellitus, hypertension, myocardial infarct, male sex, and MCI subtype (P<.05 for all). One hundred fifteen patients (19.9%) were taking antioxidants; use was associated with higher education and diabetes mellitus and varied according to site (P<.05 for all). Thirty-seven patients (6.4%) were taking folic acid; use was associated with nonwhite race, male sex, and greater functional impairment (P<.05 for all).

conclusionThis study suggests that patients with MCI are frequently being treated with "off label" cholinesterase inhibitors and memantine, as well as other possible cognition-enhancing drugs. Further investigation of the effect of treatment patterns on the clinical course of MCI is needed.

Indexed as

AgedAlzheimer DiseaseAntioxidantsCaliforniaChi-Square DistributionCholinesterase InhibitorsCross-Sectional StudiesDopamine AgentsFemaleFolic AcidHumansHydroxymethylglutaryl-CoA Reductase InhibitorsLogistic ModelsMaleMemantineNootropic AgentsAntioxidantsCholinesterase InhibitorsDopamine AgentsFolic AcidHydroxymethylglutaryl-CoA Reductase InhibitorsMemantineNootropic Agents

Identifiers

PMID19392962
PMCPMC2773021

What OpenQuestion holds

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Registered trials

None linked

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 OpenQuestion graph.