Evidence map›Paper›PMID 24639912›Full record

ArticleInternational journal of Alzheimer's disease2014

Enhancing Diagnostic Accuracy of aMCI in the Elderly: Combination of Olfactory Test, Pupillary Response Test, BDNF Plasma Level, and APOE Genotype.

Yuda Turana, Teguh Asaat S Ranakusuma, Jan Sudir Purba, Nurmiati Amir, Siti Airiza Ahmad, Moh Hasan Machfoed, Yvonne Suzy Handayani, Asmarinah, Sarwono Waspadji

Open access · hybridAbstract read
In one paragraph

Article in International journal of Alzheimer's disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 30% of its field
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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Yuda TuranaDepartment of Neurology, Faculty of Medicine, Atma Jaya Catholic University of Indonesia, Jl. Pluit Raya No. 2, North Jakarta 14440, Indonesia.ORCID 0000-0003-4527-0285
Teguh Asaat S RanakusumaDepartment of Neurology, Faculty of Medicine, University of Indonesia, Jl. Salemba Raya No. 6, Central Jakarta 10430, Indonesia.
Jan Sudir PurbaDepartment of Neurology, Faculty of Medicine, University of Indonesia, Jl. Salemba Raya No. 6, Central Jakarta 10430, Indonesia.
Nurmiati AmirDepartment of Psychiatry, Faculty of Medicine, University of Indonesia, Jl. Salemba Raya No. 6, Central Jakarta 10430, Indonesia.
Siti Airiza AhmadDepartment of Neurology, Faculty of Medicine, University of Indonesia, Jl. Salemba Raya No. 6, Central Jakarta 10430, Indonesia.
Moh Hasan MachfoedDepartment of Neurology, Faculty of Medicine, University of Airlangga, Kampus A, Jl. Mayjen. Prof. Dr. Moestopo No. 47, Surabaya 60131, Indonesia.
Yvonne Suzy HandayaniCenter of Health Research, Atma Jaya Catholic University of Indonesia, Jl. Pluit Raya No. 2, North Jakarta 14440, Indonesia.
AsmarinahDepartment of Biology, Faculty of Medicine, University of Indonesia, Jl. Salemba Raya No. 6, Central Jakarta 10430, Indonesia.
Sarwono WaspadjiDepartment of Internal Medicine, Faculty of Medicine, University of Indonesia, Jl. Salemba Raya No. 6, Central Jakarta 10430, Indonesia.
University of Indonesia · IDAtma Jaya Catholic University of Indonesia · IDAirlangga University · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background. Amnestic Mild Cognitive Impairment (aMCI) often progresses to Alzheimer's disease. There are clinical markers and biomarkers to identify the degenerative process in the brain. Objectives. To obtain the diagnostic values of olfactory test, pupillary response to tropicamide 0.01%, BDNF plasma level, and APOE ε 4 in diagnosing aMCI. Methods. Cross-sectional, comparative analysis. Results. There were 109 subjects enrolled (aMCI: 51, normal cognition: 58) with age 64 ± 5.54 years. For diagnosing aMCI, cut-off point for the olfactory score was <7 out of 10 and >22% for pupil dilatation response. Low BDNF plasma level was related significantly with olfactory deficits and aMCI (P < 0.05). Four of five subjects with homozygote e4 presented with multiple-domain aMCI. This group displayed the lowest means of olfactory score and the highest means of pupillary hypersensitivity response (P < 0.0001). Combination of olfactory deficit and pupillary hypersensitivity response in detection of aMCI was beneficial with Sp 91% and PPV 87%. In conjunction with clinical markers, BDNF plasma level and presence of APOE e4+ improved Sp and PPV. Conclusions. Combination of olfactory test and pupillary response test was useful as diagnostic tool in aMCI. In conjunction with clinical markers, low level of BDNF plasma and presence of APOE e4 improved the diagnostic value.

Identifiers

PMID24639912
PMCPMC3929508
OpenAlexW2055527931

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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 OpenQuestion graph.