Evidence map›Paper›PMID 26484931›Full record

ReviewJournal of Alzheimer's disease : JAD2016

Timely Diagnosis for Alzheimer's Disease: A Literature Review on Benefits and Challenges.

Bruno Dubois, Alessandro Padovani, Philip Scheltens, Andrea Rossi, Grazia Dell'Agnello

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Journal of Alzheimer's disease : JAD, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03569722 (EpxCogScreen -- A Phone-based Rapid Cognitive Screen), which is not on this map. Cited by 285 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
285citing papers in PubMed, 7 pooled it
16.2field-weighted citation impact, top 1% 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.

NCT03569722 terminatednot on this mapstarted 2018, after this paper: background citation

EpxCogScreen -- A Phone-based Rapid Cognitive Screen (RCS)

TypeobservationalSponsorTheodore Malmstrom, PhDRan2018 to 2019Enrolled4ConditionsDementia, Telemedicine, Cognitive Dysfunction
3 · Its place in the literature

Who cites it

285 citing papers in PubMed, 7 syntheses or guidelines pooled it, 548 citations in OpenAlex.

  1. Pooled it
  2. Time to Diagnosis in Dementia: A Systematic Review With Meta-Analysis.International journal of geriatric psychiatry · 2025
    Pooled it
  3. Guideline
  4. Guideline
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Identifying best practices for disclosure of amyloid imaging results: A randomized controlled trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Trial
  10. Trial
  11. Comparative Efficacy of Active Group Music Intervention versus Group Music Listening in Alzheimer's Disease.International journal of environmental research and public health · 2021
    Trial
  12. Article
  13. Primary care determinants for timely diagnosis of dementia.Family medicine and community health · 2026
    Article
  14. Review
  15. Analysis of the off-target interaction of amyloid PET tracers with human brain sulfotransferases.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

225 more citing papers are in PubMed but not listed here.

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 at 3 institutions in 3 countries.

Bruno DuboisInstitute for Memory and Alzheimer's disease (IM2A) and ICM, Salpêtrière University Hospital, Paris University, France.
Alessandro PadovaniNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Italy.
Philip ScheltensDepartment of Neurology and Alzheimer's Center, VU University Medical Center, Amsterdam, The Netherlands.
Andrea RossiEli Lilly Italia S.p.A, Sesto Fiorentino (FI), Italy.
Grazia Dell'AgnelloEli Lilly Italia S.p.A, Sesto Fiorentino (FI), Italy.
Eli Lilly (Italy) · ITBrescia University · USUniversity Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTimely diagnosis of Alzheimer's disease (AD) refers to a diagnosis at the stage when patients come to the attention of clinicians because of concerns about changes in cognition, behavior, or functioning and can be still free of dementia and functionally independent.

objectivesTo comprehensively review existing scientific evidence on the benefits and potential challenges of making a timely diagnosis of AD.

methodsRelevant studies were identified by searching electronic databases (Medline, Embase) and bibliographies for studies published in English between 1 January 2000 and 2 June 2014 on the consequences of a timely diagnosis of AD.

resultsNine studies were identified that investigated the consequences of diagnosing AD at the initial stages; none were specifically focused on prodromal AD. A timely diagnosis potentially offers the opportunities of early intervention, implementation of coordinated care plans, better management of symptoms, patient safety, cost savings, and postponement of institutionalization. Barriers to making a timely diagnosis include stigma, suicide risk, lack of training, diagnostic uncertainty, shortage of specialized diagnostic services, and the reluctance of healthcare providers to make a diagnosis when no effective disease-modifying options are available.

conclusionsDespite its potential benefits, few published studies have explored the advantages or risks of a timely diagnosis of AD. In light of the cultural shift toward diagnosis at the initial stage of the disease continuum, when the patient does not yet have dementia, more investigations are needed to evaluate the benefits and address the barriers that may impede making a timely AD diagnosis.

Indexed as

Alzheimer DiseaseDatabases, BibliographicHumansTime FactorsAlzheimer’s diseasediagnosispre-dementiareviewtimely

Identifiers

PMID26484931
PMCPMC4927869
OpenAlexW1813451903

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.