Evidence map›Paper›PMID 28289701›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)2017

Identifying memory impairment and early dementia in primary care.

Ellen Grober, Dorothy Wakefield, Amy R Ehrlich, Peter Mabie, Richard B Lipton

Abstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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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

5 authors.

Ellen GroberDepartment of Neurology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.
Dorothy WakefieldCenter on Aging, UConn Health, Farmington, CT, USA.
Amy R EhrlichDivision of Geriatrics, Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.
Peter MabieDepartment of Neurology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.
Richard B LiptonDepartment of Neurology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.

Funding

Vascular Structure and Function in Cognitive AgingP01AG003949 · NIA · YESHIVA UNIVERSITY · PI Richard B. LIPTON · 1985 to 2026
$73.9M
PREDICTORS OF COGNITIVE DECLINE IN NORMAL AGINGR01AG012101 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DE LEON, MONY J., RUSINEK, HENRY · 1993 to 2015
$6.7M
Biomarkers in Early Alzheimer's Disease (AD).R01AG022374 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DE LEON, MONY J., RUSINEK, HENRY · 2004 to 2015
$5.2M
TWO PRECLINICAL LATENT SCORES TO PREDICT OCCURRENCE OF DATR01AG034119 · NIA · WASHINGTON UNIVERSITY · PI XIONG, CHENGJIE · 2010 to 2014
$1.6M
Latent Mobility Abnormalities And FrailtyR01AG025119 · NIA · ALBERT EINSTEIN COL OF MED YESHIVA UNIV · PI VERGHESE, JOE · 2005 to 2009
$1.5M
Screening and Diagnosis of Mild Alzheimer's Disease in Latino EldersR21AG036935 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI GROBER, ELLEN · 2011 to 2012
$384k
NIA NIH HHS P01 AG003949NIA NIH HHS R01 AG012101NIA NIH HHS R01 AG022374NIA NIH HHS R01 AG025119NIA NIH HHS R01 AG034119NIA NIH HHS R21 AG036935
6 · The paper itself

Abstract

introductionThis study examined the operating characteristics of two-stage case finding to identify memory impairment and very mild dementia.

methodsPrimary care patients underwent two-stage testing and a subsequent diagnostic assessment to assess outcomes. Patients who screen positive for subjective cognitive decline on the Informant Questionnaire on Cognitive Decline in the Elderly undergo memory testing with the Free and Cued Selective Reminding Test with Immediate Recall. Outcomes were determined without access to these data. A split-half design with discovery and confirmatory samples was used.

resultsOne hundred seventeen of 563 (21%) patients had dementia and 68 (12%) had memory impairment but not dementia. Operating characteristics were similar in the discovery and confirmatory samples. In the pooled sample, combined, patients with memory impairment or dementia were identified with good sensitivity (72%) and high specificity (90%). Differences in ethnicity, educational level, or age (≤75, >75) did not affect classification accuracy. DISCUSSION: Two-stage screening facilitates the efficient identification of older adults with memory impairment or dementia.

Indexed as

Alzheimer's diseaseCognitionFree and Cued Selective Reminding TestInformant Questionnaire for Cognitive Decline in the ElderlyMemoryTwo-stage screening

Identifiers

PMID28289701
PMCPMC5338866

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.