Evidence map›Paper›PMID 28472970›Full record

ReviewAlzheimer's research & therapy2017

Communicating mild cognitive impairment diagnoses with and without amyloid imaging.

Joshua D Grill, Liana G Apostolova, Szofia Bullain, Jeffrey M Burns, Chelsea G Cox, Malcolm Dick, Dean Hartley, Claudia Kawas, Sarah Kremen, Jennifer Lingler and 8 more

Abstract readReview
In one paragraph

Review in Alzheimer's research & therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing 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

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

  1. Pooled it
  2. 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
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Review
  9. Counseling and disclosure practices in predictive Alzheimer's disease diagnostics: A scoping review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  10. Psychological outcomes of dementia risk estimation in MCI patients: Results from the PreDADQoL project.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  11. The expectations and experiences of patients regarding the diagnostic workup at a specialized memory clinic: An interview study.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Observational
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

18 authors.

Joshua D GrillInstitute for Memory Impairments and Neurological Disorders, University of California, Irvine, CA, USA. jgrill@uci.edu.
Liana G ApostolovaAlzheimer's Disease Center, Department of Neurology, Radiology, Medical and Molecular Genetics, University of Indiana, Indianapolis, IN, USA.
Szofia BullainInstitute for Memory Impairments and Neurological Disorders, University of California, Irvine, CA, USA.
Jeffrey M BurnsUniversity of Kansas, Kansas City, KS, USA.
Chelsea G CoxInstitute for Memory Impairments and Neurological Disorders, University of California, Irvine, CA, USA.
Malcolm DickInstitute for Memory Impairments and Neurological Disorders, University of California, Irvine, CA, USA.
Dean HartleyAlzheimer's Association, Chicago, IL, USA.
Claudia KawasInstitute for Memory Impairments and Neurological Disorders, University of California, Irvine, CA, USA.
Sarah KremenMary S. Easton Center for Alzheimer's Disease Research, Department of Neurology, David Geffen School of Medicine at University of California, Los Angeles, CA, USA.
Jennifer LinglerUniversity of Pittsburgh, Pittsburgh, PA, USA.
Oscar L LopezUniversity of Pittsburgh, Pittsburgh, PA, USA.
Mark MapstoneInstitute for Memory Impairments and Neurological Disorders, University of California, Irvine, CA, USA.
Aimee PierceInstitute for Memory Impairments and Neurological Disorders, University of California, Irvine, CA, USA.
Gil RabinoviciUniversity of California, San Francisco, CA, USA.
J Scott RobertsUniversity of Michigan School of Public Health, Ann Arbor, MI, USA.
Seyed Ahmad SajjadiInstitute for Memory Impairments and Neurological Disorders, University of California, Irvine, CA, USA.
Edmond TengMary S. Easton Center for Alzheimer's Disease Research, Department of Neurology, David Geffen School of Medicine at University of California, Los Angeles, CA, USA.
Jason KarlawishUniversity of Pennsylvania, Philadelphia, PA, USA.

Funding

TREATMENT OF DEPRESSION IN ALZHEIMER'S DISEASEP50AG005133 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAMBOH, M. ILYAS · 1985 to 2019
$43.0M
UC Irvine Alzheimer's Disease Research Center Induced Pluripotent Stem Cell CoreP50AG016573 · NIA · UNIVERSITY OF CALIFORNIA-IRVINE · PI LAFERLA, FRANK M · 2000 to 2019
$37.0M
UPenn ADCC Biomarker CoreP30AG010124 · NIA · UNIVERSITY OF PENNSYLVANIA · PI DETRE, JOHN A · 1991 to 2020
$35.1M
University of Kansas Alzheimer's Disease Core CentersP30AG035982 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BROOKS, WILLIAM M. · 2011 to 2020
$16.6M
Institute for Clinical and Translational ScienceUL1TR000153 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M · 2012 to 2015
$12.1M
Michigan Alzheimer's Disease Core CenterP30AG053760 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ALBIN, ROGER L · 2016 to 2020
$10.1M
Return of Amyloid Imaging Research Results in MCIR01AG046906 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LINGLER, JENNIFER HAGERTY · 2014 to 2017
$1.6M
NCATS NIH HHS UL1 TR000153NIA NIH HHS P30 AG010124NIA NIH HHS P30 AG035982NIA NIH HHS P30 AG053760NIA NIH HHS P50 AG005133NIA NIH HHS P50 AG016573NIA NIH HHS R01 AG046906
6 · The paper itself

Abstract

backgroundMild cognitive impairment (MCI) has an uncertain etiology and prognosis and may be challenging for clinicians to discuss with patients and families. Amyloid imaging may aid specialists in determining MCI etiology and prognosis, but creates novel challenges related to disease labeling.

methodsWe convened a workgroup to formulate recommendations for clinicians providing care to MCI patients.

resultsClinicians should use the MCI diagnosis to validate patient and family concerns and educate them that the patient's cognitive impairment is not normal for his or her age and education level. The MCI diagnosis should not be used to avoid delivering a diagnosis of dementia. For patients who meet Appropriate Use Criteria after standard-of-care clinical workup, amyloid imaging may position specialists to offer more information about etiology and prognosis. Clinicians must set appropriate expectations, including ensuring that patients and families understand the limitations of amyloid imaging. Communication of negative results should include that patients remain at elevated risk for dementia and that negative scans do not indicate a specific diagnosis or signify brain health. Positive amyloid imaging results should elicit further monitoring and conversations about appropriate advance planning. Clinicians should offer written summaries, including referral to appropriate social services.

conclusionsIn patients with MCI, there is a need to devote considerable time and attention to patient education and shared decision-making. Amyloid imaging may be a tool to aid clinicians. Careful management of patient expectations and communication of scan results will be critical to the appropriate use of amyloid imaging information.

Indexed as

Amyloidogenic ProteinsBiomarkersBrainCognitive DysfunctionEvidence-Based MedicineHumansMolecular ImagingNeuroimagingPositron-Emission TomographyAmyloidogenic ProteinsBiomarkersAmyloid imagingDiagnosisDisclosureMild cognitive impairmentPrognosis

Identifiers

PMID28472970
PMCPMC5418690

What OpenQuestion holds

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LicenceCC BY
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.