Evidence map›Paper›PMID 28627380›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2018

Post-traumatic stress disorder and risk of dementia among members of a health care delivery system.

Jason D Flatt, Paola Gilsanz, Charles P Quesenberry, Kathleen B Albers, Rachel A Whitmer

Open access · greenAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
12.9field-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.

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

57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. A longitudinal study of CLDN5 DNA methylation and PTSD.Journal of behavioral medicine · 2026
    Article
  6. Review
  7. Review
  8. Review
  9. Alzheimer's disease and related dementias among transfeminine adults: A cohort study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  10. Associations of war-related exposures and early life adversity with late-life cognition.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. War Trauma and Strength: A Qualitative Study of Participants in the Vietnamese Insights into Cognitive Aging Program.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  18. Article
  19. Experimental laboratory models as tools for understanding modifiable dementia risk.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Review
  20. 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 at 2 institutions in 1 country.

Jason D FlattInstitute for Health & Aging, University of California, San Francisco, San Francisco, CA, USA.
Paola GilsanzKaiser Permanente Division of Research, Oakland, CA, USA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA.
Charles P QuesenberryKaiser Permanente Division of Research, Oakland, CA, USA.
Kathleen B AlbersKaiser Permanente Division of Research, Oakland, CA, USA.
Rachel A WhitmerKaiser Permanente Division of Research, Oakland, CA, USA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA. Electronic address: Rachel.Whitmer@kp.org.
Kaiser Permanente · USInstitute on Aging · US

Funding

UC Davis Alzheimer's Disease Core CenterP30AG010129 · NIA · UNIVERSITY OF CALIFORNIA DAVIS · PI DECARLI, CHARLES · 1991 to 2020
$28.3M
VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Louise C. Walter · 2013 to 2026
$19.9M
RESOURCE CENTER FOR AGING RESEARCH IN DIVERSE POPULATIONP30AG015272 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEAH S KARLINER · 1997 to 2026
$19.5M
Lifecourse health, cerebral pathology and ethnic disparities in dementiaRF1AG052132 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI DECARLI, CHARLES, GLYMOUR, MEDELLENA MARIA · 2016 to 2016
$13.1M
Translational Epidemiology - Training for Research on Aging and Chronic diseaseT32AG049663 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Elizabeth Rose Mayeda, Mark J Pletcher · 2016 to 2026
$5.8M
NIA NIH HHS P30 AG010129NIA NIH HHS P30 AG015272NIA NIH HHS P30 AG044281NIA NIH HHS RF1 AG052132NIA NIH HHS T32 AG049663
6 · The paper itself

Abstract

introductionPost-traumatic stress disorder (PTSD) is associated with an increased risk of dementia in male veterans, but little is known in females and civilians.

methodsPTSD and comorbidities were abstracted from medical records from 1/1/1996 to 12/31/2001. Dementia incidence from 1/1/2002 to 12/31/2014 in 499,844 health care members aged 60+ years over an average of 8.2 years. Cox proportional hazard models were adjusted for age, demographics, and comorbidities.

resultsPTSD was associated with increased risk of dementia over an average of 8 years of follow-up (females: hazard ratio [HR] = 1.59, 95% confidence interval [CI] = 1.30-1.95; males: HR = 1.96, 95% CI = 1.51-2.55). There was a two-fold risk of dementia in those with both PTSD and depression (females: HR = 2.08; 95% CI = 1.66-2.59; males: HR = 2.06; 95% CI = 1.47-2.91) versus those without. DISCUSSION: PTSD was a risk factor for dementia in both sexes, with a heightened risk in those with comorbid depression.

Indexed as

AgedAged, 80 and overCohort StudiesComorbidityDelivery of Health CareDementiaFemaleHumansMaleMiddle AgedProportional Hazards ModelsRisk FactorsStress Disorders, Post-TraumaticVeteransAlzheimer's diseaseDementiaPost-traumatic stress disorderPTSDSex differences

Identifiers

PMID28627380
PMCPMC5729063
OpenAlexW2625951824

What OpenQuestion holds

Textmetadata
LicenceTDM
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.