Evidence map›Paper›PMID 28711346›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2017

Association of cancer and Alzheimer's disease risk in a national cohort of veterans.

Laura Frain, David Swanson, Kelly Cho, David Gagnon, Kun Ping Lu, Rebecca A Betensky, Jane Driver

Open access · greenAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 2 pooled it
7.6field-weighted citation impact, top 2% 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

68 citing papers in PubMed, 2 syntheses or guidelines pooled it, 112 citations in OpenAlex.

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  10. The inverse association between cancer history and incident cognitive impairment: Addressing attrition bias.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  11. Inhibition of colorectal cancer in Alzheimer's disease is mediated by gut microbiota via induction of inflammatory tolerance.Proceedings of the National Academy of Sciences of the United States of America · 2024
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8 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

7 authors at 6 institutions in 2 countries.

Laura FrainDivision of Aging, Brigham and Women's Hospital, Boston, MA, USA.
David SwansonOslo Centre for Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway.
Kelly ChoDivision of Aging, Brigham and Women's Hospital, Boston, MA, USA; Massachusetts Veterans Epidemiology and Resource Information Center (MAVERIC), VA Boston Healthcare System (VABHS), Jamaica Plain, MA, USA.
David GagnonMassachusetts Veterans Epidemiology and Resource Information Center (MAVERIC), VA Boston Healthcare System (VABHS), Jamaica Plain, MA, USA; Boston University School of Public Health, Boston, MA, USA.
Kun Ping LuDivision of Hematology-Oncology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Rebecca A BetenskyDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Jane DriverDivision of Aging, Brigham and Women's Hospital, Boston, MA, USA; Massachusetts Veterans Epidemiology and Resource Information Center (MAVERIC), VA Boston Healthcare System (VABHS), Jamaica Plain, MA, USA; Geriatric Research Education and Clinical Center, VABHS, Jamaica Plain, MA, USA. Electronic address: jane.driver@va.gov.
VA Boston Healthcare System · USBeth Israel Deaconess Medical Center · USBoston University · USBrigham and Women's Hospital · USHarvard University · USOslo University Hospital · NO

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
THE ROLE OF ADVANCED CAA IN ALZHEIMER'S DEMENTIAP50AG005134 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI SPERLING, REISA A. · 1985 to 2018
$42.1M
Training in Neurostatistics and NeuroepidemiologyT32NS048005 · NINDS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI ONNELA, JUKKA-PEKKA · 2004 to 2018
$3.2M
Function and Regulation of the Phosphorylation-Specific Prolyl Isomerase Pin1R01CA167677 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI LU, KUN PING · 2012 to 2016
$1.9M
Drug Discovery against the Early, Secreted and Toxic Tau in Alzheimer's DiseaseR01AG046319 · NIA · BETH ISRAEL DEACONESS MEDICAL CENTER · PI LU, KUN PING · 2014 to 2018
$1.8M
Investigating the link between cancer and neurodegenerative diseaseI01CX000934 · VA · VA BOSTON HEALTH CARE SYSTEM · PI DRIVER, JANE A · 2014 to 2017
–
CSRD VA I01 CX000934NCATS NIH HHS UL1 TR001102NCI NIH HHS R01 CA167677NIA NIH HHS P50 AG005134NIA NIH HHS R01 AG046319NINDS NIH HHS T32 NS048005
6 · The paper itself

Abstract

introductionTo examine the risk of Alzheimer's disease (AD) among cancer survivors in a national database.

methodsRetrospective cohort of 3,499,378 mostly male US veterans aged ≥65 years were followed between 1996 and 2011. We used Cox models to estimate risk of AD and alternative outcomes (non-AD dementia, osteoarthritis, stroke, and macular degeneration) in veterans with and without a history of cancer.

resultsSurvivors of a wide variety of cancers had modestly lower AD risk, but increased risk of the alternative outcomes. Survivors of screened cancers, including prostate cancer, had a slightly increased AD risk. Cancer treatment was independently associated with decreased AD risk; those who received chemotherapy had a lower risk than those who did not. DISCUSSION: Survivors of some cancers have a lower risk of AD but not other age-related conditions, arguing that lower AD diagnosis is not simply due to bias. Cancer treatment may be associated with decreased risk of AD.

Indexed as

VeteransAgedAged, 80 and overAlzheimer DiseaseAntineoplastic AgentsCohort StudiesDatabases, FactualFemaleHumansMaleNeoplasmsProportional Hazards ModelsRetrospective StudiesRisk FactorsSurvival AnalysisUnited StatesAntineoplastic AgentsAlzheimer's diseaseCancerCancer therapyChemotherapyEpidemiologyInverse associationRadiationRiskSurvival bias

Identifiers

PMID28711346
PMCPMC5743228
OpenAlexW2734635135

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.