Evidence map›Paper›PMID 29226868›Full record

ArticleJournal of Alzheimer's disease : JAD2018

Predictors of Age of Diagnosis and Survival of Alzheimer's Disease in Down Syndrome.

Amanda Sinai, Claire Mokrysz, Jane Bernal, Ingrid Bohnen, Simon Bonell, Ken Courtenay, Karen Dodd, Dina Gazizova, Angela Hassiotis, Richard Hillier and 11 more

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 80 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 4 pooled it
11.2field-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.

NCT03901261 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Cohort Study of Adult Patients With Down Syndrome at Risk of Developing Alzheimer's Disease

TypeinterventionalSponsorInstitut Jerome LejeuneRan2019 to 2023Enrolled200ConditionsDown Syndrome, Alzheimer DiseaseArmsNeuro-imaging, Lumbar puncture
NCT07531940 phase1not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Phase 1B Trial on Escalating Doses of Memantine in Down Syndrome

TypeinterventionalSponsorUniversity Hospitals Cleveland Medical CenterRan2026 to 2028Enrolled25ConditionsDown Syndrome, Intellectual DisabilityArmsMemantine
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 4 syntheses or guidelines pooled it, 134 citations in OpenAlex.

  1. Early Markers for Dementia in the Intellectual Disability Population: A Systematic Literature Review.Journal of applied research in intellectual disabilities : JARID · 2025
    Pooled it
  2. Symptoms and age of prodromal Alzheimer's disease in Down syndrome: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Age predicts Alzheimer's in Down syndrome better than MRI, plasma, or cognition.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  9. Review
  10. Article
  11. Use of anti-amyloid-β monoclonal antibodies in persons with Down syndrome Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  12. Factors impacting survival in individuals with Down syndrome-associated Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  13. Article
  14. Anticholinergics, executive function, and cognitive/behavioral changes in Down syndrome.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  15. Factors Associated With Alzheimer's Dementia Diagnosis and Survival in Down Syndrome.Journal of intellectual disability research : JIDR · 2025
    Article
  16. What Guides Organizations' Current Dementia-Related Practices Across Four Canadian Provinces?International journal of environmental research and public health · 2025
    Article
  17. Article
  18. What Can We Learn About Alzheimer's Disease from People with Down Syndrome?Current topics in behavioral neurosciences · 2025
    Review
  19. Blood biomarkers in Down syndrome: Facilitating Alzheimer's disease detection and monitoring.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  20. Observational

20 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

21 authors at 12 institutions in 2 countries.

Amanda SinaiDivision of Psychiatry, University College London, London, UK.
Claire MokryszDivision of Psychiatry, University College London, London, UK.
Jane BernalCornwall Partnership Foundation NHS Trust, UK.
Ingrid BohnenWestminster Learning Disability Partnership, Central and North West London NHS Foundation Trust, London, UK.
Simon BonellLivewell SouthWest (CIC), Plymouth, UK (data from South London and Maudsley NHS Foundation Trust, Maudsley Hospital, London, UK).
Ken CourtenayDivision of Psychiatry, University College London, London, UK.
Karen DoddSurrey and Borders Partnership NHS Foundation Trust, Epsom, UK.
Dina GazizovaEnfield Integrated Learning Disabilities Service, Enfield, UK.
Angela HassiotisDivision of Psychiatry, University College London, London, UK.
Richard HillierCamden and Islington NHS Foundation Trust, London, UK.
Judith McBrienPlymouth Teaching Primary Care Trust (now known as Livewell Southwest CIC), UK.
Jane McCarthyInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Kamalika MukherjiHertfordshire Partnership University NHS Foundation Trust, UK.
Asim NaeemSutton MHLD Team, SW London and St George's Mental Health NHS Trust, Surrey, UK.
Natalia Perez-AchiagaRoyal Borough of Kensington and Chelsea Learning Disabilities Service, London, UK.
Khadija RantellInstitute of Neurology, Queen Square, Education Unit, London, UK.
Vijaya SharmaHertfordshire Partnership University NHS Foundation Trust, UK.
David ThomasDepartment of Community Mental Health, RAF Marham, Norfolk, UK (data from East London NHS Foundation Trust, UK).
Zuzana WalkerDivision of Psychiatry, University College London, London, UK.
Sarah WhithamCornwall Partnership Foundation NHS Trust, UK.
Andre StrydomDivision of Psychiatry, University College London, London, UK.
University College London · GBCamden and Islington NHS Foundation Trust · GBCornwall Partnership NHS Foundation Trust · GBHertfordshire Partnership University NHS Foundation Trust · GBBarnet Enfield and Haringey Mental Health Trust · GBCentral and North West London NHS Foundation Trust · GBEast London NHS Foundation Trust · GBExeter Primary Care · GBKing's College London · GBSouth London and Maudsley NHS Foundation Trust · GBSouth West London and St George's Mental Health NHS Trust · GBSurrey and Borders Partnership NHS Foundation Trust · GB

Funding

Wellcome TrustWellcome Trust 098330/Z/12/Z
6 · The paper itself

Abstract

backgroundPeople with Down syndrome (DS) are an ultra-high risk population for Alzheimer's disease (AD). Understanding the factors associated with age of onset and survival in this population could highlight factors associated with modulation of the amyloid cascade.

objectiveThis study aimed to establish the typical age at diagnosis and survival associated with AD in DS and the risk factors associated with these.

methodsData was obtained from the Aging with Down Syndrome and Intellectual Disabilities (ADSID) research database, consisting of data extracted from clinical records of patients seen by Community Intellectual Disability Services (CIDS) in England. Survival times when considering different risk factors were calculated.

resultsThe mean age of diagnosis was 55.80 years, SD 6.29. Median survival time after diagnosis was 3.78 years, and median age at death was approximately 60 years. Survival time was associated with age of diagnosis, severity of intellectual disability, living status, anti-dementia medication status, and history of epilepsy. Age at diagnosis and treatment status remained predictive of survival time following adjustment.

conclusionThis study provides the best estimate of survival in dementia within the DS population to date, and is in keeping with previous estimates from smaller studies in the DS population. This study provides important estimates and insights into possible predictors of survival and age of diagnosis of AD in adults with DS, which will inform selection of participants for treatment trials in the future.

Indexed as

Age of OnsetAlzheimer DiseaseDown SyndromeEnglandFemaleHumansMaleMiddle AgedRisk FactorsSurvival AnalysisAlzheimer’s diseasedementiaDown syndromemental retardationsurvival

Identifiers

PMID29226868
PMCPMC6004911
OpenAlexW2773172806

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.