Evidence map›Paper›PMID 29948371›Full record

ReviewEuropean journal of epidemiology2018

Will biomarker-based diagnosis of Alzheimer's disease maximize scientific progress? Evaluating proposed diagnostic criteria.

Medellena Maria Glymour, Adam Mark Brickman, Mika Kivimaki, Elizabeth Rose Mayeda, Geneviève Chêne, Carole Dufouil, Jennifer Jaie Manly

Abstract readReview
In one paragraph

Review in European journal of epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

  1. Pooled it
  2. Article
  3. Changing definitions of disease: Transformations in the diagnostic criteria for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Alzheimer's disease biomarkers in Black and non-Hispanic White cohorts: A contextualized review of the evidence.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2022
    Review
  10. Article
  11. Theoretical impact of the AT(N) framework on dementia using a community autopsy sample.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2021
    Article
  12. Article
  13. A Workshop on Cognitive Aging and Impairment in the 9/11-Exposed Population.International journal of environmental research and public health · 2021
    Review
  14. Article
  15. Education and Cognitive Functioning Across the Life Span.Psychological science in the public interest : a journal of the American Psychological Society · 2020
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Expanding disease and undermining the ethos of medicine.European journal of epidemiology · 2019
    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

7 authors.

Medellena Maria GlymourDepartment of Epidemiology and Biostatistics, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA. mglymour@epi.ucsf.edu.ORCID http://orcid.org/0000-0001-9644-3081
Adam Mark BrickmanTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Mika KivimakiDepartment of Epidemiology and Public Health, University College London, London, UK.
Elizabeth Rose MayedaDepartment of Epidemiology and Biostatistics, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA.
Geneviève ChêneINSERM U1219-Bordeaux Population Health and CIC1401-EC, ISPED-Bordeaux School of Public Health, INSERM, University of Bordeaux, Bordeaux, France.
Carole DufouilINSERM U1219-Bordeaux Population Health and CIC1401-EC, ISPED-Bordeaux School of Public Health, INSERM, University of Bordeaux, Bordeaux, France.
Jennifer Jaie ManlyTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.

Funding

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
Closing the gap between observational research and randomized trials for prevention of Alzheimer's Disease and dementiaR01AG057869 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRAFF, REBECCA ELIZABETH, POWER, MELINDA C · 2018 to 2022
$3.9M
Racial Disparities in Alzheimer's Disease and Related Dementias: The Role of Blood Pressure Throughout AdulthoodK99AG053410 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MAYEDA, ELIZABETH ROSE · 2016 to 2017
$253k
Medical Research Council MR/K013351/1NIA NIH HHS 1RF1AG052132-01NIA NIH HHS 5K99AG053410-02NIA NIH HHS R01 AG057869NIA NIH HHS RF1 AG052132
6 · The paper itself

Abstract

A recently published framework for the diagnosis of Alzheimer's disease (AD) in research studies would allow diagnosis on the sole basis of two biomarkers (β-amyloid and pathologic tau), even in people with no objective or subjective memory or cognitive changes. This revision will have substantial implications for future Alzheimer's research, and the changes should be rigorously evaluated before widespread adoption. We propose three principles for evaluating any revision to diagnostic frameworks for AD: (1) does the revision improve the validity of the diagnosis; (2) does the revision improve the reliability or reduce the expense of the diagnosis; and (3) will the revision foster innovative and rigorous research across populations. The new diagnostic framework is unlikely to achieve any of these goals. Instead, it has the potential to handicap future researchers, and slow progress towards identifying effective strategies to prevent or treat AD.

Indexed as

Alzheimer DiseaseBiomarkersHumansReproducibility of ResultsBiomarkersAlzheimer’s diseaseDementiaDiagnostic criteriaReliabilityValidity

Identifiers

PMID29948371
PMCPMC7571610

What OpenQuestion holds

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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.