Evidence map›Paper›PMID 30094328›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)2018

Amyloid positron emission tomography candidates may focus more on benefits than risks of results disclosure.

Jennifer H Lingler, J Scott Roberts, Hyejin Kim, Jonna L Morris, Lu Hu, Meghan Mattos, Eric McDade, Oscar L Lopez

Registry-linked trialAbstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03121118 (Return of Amyloid Imaging Results), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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.

NCT03121118 completednot on this map

Return of Amyloid Imaging Results

TypeobservationalSponsorUniversity of PittsburghRan2014 to 2020Enrolled82ConditionsMild Cognitive ImpairmentArmsScan Opportunity
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. 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
  9. The utility of recruitment incentives in early Alzheimer's disease trials.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  10. Article
  11. Biomarker disclosure protocols in prodromal Alzheimer's disease clinical trials.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Review
  12. Article
  13. Clinician-patient communication during the diagnostic workup: The ABIDE project.Alzheimer's & dementia (Amsterdam, Netherlands) · 2019
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. 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

8 authors.

Jennifer H LinglerDepartment of Health and Community Systems, School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA.
J Scott RobertsDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Hyejin KimDepartment of Health and Community Systems, School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA.
Jonna L MorrisDepartment of Health and Community Systems, School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA.
Lu HuDepartment of Population Health, New York University School of Medicine, New York, NY, USA.
Meghan MattosDepartment of Acute & Specialty Care, School of Nursing, University of Virginia, Charlottesville, VA, USA.
Eric McDadeDepartment of Neurology, School of Medicine, Washington University, St. Louis, MI, USA.
Oscar L LopezAlzheimer Disease Research Center, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.

Funding

TREATMENT OF DEPRESSION IN ALZHEIMER'S DISEASEP50AG005133 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BECKER, JAMES T. · 1985 to 2019
$43.0M
Michigan Alzheimer's Disease Core CenterP30AG053760 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DODGE, HIROKO HAYAMA · 2016 to 2020
$10.1M
EXTRAMURAL RES FACIL IMPROVEMENT PROG: POLYCYSTIC KIDNEY DISEASE, RENAL STUDIES,C06RR018898 · NCRR · MAYO CLINIC · PI BURNETT, JOHN C · 2004 to 2004
$2.3M
Return of Amyloid Imaging Research Results in MCIR01AG046906 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LINGLER, JENNIFER HAGERTY · 2014 to 2017
$1.6M
NCRR NIH HHS C06 RR018898NIA NIH HHS P30 AG053760NIA NIH HHS P50 AG005133NIA NIH HHS R01 AG046906
6 · The paper itself

Abstract

introductionGiven mounting calls to disclose biomarker test results to research participants, we explored factors underlying decisions by patients with mild cognitive impairment to receive amyloid imaging results.

methodsProspective, qualitative interviews were conducted with 59 participants (30 = mild cognitive impairment patients, 29 = care partners) from the scan arm of a randomized controlled trial on the effects of amyloid PET results disclosure in an Alzheimer Disease Research Center setting.

resultsSixty-three percent of the participants were female, with an average age of 72.9 years, and most had greater than a high school level of education (80%). Primary motivations included: (1) better understanding one's mild cognitive impairment etiology and prognosis to plan ahead, and (2) learning one's brain amyloid status for knowledge's sake, regardless of whether the information is actionable. Most participants demonstrated an adequate understanding of the scan's limitations, yet instances of characterizing amyloid PET as a definitive test for Alzheimer's disease occurred. Mention of potential drawbacks, such as negative psychological outcomes, was minimal, even among care partners. DISCUSSION: Findings demonstrate a risk of disproportionate focus on possible benefits of testing among amyloid scan candidates and suggest a need to clearly emphasize the limitations of amyloid PET when counseling cognitively impaired patients and their families before testing. Future research should examine whether minimizing drawbacks at the pre-imaging stage has adverse consequences on results disclosure.

Indexed as

Alzheimer's diseaseAmyloid PETDecision-makingEthicsMild cognitive impairment

Identifiers

PMID30094328
PMCPMC6072672

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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.