Evidence map›Paper›PMID 30316776›Full record

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

Appropriate use criteria for lumbar puncture and cerebrospinal fluid testing in the diagnosis of Alzheimer's disease.

Leslie M Shaw, Jalayne Arias, Kaj Blennow, Douglas Galasko, Jose Luis Molinuevo, Stephen Salloway, Suzanne Schindler, Maria C Carrillo, James A Hendrix, April Ross and 3 more

Registry-linked trialOpen access · hybridAbstract readConsensus StatementSystematic Review
In one paragraph

Synthesis 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. It is linked to trial NCT05002699 (Investigating the Impact of Alzheimer's Disease Diagnostics in British Columbia), which is not on this map. Cited by 156 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
156citing papers in PubMed, 6 pooled it
14.5field-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.

NCT05002699 unknown statusnot on this mapstarted 2019, after this paper: background citation

Investigating the Impact of Alzheimer's Disease Diagnostics in British Columbia (IMPACT-AD BC)

TypeobservationalSponsorUniversity of British ColumbiaRan2019 to 2023Enrolled120ConditionsAlzheimer Disease, Dementia, Cognitive Impairment, Mild Cognitive ImpairmentArmsAlzheimer's disease CSF biomarkers
3 · Its place in the literature

Who cites it

156 citing papers in PubMed, 6 syntheses or guidelines pooled it, 255 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Pooled it
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  7. Trial
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  12. Review
  13. Relationships of CSF biomarkers to cortical atrophy in early-onset Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  14. Article
  15. Observational
  16. Article
  17. Usage and positivity rates of Alzheimer's disease biomarkers in a memory clinic.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  18. Article
  19. Article
  20. Article

96 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

13 authors at 8 institutions in 2 countries.

Leslie M ShawDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, PA, USA.
Jalayne AriasDepartment of Neurology, University of California, San Francisco, CA, USA.
Kaj BlennowDepartment of Psychiatry and Neurochemistry, University of Gothenberg, Molndal, Sweden.
Douglas GalaskoDepartment of Neuroscience, University of California, San Diego, CA, USA.
Jose Luis MolinuevoBarcelonabeta Brain Research Center, Barcelona, Spain.
Stephen SallowayButler Hospital Memory and Aging Program, The Warren Alpert Medical School of Brown University, Brown University, Providence, RI, USA.
Suzanne SchindlerDepartment of Neurology, Washington University St. Louis.
Maria C CarrilloAlzheimer's Association, Chicago, IL, USA.
James A HendrixAlzheimer's Association, Chicago, IL, USA. Electronic address: jhendrix@alz.org.
April RossAlzheimer's Association, Chicago, IL, USA.
Judit IllesAvalere Health, Washington, DC, USA.
Courtney RamusAvalere Health, Washington, DC, USA.
Sheila FiferFifer Associates, San Francisco, CA, USA.
Alzheimer's Association · USPrevea Health · USBarcelonaβeta Brain Research Center · ESBrown University · USUniversity of California, San Diego · USUniversity of California, San Francisco · USUniversity of Pennsylvania · USWashington University in St. Louis · US

Funding

Project 1U19AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI ANDREW J SAYKIN · 2016 to 2026
$226.7M
Washington University Institute of Clinical and Translational SciencesKL2TR000450 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$8.8M
NCATS NIH HHS KL2 TR000450NIA NIH HHS U19 AG024904
6 · The paper itself

Abstract

introductionThe Alzheimer's Association convened a multidisciplinary workgroup to develop appropriate use criteria to guide the safe and optimal use of the lumbar puncture procedure and cerebrospinal fluid (CSF) testing for Alzheimer's disease pathology detection in the diagnostic process.

methodsThe workgroup, experienced in the ethical use of lumbar puncture and CSF analysis, developed key research questions to guide the systematic review of the evidence and developed clinical indications commonly encountered in clinical practice based on key patient groups in whom the use of lumbar puncture and CSF may be considered as part of the diagnostic process. Based on their expertise and interpretation of the evidence from systematic review, members rated each indication as appropriate or inappropriate.

resultsThe workgroup finalized 14 indications, rating 6 appropriate and 8 inappropriate. DISCUSSION: In anticipation of the emergence of more reliable CSF analysis platforms, the manuscript offers important guidance to health-care practitioners and suggestions for implementation and future research.

Indexed as

Spinal PunctureAlzheimer DiseaseBiomarkersDelphi TechniqueHumansBiomarkersAlzheimer's disease pathologyAmyloid PETAUCCSF Aβ-42, diagnostic utilitiesMCIModified DelphiPICOTS (population, interventions, comparisons, outcomes, timing, and settings) frameworkp-tau181SCDt-tau, LP

Identifiers

PMID30316776
PMCPMC10013957
OpenAlexW2896430225

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.