Evidence map›Paper›PMID 30446421›Full record

Observational studyAlzheimer's & dementia : the journal of the Alzheimer's Association2018

The clinical practice of risk reduction for Alzheimer's disease: A precision medicine approach.

Richard S Isaacson, Christine A Ganzer, Hollie Hristov, Katherine Hackett, Emily Caesar, Randy Cohen, Robert Kachko, Josefina Meléndez-Cabrero, Aneela Rahman, Olivia Scheyer and 8 more

Registry-linked trialOpen access · greenAbstract readObservational Study
In one paragraph

Observational study 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 NCT03687710 (The Comparative Effectiveness Dementia & Alzheimer's Registry), which is not on this map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
5.9field-weighted citation impact, top 3% 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.

NCT03687710 enrolling by invitationnot on this map

The Comparative Effectiveness Dementia & Alzheimer's Registry

Typeobservational_patient_registrySponsorWeill Medical College of Cornell UniversityRan2015 to 2028Enrolled452ConditionsAlzheimer Disease, Mild Cognitive ImpairmentArmsMultidomain precision medicine intervention
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 102 citations in OpenAlex.

  1. Trial
  2. Review
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  4. Article
  5. Article
  6. The Next Frontiers in Preventive and Personalized Healthcare: Artificial Intelligent-powered Solutions.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2025
    Review
  7. Exploring interdisciplinary perspectives on the implementation ofJournal of Alzheimer's disease : JAD · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Exploring symptom clusters in mild cognitive impairment and dementia with the NIH Toolbox.Journal of the International Neuropsychological Society : JINS · 2024
    Article
  16. Clinical implications of brain asymmetries.Nature reviews. Neurology · 2024
    Review
  17. Article
  18. Article
  19. Review
  20. 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

18 authors at 13 institutions in 2 countries.

Richard S IsaacsonDepartment of Neurology, Weill Cornell Medicine and NewYork-Presbyterian, New York, NY, USA. Electronic address: rii9004@med.cornell.edu.
Christine A GanzerSchool of Nursing, Hunter College, City University of New York, New York, NY, USA.
Hollie HristovDepartment of Neurology, Weill Cornell Medicine and NewYork-Presbyterian, New York, NY, USA.
Katherine HackettDepartment of Psychology, Temple University, Philadelphia, PA, USA.
Emily CaesarLoyola School of Medicine, Chicago, IL, USA.
Randy CohenDepartment of Cardiology, Crystal Run Healthcare, Middletown, NY, USA.
Robert KachkoInner Source Health, New York, NY, USA.
Josefina Meléndez-CabreroDepartment of Neurology, Weill Cornell Medicine, San Juan, PR, USA.
Aneela RahmanDepartment of Neurology, Weill Cornell Medicine and NewYork-Presbyterian, New York, NY, USA.
Olivia ScheyerDepartment of Neurology, Weill Cornell Medicine and NewYork-Presbyterian, New York, NY, USA.
Mu Ji HwangWeill Cornell Medicine-Qatar, Doha, Qatar.
Cara BerkowitzWeill Cornell Medicine, New York, NY, USA.
Suzanne HendrixBiostatistics, Pentara Corporation, Salt Lake City, UT, USA.
Monica MurebDepartment of Neurology, Weill Cornell Medicine and NewYork-Presbyterian, New York, NY, USA.
Matthew W SchelkeDepartment of Neurology, Columbia University College of Physicians & Surgeons, New York, NY, USA.
Lisa MosconiDepartment of Neurology, Weill Cornell Medicine and NewYork-Presbyterian, New York, NY, USA.
Alon SeifanCompass Health Systems, Miami, FL, USA.
Robert KrikorianDepartment of Psychiatry & Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Cornell University · USWeill Cornell Medicine · USCity University of New York · USColumbia University · USCompass (United States) · USCrystal Run Healthcare · USLoyola Medicine · USPresbyterian Hospital · USPrimary Source · USTemple University · USTetraLogic Pharmaceuticals (United States) · USUniversity of Cincinnati Medical Center · USWeill Cornell Medical College in Qatar · QA

Funding

Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Timing of Menopausal Hormone Therapy across Perimenopause to Menopause Transition: Neuroimmune System in BrainP01AG026572 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ROBERTA EILEEN BRINTON · 2006 to 2026
$53.7M
NCATS NIH HHS UL1 TR002384NIA NIH HHS P01 AG026572
6 · The paper itself

Abstract

Like virtually all age-related chronic diseases, late-onset Alzheimer's disease (AD) develops over an extended preclinical period and is associated with modifiable lifestyle and environmental factors. We hypothesize that multimodal interventions that address many risk factors simultaneously and are individually tailored to patients may help reduce AD risk. We describe a novel clinical methodology used to evaluate and treat patients at two Alzheimer's Prevention Clinics. The framework applies evidence-based principles of clinical precision medicine to tailor individualized recommendations, follow patients longitudinally to continually refine the interventions, and evaluate N-of-1 effectiveness (trial registered at ClinicalTrials.gov NCT03687710). Prior preliminary results suggest that the clinical practice of AD risk reduction is feasible, with measurable improvements in cognition and biomarkers of AD risk. We propose using these early findings as a foundation to evaluate the comparative effectiveness of personalized risk management within an international network of clinician researchers in a cohort study possibly leading to a randomized controlled trial.

Indexed as

Precision MedicineRisk Reduction BehaviorAdultAgedAged, 80 and overAlzheimer DiseaseCognitionFemaleHumansMaleMiddle AgedAlzheimer’s disease preventionAlzheimer’s precision medicineAlzheimer’s Prevention ClinicAPOEClinical precision medicineMultidomain interventionsPersonalized medicinePreclinical Alzheimer’s disease

Identifiers

PMID30446421
PMCPMC6373477
OpenAlexW2900627486

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.