Evidence map›Paper›PMID 30689016›Full record

Trial reportJournal of neurology2019

Cognitive changes of older adults with an equivocal amyloid load.

Kristell Pothier, Laure Saint-Aubert, Claudie Hooper, Julien Delrieu, Pierre Payoux, Philipe de Souto Barreto, Bruno Vellas, MAPT/DSA Study Group

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% 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.

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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. 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 at 4 institutions in 1 country.

Kristell PothierGérontopôle de Toulouse, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France. kristell.pothier@univ-tours.fr.
Laure Saint-AubertDepartment of Nuclear Medicine, Imaging Pole, Toulouse University Hospital, Toulouse, France.
Claudie HooperGérontopôle de Toulouse, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France.
Julien DelrieuGérontopôle de Toulouse, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France.
Pierre PayouxDepartment of Nuclear Medicine, Imaging Pole, Toulouse University Hospital, Toulouse, France.
Philipe de Souto BarretoGérontopôle de Toulouse, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France.
Bruno VellasGérontopôle de Toulouse, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France.
MAPT/DSA Study Group
Université Toulouse III - Paul Sabatier · FRCentre Hospitalier Universitaire de Toulouse · FRMédipole Garonne · FRUniversité de Tours · FR

Funding

French Ministry of Health PHRC 2008
6 · The paper itself

Abstract

backgroundObservational and interventional studies addressing the link between amyloid (Aβ) burden and cognitive decline are increasing, but a clear definition of amyloid positivity is still lacking. This may represent a great stake for therapeutic studies enrolling Aβ + patients only. The main objective of this study was to define a population with "equivocal" amyloid status, and evaluate their cognitive changes.

methodsSixty-five participants over 75 years old, from the Control group of the interventional MAPT study, at risk to develop Alzheimer's disease, were included. Participants were classified into three groups in terms of amyloid load: Aβ +, Aβ - and Equivocal participants (according to visual reading, global standardized uptake (SUVR) cut-offs, or a k-mean clustering method). The cognitive changes over time (memory, executive functions, attention and processing speed) of this Equivocal group were then compared to Aβ + and Aβ - participants.

resultsWhen classified by visual read, Equivocal participants' memory scores were comparable to the Aβ- participants, and greater than in Aβ + participants over time. Secondary analyses, using SUVR cut-offs classification, showed different trajectories with Equivocal participants being comparable to the Aβ + participants, and lower than Aβ-, on executive performance over time.

conclusionsThis original work pointed out a population that may be of great interest for interventional studies, raising the question of how amyloid status should be defined and integrated in such studies. These findings should be replicated in future studies on larger datasets, to confirm what methodological approach would be the most suitable to highlight this specific neuroimaging entity.

Indexed as

CognitionAgedAgingAmyloidAniline CompoundsBrainCognitive DysfunctionEthylene GlycolsExecutive FunctionFemaleFollow-Up StudiesHumansMaleMemoryNeuropsychological TestsPositron-Emission TomographyAmyloidAniline CompoundsEthylene GlycolsflorbetapirRadiopharmaceuticalsAmyloid imagingEquivocal casesExecutive functionsMemory

Identifiers

PMID30689016
OpenAlexW2913697301

What OpenQuestion holds

Textmetadata
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.