Evidence map›Paper›PMID 31439020›Full record

ArticleAlzheimer's research & therapy2019

Use of mild cognitive impairment and prodromal AD/MCI due to AD in clinical care: a European survey.

Daniela Bertens, Stephanie Vos, Patrick Kehoe, Henrike Wolf, Flavio Nobili, Alexandre Mendonça, Ineke van Rossum, Jacub Hort, Jose Luis Molinuevo, Michael Heneka and 3 more

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's research & therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Perspectives from Alzheimer's Disease Research Centers site directors on the early steps and the lasting impact.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. The Impact of Cognitive Impairment on Cardiovascular Disease.Journal of the American College of Cardiology · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Revised criteria for diagnosis and staging of Alzheimer's disease: Alzheimer's Association Workgroup.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  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

13 authors at 10 institutions in 9 countries.

Daniela BertensAlzheimer Centre, Department of Neurology, VU University Medical Centre, De Boelelaan 1118, 1081 HZ, Amsterdam, The Netherlands. d.bertens@vumc.nl.ORCID 0000-0003-2271-762X
Stephanie VosAlzheimer Centre, School for Mental Health and Neuroscience (MHeNS), Maastricht University, Maastricht, The Netherlands.
Patrick KehoeLearning and Research, Faculty of Health Sciences, University of Bristol, Bristol, UK.
Henrike WolfDepartment of Psychiatry, University of Zurich, Zürich, Switzerland.
Flavio NobiliClinical Neurology Unit, Department of Neuroscience (DINOGMI), University of Genoa, Genoa, Italy.
Alexandre MendonçaDepartment of Neurology and Laboratory of Neurosciences, Faculty of Medicine, University of Lisbon, Lisbon, Portugal.
Ineke van RossumAlzheimer Centre, Department of Neurology, VU University Medical Centre, De Boelelaan 1118, 1081 HZ, Amsterdam, The Netherlands.
Jacub HortDepartment of Neurology, 2nd Faculty of Medicine Charles University in Prague and Motol University Hospital, Prague, Czech Republic.
Jose Luis MolinuevoBarcelonaBeta Brain Research Center, Pasqual Maragall Foundation, Barcelona, Spain.
Michael HenekaClinical Neuroscience, Department of Neurology Clinical Neuroscience Unit, and German Center for Neurodegenerative Disease (DZNE), Bonn, Germany.
Ron PetersenMayo Clinic Alzheimer's Disease Research Center and the Mayo Clinic Study of Aging, Rochester, MN, USA.
Philip ScheltensAlzheimer Centre, Department of Neurology, VU University Medical Centre, De Boelelaan 1118, 1081 HZ, Amsterdam, The Netherlands.
Pieter Jelle VisserAlzheimer Centre, Department of Neurology, VU University Medical Centre, De Boelelaan 1118, 1081 HZ, Amsterdam, The Netherlands. pj.visser@vumc.nl.
Amsterdam UMC Location Vrije Universiteit Amsterdam · NLMaastricht University · NLCharles University · CZGerman Center for Neurodegenerative Diseases · DEMayo Clinic · USPasqual Maragall Foundation · ESUniversity of Bristol · GBUniversity of Genoa · ITUniversity of Lisbon · PTUniversity of Zurich · CH

Funding

Innovative Medicines Initiative 115372Medical Research Council MC_PC_13088
6 · The paper itself

Abstract

introductionThe diagnosis of mild cognitive impairment (MCI) refers to cognitive impairment not meeting dementia criteria. A survey among members of the American Association of Neurology (AAN) showed that MCI was considered a useful diagnosis. Recently, research criteria have been proposed for the diagnosis of Alzheimer's disease (AD) in MCI based on AD biomarkers (prodromal AD/MCI due to AD). The aim of this study was to investigate the attitudes of clinicians in Europe on the clinical utility of MCI and prodromal AD/MCI due to AD criteria. We also investigated whether the prodromal AD/MCI due to AD criteria impacted management of MCI patients.

methodsAn online survey was performed in 2015 among 102 members of the European Academy of Neurology (EAN) and the European Alzheimer's Disease Consortium (EADC). Questions were asked on how often criteria were used, how they were operationalized, how they changed patient management, and what were considered advantages and limitations of MCI and prodromal AD/MCI due to AD. The questionnaire consisted of 47 questions scored on a Likert scale.

resultsAlmost all respondents (92%) used the MCI diagnosis in clinical practice. Over 80% of the EAN/EADC respondents found a MCI diagnosis useful because it helped to label the cognitive problem, involve patients in planning for the future, and start risk reduction activities. These findings were similar to those reported in the AAN survey. Research criteria for prodromal AD/MCI due to AD were used by 68% of the EAN/EADC respondents. The most common reasons to use the criteria were increased certainty of diagnosis (86%), increased possibilities to provide counseling (51%), facilitation of follow-up planning (48%), start of medical intervention (49%), and response to patients' wish for a diagnosis (41%). Over 70% of the physicians considered that a diagnosis of prodromal AD/MCI due to AD had an added value over the MCI diagnosis.

conclusionsThe diagnostic criteria of MCI and prodromal AD/MCI due to AD are commonly used among EAN/EADC members. The prodromal AD/MCI due to AD were considered clinically useful and impacted patient management and communication.

Indexed as

Attitude of Health PersonnelAlzheimer DiseaseCognitive DysfunctionEuropeFemaleHumansMaleMiddle AgedNeurologyProdromal SymptomsSurveys and QuestionnairesMCIMCI due to ADProdromal ADQuestionnaireSurvey

Identifiers

PMID31439020
PMCPMC6706888
OpenAlexW2969398287

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.