Evidence map›Paper›PMID 31463360›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)2019

Economic impacts of introducing diagnostics for mild cognitive impairment Alzheimer's disease patients.

Raphael Wittenberg, Martin Knapp, Maria Karagiannidou, John Dickson, Jonathan Schott

Abstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing 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.

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

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

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  20. Syndecan-3 as a Novel Biomarker in Alzheimer's Disease.International journal of molecular sciences · 2022
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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

5 authors.

Raphael WittenbergCare Policy and Evaluation Centre, London School of Economics and Political Science, London, United Kingdom.
Martin KnappCare Policy and Evaluation Centre, London School of Economics and Political Science, London, United Kingdom.
Maria KaragiannidouCare Policy and Evaluation Centre, London School of Economics and Political Science, London, United Kingdom.
John DicksonInstitute of Nuclear Medicine, University College Hospital, London, United Kingdom.
Jonathan SchottDementia Research Centre, University College London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDisease-modifying treatments for Alzheimer's disease (AD) are likely to be offered only to patients with molecular evidence for Alzheimer pathology and expanded to patients with prodromal AD. We calculated the potential future costs of expanding the number of positron emission tomography (PET) and cerebrospinal fluid (CSF) tests in the United Kingdom.

methodsWe conducted a focused literature review and consulted experts to obtain information on the current use of PET and CSF to diagnose prodromal AD, staffing and equipment requirements for these tests, and associated costs.

resultsWe estimate annual costs of 100,000 extra amyloid PET scans and 100,000 extra CSF tests at £113 million and £48 million, respectively; these costs are likely to be higher in the first year. DISCUSSION: The budgetary impacts are not insignificant but are small in comparison to the likely market price of any disease-modifying treatments or to the probable costs of missed or inaccurate diagnosis.

Indexed as

Alzheimer's diseaseCerebrospinal fluid testsCostsDementiaMolecular testsPositron emission tomographyScreening

Identifiers

PMID31463360
PMCPMC6709060

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.