Evidence map›Paper›PMID 31517028›Full record

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

Analyses of natural courses of Japanese patients with Alzheimer's disease using placebo data from placebo-controlled, randomized clinical trials: Japanese Study on the Estimation of Clinical course of Alzheimer's disease.

Mitsunori Watanabe, Yu Nakamura, Yasumasa Yoshiyama, Tatsuo Kagimura, Hiroyuki Kawaguchi, Hiroshi Matsuzawa, Yosuke Tachibana, Kazuma Nishimura, Naoki Kubota, Masato Kobayashi and 6 more

Open access · goldAbstract 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 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. 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

16 authors at 4 institutions in 2 countries.

Mitsunori WatanabeJapanese Society of Scaling Keys of Evaluation Techniques for CNS Disorders Heterogeneity (SKETCH), Tokyo, Japan.
Yu NakamuraJapanese Society of Scaling Keys of Evaluation Techniques for CNS Disorders Heterogeneity (SKETCH), Tokyo, Japan.
Yasumasa YoshiyamaJapanese Society of Scaling Keys of Evaluation Techniques for CNS Disorders Heterogeneity (SKETCH), Tokyo, Japan.
Tatsuo KagimuraJapanese Society of Scaling Keys of Evaluation Techniques for CNS Disorders Heterogeneity (SKETCH), Tokyo, Japan.
Hiroyuki KawaguchiJapanese Society of Scaling Keys of Evaluation Techniques for CNS Disorders Heterogeneity (SKETCH), Tokyo, Japan.
Hiroshi MatsuzawaJapanese Society of Scaling Keys of Evaluation Techniques for CNS Disorders Heterogeneity (SKETCH), Tokyo, Japan.
Yosuke TachibanaJapanese Society of Scaling Keys of Evaluation Techniques for CNS Disorders Heterogeneity (SKETCH), Tokyo, Japan.
Kazuma NishimuraJapanese Society of Scaling Keys of Evaluation Techniques for CNS Disorders Heterogeneity (SKETCH), Tokyo, Japan.
Naoki KubotaJapanese Society of Scaling Keys of Evaluation Techniques for CNS Disorders Heterogeneity (SKETCH), Tokyo, Japan.
Masato KobayashiJapanese Society of Scaling Keys of Evaluation Techniques for CNS Disorders Heterogeneity (SKETCH), Tokyo, Japan.
Takayuki SaitoJapanese Society of Scaling Keys of Evaluation Techniques for CNS Disorders Heterogeneity (SKETCH), Tokyo, Japan.
Kaoru TamuraJapanese Society of Scaling Keys of Evaluation Techniques for CNS Disorders Heterogeneity (SKETCH), Tokyo, Japan.
Takayuki SatoJapanese Society of Scaling Keys of Evaluation Techniques for CNS Disorders Heterogeneity (SKETCH), Tokyo, Japan.
Masayoshi TakahashiJapanese Society of Scaling Keys of Evaluation Techniques for CNS Disorders Heterogeneity (SKETCH), Tokyo, Japan.
Japanese Society of Scaling Keys of Evaluation Techniques for CNS Disorders Heterogeneity (SKETCH) study group
Akira HommaJapanese Society of Scaling Keys of Evaluation Techniques for CNS Disorders Heterogeneity (SKETCH), Tokyo, Japan.
Japan Pediatric Society · JPKagawa University · JPOkayama Psychiatric Medical Center · JPThe Memory Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSymptomatic anti-Alzheimer's disease (AD) drugs have been commonly used for the treatment of AD. Knowing the natural courses of patients with AD on placebo is highly relevant for clinicians to understand their efficacy and for investigators to design clinical studies.

methodsThe data on rating scales for dementia such as Alzheimer's Disease Assessment Scale-cognitive subscale (ADAS-cog) and Severe Impairment Battery were extracted from eight previous Japanese Phase II and III studies. Natural courses of Japanese AD patients in placebo groups were evaluated and statistically analyzed in a pooled and retrospective fashion.

resultsDecreases in ADAS-cog and Severe Impairment Battery was larger at week 22 or 24 than at week 12. Scores of ADAS-cog appeared to deteriorate faster in moderate AD than in mild AD. DISCUSSION: The present data will provide clinicians following up patients with AD with helpful information on how to manage AD patients and investigators with instruction for clinical study design.

Indexed as

Acetylcholine esterase inhibitorADAS-cogAlzheimer's diseaseMemantineMini-Mental State ExaminationNatural courseSevere Impairment Battery

Identifiers

PMID31517028
PMCPMC6727219
OpenAlexW2970295101

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.