Evidence map›Paper›PMID 31806693›Full record

ArticleNeurology2020

Temporal changes in the likelihood of dementia and MCI over 18 years in a population sample.

Kumar B Rajan, Jennifer Weuve, Robert S Wilson, Lisa L Barnes, Elizabeth A McAninch, Denis A Evans

Abstract read
In one paragraph

Article in Neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Long-term community noise exposure in relation to dementia, cognition, and cognitive decline in older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2021
    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

6 authors.

Kumar B RajanFrom the Department of Public Health Sciences (K.B.R.) and Alzheimer's Disease Center (K.B.R.), University of California at Davis; Department of Epidemiology (J.W.), Boston University School of Public Health, MA; Rush Alzheimer's Disease Center (R.S.W., L.L.B.); and Department of Internal Medicine (E.A.M., D.A.E.), Rush University Medical Center, Chicago, IL. KBRajan@UCDavis.edu.
Jennifer WeuveFrom the Department of Public Health Sciences (K.B.R.) and Alzheimer's Disease Center (K.B.R.), University of California at Davis; Department of Epidemiology (J.W.), Boston University School of Public Health, MA; Rush Alzheimer's Disease Center (R.S.W., L.L.B.); and Department of Internal Medicine (E.A.M., D.A.E.), Rush University Medical Center, Chicago, IL.
Robert S WilsonFrom the Department of Public Health Sciences (K.B.R.) and Alzheimer's Disease Center (K.B.R.), University of California at Davis; Department of Epidemiology (J.W.), Boston University School of Public Health, MA; Rush Alzheimer's Disease Center (R.S.W., L.L.B.); and Department of Internal Medicine (E.A.M., D.A.E.), Rush University Medical Center, Chicago, IL.
Lisa L BarnesFrom the Department of Public Health Sciences (K.B.R.) and Alzheimer's Disease Center (K.B.R.), University of California at Davis; Department of Epidemiology (J.W.), Boston University School of Public Health, MA; Rush Alzheimer's Disease Center (R.S.W., L.L.B.); and Department of Internal Medicine (E.A.M., D.A.E.), Rush University Medical Center, Chicago, IL.
Elizabeth A McAninchFrom the Department of Public Health Sciences (K.B.R.) and Alzheimer's Disease Center (K.B.R.), University of California at Davis; Department of Epidemiology (J.W.), Boston University School of Public Health, MA; Rush Alzheimer's Disease Center (R.S.W., L.L.B.); and Department of Internal Medicine (E.A.M., D.A.E.), Rush University Medical Center, Chicago, IL.
Denis A EvansFrom the Department of Public Health Sciences (K.B.R.) and Alzheimer's Disease Center (K.B.R.), University of California at Davis; Department of Epidemiology (J.W.), Boston University School of Public Health, MA; Rush Alzheimer's Disease Center (R.S.W., L.L.B.); and Department of Internal Medicine (E.A.M., D.A.E.), Rush University Medical Center, Chicago, IL.

Funding

Preserving Cognitive Resilience: A Biracial Parent-Offspring Study (18-4674) - Feasibility StudyR01AG058679 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI EVANS, DENIS A, RAJAN, KUMAR B. · 2019 to 2024
$13.8M
Factors Influencing Decline in AD Trends in a Biracial Population StudyRF1AG057532 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI RAJAN, KUMAR B. · 2017 to 2017
$1.7M
Nonlinear Models of Cognition Preceding AD in a Biracial Population SampleR01AG051635 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI RAJAN, KUMAR B. · 2016 to 2020
$1.5M
NIA NIH HHS R01 AG051635NIA NIH HHS R01 AG058679NIA NIH HHS RF1 AG057532
6 · The paper itself

Abstract

objectiveTo examine the temporal changes in the likelihood of dementia and mild cognitive impairment (MCI) between 1993 and 2012 using a short battery of cognitive tests.

methodsA cohort of 10,342 participants underwent a short battery of cognitive tests collected during triennial in-home interviews with 2,794 of those evaluated for the clinical diagnosis of dementia and MCI. We used a generalized logit regression model to estimate the likelihood of dementia and MCI, and a quasibinomial regression model to examine the temporal changes in those likelihood scores.

resultsA short battery of cognitive tests-delayed story recall test, Symbol Digit Modalities Test, and the Mini-Mental State Examination-were associated with the clinical diagnosis of dementia and MCI. The classification accuracy of likelihood scores was 0.92 for dementia and 0.85 for MCI. After adjusting for age, race/ethnicity, and education, the likelihood of dementia in the population decreased from 21.6% (95% confidence interval [CI] 20.9%-22.3%) to 18.9% (95% CI 18.1%-19.7%) between 1993-1996 and 2000-2002 and showed no significant decline between 2000-2002 and 2009-2012 (-0.2%, 95% CI -1.1% to 0.7%). The estimated likelihood of MCI remained similar between 1993-1996 and 2009-2012 (29.0%, 95% CI 27.9%-30.1%), but showed a nonsignificant decrease in 2000-2002.

conclusionThe likelihood scores based on a short battery of cognitive tests can serve as a measure of dementia and MCI in epidemiologic studies. The decline in the likelihood of dementia and MCI over earlier years was not sustained in later years.

Indexed as

AgedAged, 80 and overCognitive DysfunctionDementiaFemaleHumansMaleNeuropathology

Identifiers

PMID31806693
PMCPMC7108808

What OpenQuestion holds

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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.