Evidence map›Paper›PMID 32280090›Full record

ArticleJournal of Alzheimer's disease : JAD2020

Alzheimer's Disease and Alzheimer's Disease-Related Dementias in Older African American and White Veterans.

Yan Cheng, Ali Ahmed, Edward Zamrini, Debby W Tsuang, Helen M Sheriff, Qing Zeng-Treitler

Open access · bronzeAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  12. The Prevalence of Cognitive Impairment and Dementia in Incarcerated Older Adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
    Article
  13. Article
  14. Cardiorespiratory fitness and risk of Alzheimer's disease and related dementias among American veterans.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
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  18. Osteoporosis and Dementia: Establishing a Link.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2021
    Article
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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

6 authors at 4 institutions in 1 country.

Yan ChengGeorge Washington University Biomedical Informatics Center, Washington, DC, USA.
Ali AhmedGeorge Washington University Biomedical Informatics Center, Washington, DC, USA.
Edward ZamriniUniversity of Utah, Salt Lake City, UT, USA.
Debby W TsuangGeriatric Research Education and Clinical Center, VA Puget Sound, Seattle, WA, USA.
Helen M SheriffGeorge Washington University Biomedical Informatics Center, Washington, DC, USA.
Qing Zeng-TreitlerGeorge Washington University Biomedical Informatics Center, Washington, DC, USA.
George Washington University · USGeorgetown University · USUniversity of Puget Sound · USUniversity of Utah · US

Funding

Clinical and Translational Science Institute at Childrens NationalUL1TR001876 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI BELL, MICHAEL J · 2016 to 2021
$25.6M
Disparities in the Diagnosis of Alzheimer's Disease Among African American and European American VeteransR56AG059739 · NIA · SEATTLE INST FOR BIOMEDICAL/CLINICAL RES · PI TSUANG, DEBBY WEN · 2018 to 2018
$353k
A VHA NLP Software Ecosystem for Collaborative Development and IntegrationI01HX001145 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI ZENG, QING · 2014 to 2020
–
HSRD VA I01 HX001145NCATS NIH HHS UL1 TR001876NIA NIH HHS R56 AG059739
6 · The paper itself

Abstract

backgroundRacial disparity in the epidemiology of Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD) has been reported. However, less is known about this disparity among Veterans.

objectiveTo estimate the racial disparity in AD/ADRD among the Veterans.

methodsOf the 5,413,418 Veterans≥65 years receiving care at the Veterans Health Administration (1999-2016), 4,045,269 were free of prevalent AD/ADRD, schizophrenia, or bipolar disorder at baseline. Of these, 432,469 were African American. Race was self-identified and incident AD/ADRD during 20 (median 6.7) years of follow-up was ascertained using International Classification of Diseases codes.

resultsPatients had a mean age of 70.4 (±6.6) years and 97.8% were men. Age-sex-adjusted incidence of AD/ADRD per 1,000 person-year was 19.3 and 10.8 for African American and white Veterans, respectively (age-sex-adjusted hazard ratio associated with African American race, 1.77; 95% confidence interval, 1.75-1.79; p < 0.0001). This association remained essentially unchanged after multivariable adjustment (hazard ratio, 1.67; 95% confidence interval, 1.65-1.69; p < 0.0001). Among the key baseline characteristics that were significant predictors of AD/ADRD in both races, stroke was a significantly stronger predictor among African Americans, and Hispanic ethnicity and depression among whites (p-value for all interaction,<0.0001).

conclusionThe findings of a higher incidence of AD/ADRD among African American Veterans is consistent with the findings in the general population reported in the literature, although the overall incidence appears to be lower than that in the general population. Future studies need to examine this disparity in incidence as well as the between-race heterogeneity in AD/ADRD risk.

Indexed as

AgedAlzheimer DiseaseBlack or African AmericanDementiaFemaleHealth Status DisparitiesHumansIncidenceMaleMiddle AgedPrevalenceVeteransWhite Peopledementiahealth status disparitiesincidencerace factors

Identifiers

PMID32280090
PMCPMC7306894
OpenAlexW3015932628

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.