Evidence map›Paper›PMID 32679396›Full record

SynthesisNeurobiology of aging2020

What are the neural correlates of meta-cognition and anosognosia in Alzheimer's disease? A systematic review.

Brendan Hallam, Justin Chan, Sergi Gonzalez Costafreda, Rohan Bhome, Jonathan Huntley

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Neurobiology of aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% 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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Non-fluent agrammatic variant of primary progressive aphasia in a bilingual Mandarin/English speaker: a case report.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2026
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  10. Metacognition impairment in stroke.Frontiers in neurology · 2025
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  16. Review
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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 at 1 institution in 1 country.

Brendan HallamDivision of Psychiatry, University College London, London, UK. Electronic address: Brendan.hallam.18@ucl.ac.uk.
Justin ChanDivision of Psychiatry, University College London, London, UK.
Sergi Gonzalez CostafredaDivision of Psychiatry, University College London, London, UK; Camden and Islington NHS Foundation Trust, London, UK.
Rohan BhomeDivision of Psychiatry, University College London, London, UK.
Jonathan HuntleyDivision of Psychiatry, University College London, London, UK.
University College London · GB

Funding

Marie Curie MCCC-FCO-11-UWellcome TrustWellcome Trust 214547/Z/18/Z
6 · The paper itself

Abstract

Awareness of one's own cognitive processes (metacognition) or of one's own illness or deficits (anosognosia) can be impaired in people with Alzheimer's disease (AD). The neural correlates of anosognosia within AD remain inconclusive. Understanding anosognosia is of importance because of its impact on carer burden and increased institutionalization. A systematic review of structural and functional neuroimaging studies was conducted to identify specific brain regions associated with anosognosia within AD. Thirty-two studies were included in the systematic review. Reduced gray matter density, cerebral blood flow, and hypometabolism in 8 key regions were significantly associated with increased anosognosia scores in people with AD. The most frequently associated regions were the inferior frontal gyrus, anterior cingulate cortex, and medial temporal lobe. Other key regions include the superior frontal gyrus, medial frontal gyrus, orbitofrontal cortex, posterior cingulate cortex, and the insula. Identifying brain regions associated with anosognosia can aid understanding and identification of anosognosia in people with AD and potentially facilitate improvements in care.

Indexed as

MetacognitionNeuroimagingAgnosiaAlzheimer DiseaseFemaleHumansMaleAlzheimer's diseaseAnosognosiaNeural-correlatesNeuroimagingSystematic review

Identifiers

PMID32679396
PMCPMC7903321
OpenAlexW3035977323

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.