Evidence map›Paper›PMID 33043412›Full record

ReviewLife sciences, society and policy2020

Good problems to have? Policy and societal implications of a disease-modifying therapy for presymptomatic late-onset Alzheimer's disease.

Misha Angrist, Anna Yang, Boris Kantor, Ornit Chiba-Falek

Abstract readReview
In one paragraph

Review in Life sciences, society and policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
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

4 authors.

Misha AngristInitiative for Science and Society and Social Science Research Institute, Duke University, Durham, North Carolina, 27708-0222, USA. misha.angrist@duke.edu.ORCID http://orcid.org/0000-0002-1076-1423
Anna YangDuke University, Durham, USA.
Boris KantorDuke University Department of Neurobiology, Durham, North Carolina, 27710-3209, USA.
Ornit Chiba-FalekDuke University Department of Neurology, 311 Research Drive, Durham, North Carolina, 27710-2900, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the United States alone, the prevalence of AD is expected to more than double from six million people in 2019 to nearly 14 million people in 2050. Meanwhile, the track record for developing treatments for AD has been marked by decades of failure. But recent progress in genetics, neuroscience and gene editing suggest that effective treatments could be on the horizon. The arrival of such treatments would have profound implications for the way we diagnose, triage, study, and allocate resources to Alzheimer's patients. Because the disease is not rare and because it strikes late in life, the development of therapies that are expensive and efficacious but less than cures, will pose particular challenges to healthcare infrastructure. We have a window of time during which we can begin to anticipate just, equitable and salutary ways to accommodate a disease-modifying therapy Alzheimer's disease. Here we consider the implications for caregivers, clinicians, researchers, and the US healthcare system of the availability of an expensive, presymptomatic treatment for a common late-onset neurodegenerative disease for which diagnosis can be difficult.

Indexed as

Health PolicySocial FactorsAlzheimer DiseaseEarly DiagnosisHumansLate Onset DisordersUnited StatesAccessAlzheimer’sDiagnosisDrug pricingGene editingInfrastructureService deliveryTherapy

Identifiers

PMID33043412
PMCPMC7548124

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.