Evidence map›Paper›PMID 34219721›Full record

ArticleJournal of Alzheimer's disease : JAD2021

A Modified CAIDE Risk Score as a Screening Tool for Cognitive Impairment in Older Adults.

Magdalena I Tolea, Jaeyeong Heo, Stephanie Chrisphonte, James E Galvin

Open access · greenAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
4.1field-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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Associations of dementia polyexposure scores to Alzheimer's disease endophenotypes in a diverse population.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. The role of genomic-informed risk assessments in predicting dementia outcomes.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  7. The Role of Genomic-Informed Risk Assessments in Predicting Dementia Outcomes.medRxiv : the preprint server for health sciences · 2025
    Article
  8. Article
  9. Article
  10. Dementia risk scores, apolipoprotein E, and risk of Alzheimer's disease: One size does not fit all.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  11. Dementia Risk Scores,medRxiv : the preprint server for health sciences · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Vascular Cognitive Impairment (VCI).Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2022
    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 at 2 institutions in 1 country.

Magdalena I ToleaComprehensive Center for Brain Health, Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
Jaeyeong HeoDepartment of Neurology, Harbor UCLA Medical Center, Los Angeles, LA, USA.
Stephanie ChrisphonteComprehensive Center for Brain Health, Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
James E GalvinComprehensive Center for Brain Health, Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
University of Miami · USHarbor–UCLA Medical Center · US

Funding

Training Core (I)U54AG063546 · NIA · BROWN UNIVERSITY · PI Vincent Mor · 2019 to 2026
$125.9M
Dementia with Lewy Bodies Consortium - Supplement for ASL sequenceU01NS100610 · NINDS · SEATTLE INST FOR BIOMEDICAL/CLINICAL RES · PI DOUGLAS R GALASKO, JAMES Bruce LEVERENZ · 2016 to 2026
$15.6M
Multicultural Community Dementia ScreeningR01AG071514 · NIA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI GALVIN, JAMES E · 2021 to 2025
$13.8M
Reducing Disparities in Dementia and VCID Outcomes in a Multicultural Rural PopulationR01NS101483 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI GALVIN, JAMES E · 2019 to 2023
$8.0M
The LUCINDA TrialR01AG057681 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI ATWOOD, CRAIG S, BUTLER, TRACY A. · 2018 to 2024
$7.2M
Slow wave sleep (SWS) and the effect of African ancestry on amyloid burden, a longitudinal studyR01AG056531 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI JEAN-LOUIS, GIRARDIN, OSORIO, RICARDO S · 2018 to 2022
$6.7M
Digital Detection of Dementia Studies (D cubed Studies).R01AG069765 · NIA · INDIANA UNIVERSITY INDIANAPOLIS · PI BEN-MILED, ZINA, BOUSTANI, MALAZ · 2020 to 2024
$4.9M
Res-Ed-ComponentP30AG059295 · NIA · WASHINGTON STATE UNIVERSITY · PI GALVIN, JAMES E, JOHANSSON, PATRIK LENNART · 2018 to 2024
$4.1M
A Multi-Site Cluster RCT of the Dementia Symptom Management At Home ProgramR01AG056610 · NIA · NEW YORK UNIVERSITY · PI BRODY, ABRAHAM AIZER · 2017 to 2021
$3.7M
Multicultural Community Dementia Screening.R01AG040211 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GALVIN, JAMES E · 2011 to 2018
$3.2M
Reducing Disability via a Family-centered Intervention for Acutely-ill Persons with Alzheimer's Disease and Related DementiasR01AG054425 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI BOLTZ, MARIE · 2017 to 2021
$2.8M
Enhancing Seated Stability and Reaching After Spinal Cord InjuryR01NS101043 · NINDS · CASE WESTERN RESERVE UNIVERSITY · PI AUDU, MUSA L, TRIOLO, RONALD J · 2018 to 2021
$1.7M
NIA NIH HHS P30 AG059295NIA NIH HHS R01 AG040211NIA NIH HHS R01 AG054425NIA NIH HHS R01 AG056531NIA NIH HHS R01 AG056610NIA NIH HHS R01 AG057681NIA NIH HHS R01 AG069765NIA NIH HHS R01 AG071514NIA NIH HHS U54 AG063546NINDS NIH HHS R01 NS101043NINDS NIH HHS R01 NS101483NINDS NIH HHS U01 NS100610
6 · The paper itself

Abstract

backgroundAlthough an efficacious dementia-risk score system, Cardiovascular Risk Factors, Aging, and Dementia (CAIDE) was derived using midlife risk factors in a population with low educational attainment that does not reflect today's US population, and requires laboratory biomarkers, which are not always available.

objectiveDevelop and validate a modified CAIDE (mCAIDE) system and test its ability to predict presence, severity, and etiology of cognitive impairment in older adults.

methodsPopulation consisted of 449 participants in dementia research (N = 230; community sample; 67.9±10.0 years old, 29.6%male, 13.7±4.1 years education) or receiving dementia clinical services (N = 219; clinical sample; 74.3±9.8 years old, 50.2%male, 15.5±2.6 years education). The mCAIDE, which includes self-reported and performance-based rather than blood-derived measures, was developed in the community sample and tested in the independent clinical sample. Validity against Framingham, Hachinski, and CAIDE risk scores was assessed.

resultsHigher mCAIDE quartiles were associated with lower performance on global and domain-specific cognitive tests. Each one-point increase in mCAIDE increased the odds of mild cognitive impairment (MCI) by up to 65%, those of AD by 69%, and those for non-AD dementia by > 85%, with highest scores in cases with vascular etiologies. Being in the highest mCAIDE risk group improved ability to discriminate dementia from MCI and controls and MCI from controls, with a cut-off of ≥7 points offering the highest sensitivity, specificity, and positive and negative predictive values.

conclusionmCAIDE is a robust indicator of cognitive impairment in community-dwelling seniors, which can discriminate well between dementia severity including MCI versus controls. The mCAIDE may be a valuable tool for case ascertainment in research studies, helping flag primary care patients for cognitive testing, and identify those in need of lifestyle interventions for symptomatic control.

Indexed as

Mass ScreeningAgedAgingCognitive DysfunctionFemaleHumansMaleNeuropsychological TestsRisk FactorsUnited StatesCAIDEcase discriminationcognitive impairmentdementia risk scoresdementia screening

Identifiers

PMID34219721
PMCPMC8483620
OpenAlexW3179999823

What OpenQuestion holds

Textmetadata
LicenceTDM
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.