Evidence map›Paper›PMID 35115528›Full record

ArticleNature communications2022

Deep phenotyping of Alzheimer's disease leveraging electronic medical records identifies sex-specific clinical associations.

Alice S Tang, Tomiko Oskotsky, Shreyas Havaldar, William G Mantyh, Mesude Bicak, Caroline Warly Solsberg, Sarah Woldemariam, Billy Zeng, Zicheng Hu, Boris Oskotsky and 4 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

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  20. Determining the Importance of Clinical Modalities for NeuroDegenerative Disorders and Risk of Patient Injury Using Machine Learning and Survival Analysis.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2025
    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

14 authors at 3 institutions in 1 country.

Alice S TangBakar Computational Health Sciences Institute, UCSF, San Francisco, CA, USA. alice.tang@ucsf.edu.ORCID 0000-0003-4745-0714
Tomiko OskotskyBakar Computational Health Sciences Institute, UCSF, San Francisco, CA, USA.ORCID 0000-0001-7393-5120
Shreyas HavaldarHasso Plattner Institute for Digital Health at Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
William G MantyhDepartment of Neurology, University of Minnesota School of Medicine, Minneapolis, MN, USA.
Mesude BicakHasso Plattner Institute for Digital Health at Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Caroline Warly SolsbergPharmaceutical Sciences and Pharmacogenomics, UCSF, San Francisco, CA, USA.ORCID 0000-0001-7049-6281
Sarah WoldemariamBakar Computational Health Sciences Institute, UCSF, San Francisco, CA, USA.ORCID 0000-0003-1873-8575
Billy ZengSchool of Medicine, UCSF, San Francisco, CA, USA.
Zicheng HuBakar Computational Health Sciences Institute, UCSF, San Francisco, CA, USA.ORCID 0000-0002-4168-1725
Boris OskotskyBakar Computational Health Sciences Institute, UCSF, San Francisco, CA, USA.ORCID 0000-0002-9364-7051
Dena DubalDepartment of Neurology and Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, CA, 94158, USA.ORCID 0000-0001-7504-4372
Isabel E AllenDepartment of Epidemiology and Biostatistics, UCSF, San Francisco, CA, USA.
Benjamin S GlicksbergHasso Plattner Institute for Digital Health at Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0003-4515-8090
Marina SirotaBakar Computational Health Sciences Institute, UCSF, San Francisco, CA, USA. marina.sirota@ucsf.edu.ORCID 0000-0002-7246-6083
University of California, San Francisco · USIcahn School of Medicine at Mount Sinai · USUniversity of Minnesota · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007618 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ANDERSON, MARK S · 1985 to 2020
$29.6M
PHARMACEUTICAL SCIENCES AND PHARMACOGENOMICST32GM007175 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AHITUV, NADAV, KROETZ, DEANNA L · 1985 to 2021
$7.1M
ApoE Genotype-Directed Drug Repositioning and Combination Therapy for Alzheimer's DiseaseR01AG057683 · NIA · J. DAVID GLADSTONE INSTITUTES · PI HUANG, YADONG, SIROTA, MARINA · 2017 to 2021
$4.3M
SYSTEMATIC DRUG REPURPOSING TARGETING IMMUNE ACTIVATION NETWORKS IN ALZHEIMER'S DISEASE (AD)RF1AG059319 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI EHRLICH, MICHELLE E, GANDY, SAMUEL E. · 2018 to 2018
$4.2M
An Integrative Multi-Omics Approach to Elucidate Sex-Specific Differences in Alzheimers DiseaseR01AG060393 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SIROTA, MARINA · 2018 to 2022
$4.1M
Mechanisms of X-Chromosome-dependent Sex Difference inAlzheimers DiseaseRF1AG068325 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DUBAL, DENA BOU · 2020 to 2020
$2.3M
NIA NIH HHS R01 AG057683NIA NIH HHS R01 AG060393NIA NIH HHS RF1 AG059319NIA NIH HHS RF1 AG068325NIGMS NIH HHS T32 GM007175NIGMS NIH HHS T32 GM007618
6 · The paper itself

Abstract

Alzheimer's Disease (AD) is a neurodegenerative disorder that is still not fully understood. Sex modifies AD vulnerability, but the reasons for this are largely unknown. We utilize two independent electronic medical record (EMR) systems across 44,288 patients to perform deep clinical phenotyping and network analysis to gain insight into clinical characteristics and sex-specific clinical associations in AD. Embeddings and network representation of patient diagnoses demonstrate greater comorbidity interactions in AD in comparison to matched controls. Enrichment analysis identifies multiple known and new diagnostic, medication, and lab result associations across the whole cohort and in a sex-stratified analysis. With this data-driven method of phenotyping, we can represent AD complexity and generate hypotheses of clinical factors that can be followed-up for further diagnostic and predictive analyses, mechanistic understanding, or drug repurposing and therapeutic approaches.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseCaliforniaChi-Square DistributionCohort StudiesComorbidityDatabases, FactualElectronic Health RecordsFemaleHumansMaleMental DisordersMusculoskeletal DiseasesNervous System DiseasesNew York

Identifiers

PMID35115528
PMCPMC8814236
OpenAlexW4210339973

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.