Evidence map›Paper›PMID 35141391›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)2021

Prevalent, persistent, and impairing: Longitudinal course and impact of apathy in Alzheimer's disease.

Hillel T Grossman, Mary Sano, Amy Aloysi, Gregory A Elder, Judith Neugroschl, Corbett Schimming, Laili Soleimani, Carolyn W Zhu

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Dopamine System Dysfunction in Alzheimer's Disease.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2025
    Review
  7. Article
  8. Article
  9. Prevalence, treatment, and neural correlates of apathy in different forms of dementia: a narrative review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Review
  10. Review
  11. Article
  12. An Update on Apathy in Alzheimer's Disease.Geriatrics (Basel, Switzerland) · 2023
    Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Speech markers of depression dimensions across cognitive status.Alzheimer's & dementia (Amsterdam, Netherlands)
    Article
  18. 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

8 authors at 2 institutions in 1 country.

Hillel T GrossmanJames J. Peters VA Medical Center Bronx New York USA.
Mary SanoJames J. Peters VA Medical Center Bronx New York USA.
Amy AloysiDepartment of Psychiatry Icahn School of Medicine at Mount Sinai Bronx New York USA.
Gregory A ElderDepartment of Psychiatry Icahn School of Medicine at Mount Sinai Bronx New York USA.
Judith NeugroschlDepartment of Psychiatry Icahn School of Medicine at Mount Sinai Bronx New York USA.
Corbett SchimmingJames J. Peters VA Medical Center Bronx New York USA.
Laili SoleimaniDepartment of Psychiatry Icahn School of Medicine at Mount Sinai Bronx New York USA.
Carolyn W ZhuJames J. Peters VA Medical Center Bronx New York USA.
Icahn School of Medicine at Mount Sinai · USJames J. Peters VA Medical Center · US

Funding

NATIONAL ALZHEIMERS COORDINATING CENTER (NACC)U01AG016976 · NIA · UNIVERSITY OF WASHINGTON · PI KUKULL, WALTER ANTHONY · 1999 to 2020
$72.8M
SUPPLEMENT TO RUSH ALZHEIMERS DISEASE CENTER COREP30AG010161 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI LEURGANS, SUE E. · 1991 to 2020
$49.1M
VESICULAR LOCALIZATION AND FUNCTION OF PRESENILIN 1 FRAGMENTP50AG005138 · NIA · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI GROSSMAN, HILLEL · 1985 to 2019
$37.9M
Rush Alzheimer's Disease Research CenterP30AG072975 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI Lisa L Barnes, Julie A. Schneider · 2021 to 2026
$24.7M
NIA NIH HHS P30 AG010161NIA NIH HHS P30 AG072975NIA NIH HHS P50 AG005138NIA NIH HHS U01 AG016976
6 · The paper itself

Abstract

introductionUnderstanding of the natural history of apathy and its impact on patient function is limited. This study examines, in a large, national sample of Alzheimer's disease (AD) patients with long follow-ups: (1) prevalence, incidence, and persistence of apathy, and (2) impact of apathy on function across dementia severity.

methodsA longitudinal study of 9823 well-characterized AD patients in the National Alzheimer's Coordinating Center Uniform Data Set.

resultsApathy was highly prevalent across disease severity with cumulative prevalence of 48%, 74%, and 82% in Clinical Dementia Rating (CDR) 0.5, 1.0, and 2.0, respectively. Persistence of apathy from clinician judgment varied from visit to visit at earlier disease stages but remained high at moderate dementia. Independent of cognition, persistent apathy was strongly associated with accelerated rate of functional decline. DISCUSSION: Findings point to important targets for the treatment and management of apathy, include functional outcomes, and study designs that account for variable persistence of the apathy syndrome.

Indexed as

apathydementiafunctionlongitudinal studiesmild cognitive impairment

Identifiers

PMID35141391
PMCPMC8817116
OpenAlexW4210354176

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.