Evidence map›Paper›PMID 35662118›Full record

ArticleJournal of Alzheimer's disease : JAD2022

The Relationship Between Prior Cancer Diagnosis and All-Cause Dementia Progression Among US Adults.

Mackenzie E Fowler, Nicole C Wright, Kristen Triebel, Gabrielle B Rocque, Marguerite R Irvin, Richard E Kennedy

Open access · greenAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

6 authors at 2 institutions in 1 country.

Mackenzie E FowlerDepartment of Epidemiology, University of Alabama, Birmingham, Birmingham, AL, USA.
Nicole C WrightDepartment of Epidemiology, University of Alabama, Birmingham, Birmingham, AL, USA.
Kristen TriebelDivision of Neuropsychology, Department of Neurology, University of Alabama, Birmingham, Birmingham, AL, USA.
Gabrielle B RocqueO'Neal Comprehensive Cancer Center, University of Alabama, Birmingham, Birmingham, AL, USA.
Marguerite R IrvinDepartment of Epidemiology, University of Alabama, Birmingham, Birmingham, AL, USA.
Richard E KennedyDivision of Gerontology, Geriatrics, and Palliative Care, Department of Medicine, University of Alabama, Birmingham, Birmingham, AL, USA.
University of Alabama · USUniversity of Alabama at Birmingham · US

Funding

UAB Health Services Research (HSR) Training ProgramT32HS013852 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEVITAN, EMILY B, MUGAVERO, MICHAEL J · 2003 to 2024
$8.0M
In Silico Screening of Medications for Slowing Alzheimer's Disease Progression.R01AG057684 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KENNEDY, RICHARD E, SCHNEIDER, LON S · 2017 to 2021
$3.2M
Biology or Management: Understanding Racial Differences in Post Fracture OutcomesK01AR068400 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WRIGHT, NICOLE C · 2017 to 2020
$508k
AHRQ HHS T32 HS013852NIAMS NIH HHS K01 AR068400NIA NIH HHS R01 AG057684
6 · The paper itself

Abstract

backgroundCancer-related cognitive impairment (CRCI), a frequent effect of cancer and its treatments, shares common cognitive symptoms with dementia syndromes. Cross-sectional studies demonstrate an inverse relationship between cancer and dementia. However, the longitudinal relationship between dementia decline and cancer has not been investigated.

objectiveTo evaluate the association between cancer and longitudinal progression of dementia.

methodsWe extracted electronic health record data from July 2003 to February 2020 from a single academic medical center. We identified dementia and cancer history prior to dementia using ICD-9/10 codes. We measured cognitive decline with the Alabama Brief Cognitive Screener (ABCs). We used adjusted linear mixed models to estimate baseline cognition and rate of progression by cancer history, including differences by race.

resultsThe study included 3,809 participants with dementia, of which 672 (17.6%) had cancer history. Those with cancer history had higher baseline cognition (β: 1.07, 95% CI: 0.45, 1.69), but similar rate of decline. Non-Hispanic Blacks had lower cognitive scores at baseline and throughout follow-up regardless of cancer status compared to non-Hispanic Whites and other races/ethnicities with and without cancer history.

conclusionIn this longitudinal retrospective study, participants with cancer history demonstrate better cognition at dementia diagnosis and no difference in cognitive decline than those without cancer history. Smoking and comorbidities attenuate this association and results indicate non-Hispanic Blacks have worse cognitive outcomes in dementia regardless of cancer history than other race/ethnicity groups. Further exploration of the role of smoking, comorbidities, and race/ethnicity on cancer and dementia-related cognitive decline is needed.

Indexed as

Cognitive DysfunctionDementiaNeoplasmsCognitionHumansLongitudinal StudiesRetrospective StudiesUnited StatesAgingcancercognitive dysfunctiondementia

Identifiers

PMID35662118
PMCPMC9382674
OpenAlexW4281853384

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.