Evidence map›Paper›PMID 35964143›Full record

ReviewAlzheimer's research & therapy2022

Perspectives and challenges in patient stratification in Alzheimer's disease.

Carla Abdelnour, Federica Agosta, Marco Bozzali, Bertrand Fougère, Atsushi Iwata, Ramin Nilforooshan, Leonel T Takada, Félix Viñuela, Martin Traber

Open access · goldAbstract readReview
In one paragraph

Review in Alzheimer's research & therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
12.2field-weighted citation impact, top 1% 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

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

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  11. A unified model for staging amyloid and tau pathology in Alzheimer's disease.medRxiv : the preprint server for health sciences · 2026
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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

9 authors at 9 institutions in 7 countries.

Carla AbdelnourUniversidad Autónoma de Barcelona, Barcelona, Spain. carla.abdelnour@gmail.com.
Federica AgostaUnit of Neurology and Neuroimaging Research Unit, IRCCS San Raffaele Scientific Institute, and Vita-Salute San Raffaele University, Milan, Italy.
Marco BozzaliDepartment of Neuroscience "Rita Levi Montalcini", University of Turin, Turin, Italy.
Bertrand FougèreDepartment of Geriatric Medicine, Tours University Hospital, Tours, France.
Atsushi IwataDepartment of Neurology, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan.
Ramin NilforooshanAbraham Cowley Unit, Surrey and Borders Partnership NHS Foundation Trust, Chertsey, UK.
Leonel T TakadaCognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, São Paulo, Brazil.
Félix ViñuelaInstituto Neurológico Andaluz, Hospital Victoria Eugenia/Unidad Deterioro Cognitivo, Hospital Virgen Macarena/Faculty of Medicine, University of Seville, Seville, Spain.
Martin TraberProduct Development Medical Affairs, F. Hoffmann-La Roche Ltd., Basel, Switzerland.
Istituti di Ricovero e Cura a Carattere Scientifico · ITRoche (Switzerland) · CHTokyo Metropolitan Geriatric Hospital · JPUniversidad de Sevilla · ESUniversidade de São Paulo · BRUniversitat Autònoma de Barcelona · ESUniversité de Tours · FRUniversity of Surrey · GBUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient stratification is the division of a patient population into distinct subgroups based on the presence or absence of particular disease characteristics. As patient stratification can be used to account for the underlying pathology of a disease, it can help physicians to tailor therapeutic interventions to individuals and optimize their care management and treatment regime. Alzheimer's disease, the most common form of dementia, is a heterogeneous disease and its management benefits from patient stratification in clinical trials, and the development of personalized care and treatment strategies for people living with the disease. MAIN BODY: In this review, we discuss the importance of the stratification of people living with Alzheimer's disease, the challenges associated with early diagnosis and patient stratification, and the evolution of patient stratification once disease-modifying therapies become widely available.

conclusionPatient stratification plays an important role in drug development in clinical trials and may play an even larger role in clinical practice. A timely diagnosis and stratification of people living with Alzheimer's disease is paramount in determining people who are at risk of progressing from mild cognitive impairment to Alzheimer's dementia. There are key issues associated with stratifying patients which include the heterogeneity and complex neurobiology behind Alzheimer's disease, our inadequately prepared healthcare systems, and the cultural perceptions of Alzheimer's disease. Stratifying people living with Alzheimer's disease may be the key in establishing precision and personalized medicine in the field, optimizing disease prevention and pharmaceutical treatment to slow or stop cognitive decline, while minimizing adverse effects.

Indexed as

Alzheimer DiseaseCognitive DysfunctionHumansAlzheimer’s diseaseBiomarkersCultural perceptions of dementiaDementiaDisease-modifying therapyEarly diagnosisMild cognitive impairmentPatient stratificationPrecision medicineStigma

Identifiers

PMID35964143
PMCPMC9375274
OpenAlexW4291116585

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.