Evidence map›Paper›PMID 36189596›Full record

ArticleJournal of Alzheimer's disease : JAD2022

Amyloid-β PET Scan Results Disclosure and Care-Partner Emotional Well-Being Over Time.

Megan E Shepherd-Banigan, Cassie B Ford, Valerie A Smith, Emmanuelle Belanger, Terrie T Wetle, Brenda L Plassman, James R Burke, Nicole DePasquale, Emily C O'Brien, Corinna Sorenson and 1 more

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Counseling and disclosure practices in predictive Alzheimer's disease diagnostics: A scoping review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  2. Psychological outcomes of dementia risk estimation in MCI patients: Results from the PreDADQoL project.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  3. Article
  4. 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

11 authors at 3 institutions in 1 country.

Megan E Shepherd-BaniganDuke University, Department of Population Health Sciences, Durham, NC, USA.
Cassie B FordDuke University, Department of Population Health Sciences, Durham, NC, USA.
Valerie A SmithDuke University, Department of Population Health Sciences, Durham, NC, USA.
Emmanuelle BelangerDepartment of Health Services, Policy and Practice, School of Public Health, Brown University, Providence, RI, USA.
Terrie T WetleDepartment of Health Services, Policy and Practice, School of Public Health, Brown University, Providence, RI, USA.
Brenda L PlassmanDepartment of Neurology and Department of Psychiatry and Behavioral Sciences, School of Medicine, Duke University, Durham, NC, USA.
James R BurkeDepartment of Neurology and Department of Psychiatry and Behavioral Sciences, School of Medicine, Duke University, Durham, NC, USA.
Nicole DePasqualeDivision of General Internal Medicine, Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
Emily C O'BrienDuke University, Department of Population Health Sciences, Durham, NC, USA.
Corinna SorensonDuke University, Department of Population Health Sciences, Durham, NC, USA.
Courtney H Van HoutvenDuke University, Department of Population Health Sciences, Durham, NC, USA.
Duke University · USDurham VA Health Care System · USBrown University · US

Funding

Caregivers' Reactions and Experience: Imaging Dementia Evidence for Amyloid Scanning CARE IDEASR01AG053934 · NIA · BROWN UNIVERSITY · PI WETLE, TERRIE FOX · 2017 to 2020
$4.5M
Supporting Patients and Family Care Partners to Manage Chronic Kidney Disease TogetherK01AG070284 · NIA · DUKE UNIVERSITY · PI DEPASQUALE, NICOLE · 2021 to 2025
$646k
NIA NIH HHS K01 AG070284NIA NIH HHS R01 AG053934
6 · The paper itself

Abstract

backgroundDiagnostic tests, such as amyloid-β positron emission tomography (PET) scans, can increase appropriate therapeutic management for the underlying causes of cognitive decline. To evaluate the full utility of this diagnostic tool, information is needed on whether results from amyloid-β PET scans influence care-partner outcomes.

objectiveThis study examines the extent to which previous disclosure of elevated amyloid (suggestive of Alzheimer's disease (AD) etiology) versus not-elevated amyloid (not suggestive of AD etiology) is associated with changes in care-partner wellbeing.

methodsThe study used data derived from a national longitudinal survey of Medicare beneficiaries (n = 921) with mild cognitive impairment (MCI) or dementia and their care-partners. Care-partner wellbeing outcomes included depressive symptoms (PHQ-8), subjective burden (4-item Zarit burden score), and a 3-item measure of loneliness. Change was measured between 4 (Time 1) and 18 (Time 2) months after receiving the scan results. Adjusted linear regression models regressed change (Time 2-Time 1) in each outcome on scan result.

resultsCare-partners were primarily white, non-Hispanic, college-educated, and married to the care recipient. Elevated amyloid was not associated with statistically significant Time 1 differences in outcomes or with statistically significant changes in depressive symptoms 0.22 (-0.18, 0.61), subjective burden 0.36 (-0.01, 0.73), or loneliness 0.15 (-0.01, 0.32) for care-partners from one time point to another.

conclusionGiven advances in AD biomarker testing, future research in more diverse samples is needed to understand the influence of scan results on care-partner wellbeing across populations.

Indexed as

Alzheimer DiseaseAmyloidosisCognitive DysfunctionAgedAmyloidAmyloid beta-PeptidesDisclosureHumansMedicarePositron-Emission TomographyUnited StatesAmyloidAmyloid beta-PeptidesAmyloid-βcaregiverdementiadepressionmild cognitive impairmentpositron emission tomography

Identifiers

PMID36189596
PMCPMC9749778
OpenAlexW4298137820

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.