Evidence map›Paper›PMID 37462105›Full record

ReviewNeuropathology and applied neurobiology2023

Insights into the pathological basis of dementia from population-based neuropathology studies.

Stephen B Wharton, Julie E Simpson, Paul G Ince, Connor D Richardson, Richard Merrick, Fiona E Matthews, Carol Brayne, CFAS

Open access · hybridAbstract readReview
In one paragraph

Review in Neuropathology and applied neurobiology, 2023. 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
3.3field-weighted citation impact, top 7% 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, 15 citations in OpenAlex.

  1. Efficacy of reminiscence therapy in improving cognitive decline: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
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  9. Reframing TDP-43 in Alzheimer's disease: From co-pathology to neurovascular culprit.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Ageing-Related Neurodegeneration and Cognitive Decline.International journal of molecular sciences · 2024
    Article
  16. Review
  17. Article
  18. Review
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 3 institutions in 2 countries.

Stephen B WhartonSheffield Institute for Translational Neuroscience, University of Sheffield, Sheffield, UK.ORCID 0000-0003-2785-333X
Julie E SimpsonSheffield Institute for Translational Neuroscience, University of Sheffield, Sheffield, UK.ORCID 0000-0002-3753-4271
Paul G InceSheffield Institute for Translational Neuroscience, University of Sheffield, Sheffield, UK.
Connor D RichardsonPopulation Health Sciences Institute, Newcastle University, Sheffield, UK.
Richard MerrickCambridge Public Health, School of Clinical Medicine, University of Cambridge, Sheffield, UK.
Fiona E MatthewsPopulation Health Sciences Institute, Newcastle University, Sheffield, UK.
Carol BrayneCambridge Public Health, School of Clinical Medicine, University of Cambridge, Sheffield, UK.
CFAS
University of Sheffield · GBNewcastle University · GBUniversity of Cambridge · GB

Funding

Department of HealthMedical Research Council G0601022Medical Research Council G0900582Medical Research Council G9901400Medical Research Council MRC/G9901400Medical Research Council U.1052.00.0013
6 · The paper itself

Abstract

The epidemiological neuropathology perspective of population and community-based studies allows unbiased assessment of the prevalence of various pathologies and their relationships to late-life dementia. In addition, this approach provides complementary insights to conventional case-control studies, which tend to be more representative of a younger clinical cohort. The Cognitive Function and Ageing Study (CFAS) is a longitudinal study of cognitive impairment and frailty in the general United Kingdom population. In this review, we provide an overview of the major findings from CFAS, alongside other studies, which have demonstrated a high prevalence of pathology in the ageing brain, particularly Alzheimer's disease neuropathological change and vascular pathology. Increasing burdens of these pathologies are the major correlates of dementia, especially neurofibrillary tangles, but there is substantial overlap in pathology between those with and without dementia, particularly at intermediate burdens of pathology and also at the oldest ages. Furthermore, additional pathologies such as limbic-predominant age-related TDP-43 encephalopathy, ageing-related tau astrogliopathy and primary age-related tauopathies contribute to late-life dementia. Findings from ageing population-representative studies have implications for the understanding of dementia pathology in the community. The high prevalence of pathology and variable relationship to dementia status has implications for disease definition and indicate a role for modulating factors on cognitive outcome. The complexity of late-life dementia, with mixed pathologies, indicates a need for a better understanding of these processes across the life-course to direct the best research for reducing risk in later life of avoidable clinical dementia syndromes.

Indexed as

Alzheimer DiseaseTauopathiesBrainDementiaHumansLongitudinal StudiesTDP-43 ProteinopathiesAlzheimer's diseasedementia neuropathologyepidemiological neuropathologyLewy body diseasepopulation-representative neuropathologyvascular dementia

Identifiers

PMID37462105
PMCPMC10946587
OpenAlexW4384626046

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.