Evidence map›Paper›PMID 37551793›Full record

SynthesisAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Associations of inner retinal layers with risk of incident dementia: An individual participant data analysis of four prospective cohort studies.

Frank C T van der Heide, Anthony Khawaja, Tos T J M Berendschot, Thomas J Littlejohns, Elżbieta Kuźma, Robert Luben, Praveen J Patel, Paul J Foster, Maastricht Study Consortium, Geir Bertelsen and 10 more

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Ocular manifestations in autism spectrum disorder.International journal of ophthalmology · 2025
    Review
  12. Alzheimer's disease pathophysiology in the Retina.Progress in retinal and eye research · 2024
    Review
  13. Alzheimer's & dementia (New York, N. Y.)
    Article
  14. 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

20 authors at 11 institutions in 5 countries.

Frank C T van der HeideCARIM School for Cardiovascular Diseases, Maastricht University (UM), 6229 ER, Maastricht, the Netherlands.
Anthony KhawajaNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK.
Tos T J M BerendschotUniversity Eye Clinic Maastricht, MUMC+, Maastricht, the Netherlands.
Thomas J LittlejohnsNuffield Department of Population Health, University of Oxford, Oxford, UK.
Elżbieta KuźmaAlbertinen-Haus Centre for Geriatrics and Gerontology, University of Hamburg, Hamburg, Germany.
Robert LubenNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK.
Praveen J PatelNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK.
Paul J FosterNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK.
Maastricht Study ConsortiumCARIM School for Cardiovascular Diseases, Maastricht University (UM), 6229 ER, Maastricht, the Netherlands.
Geir BertelsenDepartment of Ophthalmology, University Hospital of North Norway, Tromsø, Norway.
Therese von HannoDepartment of Ophthalmology, Nordland Hospital Trust, Bodø, Norway.
Bente JohnsenDepartment of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
Henrik SchirmerDepartment of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
Sara C L RebouçasUniversity of Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR U1219, Bordeaux, France.
Leslie GrassetUniversity of Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR U1219, Bordeaux, France.
Cécile DelcourtUniversity of Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR U1219, Bordeaux, France.
Catherine HelmerUniversity of Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR U1219, Bordeaux, France.
UK Biobank Eye & Vision Consortium
E3 consortium
Coen D A StehouwerCARIM School for Cardiovascular Diseases, Maastricht University (UM), 6229 ER, Maastricht, the Netherlands.
Maastricht University · NLMoorfields Eye Hospital NHS Foundation Trust · GBInserm · FRUiT The Arctic University of Norway · NOAkershus University Hospital · NOBordeaux Population Health · FRUniversität Hamburg · DEUniversité de Bordeaux · FRUniversity College London · GBUniversity Hospital of North Norway · NOUniversity of Oxford · GB

Funding

Medical Research Council MR/T040912/1
6 · The paper itself

Abstract

introductionOur main objective was to investigate whether retinal neurodegeneration, estimated from lower thickness of inner retinal layers, was associated with incident all-cause dementia and Alzheimer's disease (AD).

methodsWe performed an individual participant data meta-analysis using unpublished data from four prospective cohort studies with a total of 69,955 participants (n = 1087 cases of incident all-cause dementia; n = 520 cases incident AD; follow-up time median [interquartile range] 11.3 [8.8-11.5] years).

resultsGeneral baseline characteristics of the study population were mean (standard deviation) age, 58.1 (8.8) years; 47% women. After adjustment, lower baseline macular retinal nerve fiber layer thickness was significantly associated with a 10% and 11% higher incidence of all-cause dementia and AD, respectively. Lower baseline macular ganglion cell-inner plexiform layer thickness was not significantly associated with these outcomes. DISCUSSION: These findings suggest that retinal neurodegeneration precedes the onset of clinical dementia. Retinal imaging tools may be informative biomarkers for the study of the early pathophysiology of dementia.

Indexed as

Alzheimer DiseaseTomography, Optical CoherenceData AnalysisFemaleHumansMaleMiddle AgedProspective StudiesRetinaAlzheimer's diseasedementiaE3 consortiumearly-onset dementia cohortepidemiologyfrontotemporal dementiaOCToptical coherence tomographyretinal imagingretinal neurodegenerationThe Alienor StudyThe Maastricht StudyThe Tromsø StudyThe UK BiobankUK Biobank Eye & Vision Consortiumvascular dementia

Identifiers

PMID37551793
PMCPMC10914314
OpenAlexW4385664802

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.