Evidence map›Paper›PMID 37739460›Full record

ArticleBMJ open2023

Study protocol for development and validation of a single tool to assess risks of stroke, diabetes mellitus, myocardial infarction and dementia: DemNCD-Risk.

Scherazad Kootar, Md Hamidul Huque, Kim M Kiely, Craig S Anderson, Louisa Jorm, Miia Kivipelto, Nicola T Lautenschlager, Fiona Matthews, Jonathan E Shaw, Rachel A Whitmer and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

12 authors at 6 institutions in 4 countries.

Scherazad KootarNeuroscience Research Australia, Randwick, New South Wales, Australia.ORCID 0000-0001-5496-3281
Md Hamidul HuqueNeuroscience Research Australia, Randwick, New South Wales, Australia.ORCID 0000-0002-5605-3801
Kim M KielyNeuroscience Research Australia, Randwick, New South Wales, Australia.ORCID 0000-0001-5876-3201
Craig S AndersonThe George Institute for Global Health, George Institute for Global Health, Newtown, New South Wales, Australia.ORCID 0000-0002-7248-4863
Louisa JormCentre for Big Data Research in Health, University of New South Wales, Randwick, New South Wales, Australia.ORCID 0000-0003-0390-661X
Miia KivipeltoDivision of Geriatric Epidemiology, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-0992-3875
Nicola T LautenschlagerAcademic Unit of Psychiatry of Old Age, Department of Psychiatry, The University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0003-4850-7794
Fiona MatthewsPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0002-1728-2388
Jonathan E ShawClinical and Population Health, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia.ORCID 0000-0002-6187-2203
Rachel A WhitmerUniversity of California Davis, Davis, California, USA.
Ruth PetersUniversity of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0003-0148-3617
Kaarin J AnsteyNeuroscience Research Australia, Randwick, New South Wales, Australia k.anstey@unsw.edu.au.ORCID 0000-0002-9706-9316
UNSW Sydney · AUBaker Heart and Diabetes Institute · AUKarolinska Institutet · SENewcastle University · GBThe Royal Melbourne Hospital · AUUniversity of California, Davis · US

Funding

UC Davis Alzheimer's Disease Research CenterP30AG072972 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Charles DeCarli, Rachel A Whitmer · 2021 to 2026
$25.2M
NIA NIH HHS P30 AG072972
6 · The paper itself

Abstract

introductionCurrent efforts to reduce dementia focus on prevention and risk reduction by targeting modifiable risk factors. As dementia and cardiometabolic non-communicable diseases (NCDs) share risk factors, a single risk-estimating tool for dementia and multiple NCDs could be cost-effective and facilitate concurrent assessments as compared with a conventional single approach. The aim of this study is to develop and validate a new risk tool that estimates an individual's risk of developing dementia and other NCDs including diabetes mellitus, stroke and myocardial infarction. Once validated, it could be used by the public and general practitioners. METHODS AND ANALYSIS: Ten high-quality cohort studies from multiple countries were identified, which met eligibility criteria, including large representative samples, long-term follow-up, data on clinical diagnoses of dementia and NCDs, recognised modifiable risk factors for the four NCDs and mortality data. Pooled harmonised data from the cohorts will be used, with 65% randomly allocated for development of the predictive model and 35% for testing. Predictors include sociodemographic characteristics, general health risk factors and lifestyle/behavioural risk factors. A subdistribution hazard model will assess the risk factors' contribution to the outcome, adjusting for competing mortality risks. Point-based scoring algorithms will be built using predictor weights, internally validated and the discriminative ability and calibration of the model will be assessed for the outcomes. Sensitivity analyses will include recalculating risk scores using logistic regression. ETHICS AND DISSEMINATION: Ethics approval is provided by the University of New South Wales Human Research Ethics Committee (UNSW HREC; protocol numbers HC200515, HC3413). All data are deidentified and securely stored on servers at Neuroscience Research Australia. Study findings will be presented at conferences and published in peer-reviewed journals. The tool will be accessible as a public health resource. Knowledge translation and implementation work will explore strategies to apply the tool in clinical practice.

Indexed as

DementiaDiabetes MellitusMyocardial InfarctionNoncommunicable DiseasesStrokeHumansRisk Factorsdementiadiabetes & endocrinologymyocardial infarctionprimary preventionrisk factorsstroke

Identifiers

PMID37739460
PMCPMC10533692
OpenAlexW4386969555

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.