Evidence map›Paper›PMID 38169023›Full record

ArticleJournal of general internal medicine2024

Determinants of Plasma Alzheimer's Disease Biomarker Use by Primary Care Providers and Dementia Specialists.

Kyra O'Brien, Cameron Coykendall, Melanie Kleid, Kristin Harkins, Nathaniel Chin, Justin T Clapp, Jason Karlawish

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Proceedings of the Alzheimer's Diagnosis in Older Adults With Chronic Conditions Network Inaugural Annual Conference.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  5. Paving the way for Alzheimer's disease blood-based biomarkers in primary care.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  6. Observational
  7. Review
  8. Article
  9. Article
  10. Article
  11. 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

7 authors.

Kyra O'BrienUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA. kyra.o'brien@pennmedicine.upenn.edu.ORCID 0000-0002-8461-0492
Cameron CoykendallUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Melanie KleidUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Kristin HarkinsUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Nathaniel ChinUniversity of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Justin T ClappUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Jason KarlawishUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.

Funding

Research Education ComponentP30AG072979 · NIA · UNIVERSITY OF PENNSYLVANIA · PI DAVID A WOLK · 2021 to 2026
$24.8M
NIA NIH HHS P30 AG072979NIA NIH HHS P30AG072979
6 · The paper itself

Abstract

backgroundThe efficiencies of plasma Alzheimer's disease (AD) biomarkers could facilitate early AD diagnosis. Unfortunately, limited knowledge exists about whether and how they would be used by clinicians.

objectiveTo identify and compare determinants of plasma AD biomarker use reported by primary care providers and dementia specialists.

designSemi-structured interviews with clinicians organized using Rogers' Diffusion of Innovations theory and analyzed using an iterative coding approach.

participantsThe subjects were internal and family medicine, neurology, and geriatrics providers with varying degrees of expertise in dementia diagnosis and care. MAIN MEASURES: Factors influencing a clinician's decision to use or not use plasma AD biomarkers in clinical practice. KEY

resultsWe interviewed 30 clinicians (16 family or internal medicine providers, 8 geriatricians, and 6 neurologists). Fifteen were dementia specialists. Hesitance to use plasma AD biomarkers was due to perceived lack of effective treatments for AD, limited access to supports, and stigma. Plasma AD biomarkers would be more readily adopted by clinicians with dementia expertise.

conclusionsSeveral factors will influence clinical use of plasma AD biomarkers. Some of them may inform the design of interventions to promote the effective and appropriate clinical translation of these tests.

Indexed as

Alzheimer DiseaseBiomarkersPrimary Health CareDementiaFemaleHumansMalePhysicians, Primary CareBiomarkersAlzheimer’s diseasediffusion of innovationsearly diagnosisplasma biomarkersprimary care

Identifiers

PMID38169023
PMCPMC11255148

What OpenQuestion holds

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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.