Evidence map›Paper›PMID 39287564›Full record

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

Pilot implementation of the revised criteria for staging of Alzheimer's disease by the Alzheimer's Association Workgroup in a tertiary memory clinic.

Jiaying Lu, Jing Wang, Jie Wu, Huiwei Zhang, Xiaoxi Ma, Yuhua Zhu, Jie Wang, Yunhao Yang, Zhenxu Xiao, Ming Li and 10 more

Abstract read
In one paragraph

Article 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. ATNIVS biomarker heterogeneity in real-world patients receiving lecanemab.The journal of prevention of Alzheimer's disease · 2026
    Article
  2. Article
  3. Review
  4. Review
  5. Utility ofAlzheimer's research & therapy · 2025
    Article
  6. Article
  7. Role ofAlzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  8. Article
  9. Article
  10. 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

20 authors.

Jiaying LuDepartment of Nuclear Medicine & PET Center, Huashan Hospital, Fudan University, Xuhui District, Shanghai, China.
Jing WangDepartment of Nuclear Medicine & PET Center, Huashan Hospital, Fudan University, Xuhui District, Shanghai, China.
Jie WuDepartment and Institute of Neurology, Huashan Hospital, Fudan University, Jingan District, Shanghai, China.
Huiwei ZhangDepartment of Nuclear Medicine & PET Center, Huashan Hospital, Fudan University, Xuhui District, Shanghai, China.
Xiaoxi MaDepartment and Institute of Neurology, Huashan Hospital, Fudan University, Jingan District, Shanghai, China.
Yuhua ZhuDepartment of Nuclear Medicine & PET Center, Huashan Hospital, Fudan University, Xuhui District, Shanghai, China.
Jie WangDepartment and Institute of Neurology, Huashan Hospital, Fudan University, Jingan District, Shanghai, China.
Yunhao YangDepartment of Nuclear Medicine & PET Center, Huashan Hospital, Fudan University, Xuhui District, Shanghai, China.
Zhenxu XiaoDepartment and Institute of Neurology, Huashan Hospital, Fudan University, Jingan District, Shanghai, China.
Ming LiDepartment of Nuclear Medicine & PET Center, Huashan Hospital, Fudan University, Xuhui District, Shanghai, China.
Xiaowen ZhouDepartment and Institute of Neurology, Huashan Hospital, Fudan University, Jingan District, Shanghai, China.
Zizhao JuDepartment of Nuclear Medicine & PET Center, Huashan Hospital, Fudan University, Xuhui District, Shanghai, China.
Qian XuDepartment of Nuclear Medicine & PET Center, Huashan Hospital, Fudan University, Xuhui District, Shanghai, China.
Jingjie GeDepartment of Nuclear Medicine & PET Center, Huashan Hospital, Fudan University, Xuhui District, Shanghai, China.
Ding DingDepartment and Institute of Neurology, Huashan Hospital, Fudan University, Jingan District, Shanghai, China.
Tzu-Chen YenAPRINOIA Therapeutics Co. Ltd, Suzhou Industrial Park, Suzhou, China.
Chuantao ZuoDepartment of Nuclear Medicine & PET Center, Huashan Hospital, Fudan University, Xuhui District, Shanghai, China.ORCID 0000-0002-8856-7217
Yihui GuanDepartment of Nuclear Medicine & PET Center, Huashan Hospital, Fudan University, Xuhui District, Shanghai, China.
Qianhua ZhaoDepartment and Institute of Neurology, Huashan Hospital, Fudan University, Jingan District, Shanghai, China.
Shanghai Memory Study (SMS)

Funding

National Ministry of Science and Technology of China SQ2021AAA010157National Natural Science Foundation of China 82021002National Natural Science Foundation of China 82071200National Natural Science Foundation of China 82272039National Natural Science Foundation of China 82371429National Natural Science Foundation of China 82394434STI2030-Major Project 2022ZD0211600
6 · The paper itself

Abstract

introductionWe aimed to evaluate the feasibility of the 2024 Alzheimer's Association Workgroup's integrated clinical-biological staging scheme in outpatient settings within a tertiary memory clinic.

methodsThe 2018 syndromal cognitive staging system, coupled with a binary biomarker classification, was implemented for 236 outpatients with cognitive concerns. The 2024 numeric clinical staging framework, incorporating biomarker staging, was specifically applied to 154 individuals within the Alzheimer's disease (AD) continuum.

resultsThe 2024 staging scheme accurately classified 95.5% AD. Among these, 56.5% exhibited concordant clinical and biological stages (canonical), 34.7% demonstrated more advanced clinical stages than biologically expected (susceptible), and 8.8% displayed the inverse pattern (resilient). The susceptible group was characterized by a higher burden of neurodegeneration and inflammation than anticipated from tau, whereas the resilient group showed the opposite. DISCUSSION: The 2024 staging scheme is generally feasible. A discrepancy between clinical and biological stages is relatively frequent among symptomatic patients with AD. HIGHLIGHTS: The 2024 AA staging scheme is generally feasible in a tertiary memory clinic. A discrepancy between clinical and biological stages is relatively frequent in AD. The mismatch may be influenced by a non-specific pathological process involved in AD. Individual profiles like aging and lifestyles may contribute to such a mismatch. Matched and mismatched cases converge toward similar clinical outcomes.

Indexed as

Alzheimer DiseaseBiomarkersAgedAged, 80 and overDisease ProgressionFeasibility StudiesFemaleHumansMaleMiddle AgedNeuropsychological TestsPilot Projectstau ProteinsBiomarkerstau ProteinsAlzheimer's diseaseamyloidclinical‐biological staging schemeinflammationneurodegenerationpositron emission tomographytau

Identifiers

PMID39287564
PMCPMC11567817

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Registered trials

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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.