Evidence map›Paper›PMID 39935890›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)

Validity of one-time assessments for identifying prodromal Alzheimer's disease in adults with Down syndrome.

Sharon J Krinsky-McHale, Cynthia M Kovacs, Joseph H Lee, Tracy A Listwan, Deborah I Pang, Nicole Schupf, Benjamin Tycko, Warren B Zigman, Wayne Silverman

Abstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Adaptive and Maladaptive Behaviours and Their Cognitive Correlates in Aging Adults With Down Syndrome.Journal of applied research in intellectual disabilities : JARID · 2026
    Article
  3. 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

9 authors.

Sharon J Krinsky-McHaleDepartment of Psychology New York State Institute for Basic Research in Developmental Disabilities Staten Island New York USA.ORCID https://orcid.org/0000-0002-7205-7319
Cynthia M KovacsDepartment of Psychology New York State Institute for Basic Research in Developmental Disabilities Staten Island New York USA.
Joseph H LeeTaub Institute for Research on Alzheimer's Disease and the Aging Brain G.H. Sergievsky Center Departments of Epidemiology Mailman School of Public Health Department of Neurology Vagelos College of Physicians and Surgeons Department of Neurology Center Columbia University New York New York USA.
Tracy A ListwanDepartment of Psychology New York State Institute for Basic Research in Developmental Disabilities Staten Island New York USA.
Deborah I PangDepartment of Psychology New York State Institute for Basic Research in Developmental Disabilities Staten Island New York USA.
Nicole SchupfTaub Institute for Research on Alzheimer's Disease and the Aging Brain G.H. Sergievsky Center Departments of Epidemiology Mailman School of Public Health Department of Neurology Vagelos College of Physicians and Surgeons Department of Neurology Center Columbia University New York New York USA.
Benjamin TyckoHackensack Meridian Health Center for Discovery and Innovation Nutley New Jersey USA.
Warren B ZigmanDepartment of Psychology New York State Institute for Basic Research in Developmental Disabilities Staten Island New York USA.
Wayne SilvermanDepartment of Pediatrics University of California Irvine California USA.

Funding

Biomarkers of Alzheimer's Disease in Adults with Down SyndromeU01AG051412 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LOTT, IRA T., SCHUPF, NICOLE · 2015 to 2019
$26.3M
Vulnerability to Alzheimers Disease in Down SyndromeP01HD035897 · NICHD · NEW YORK STATE OFFICE OF MENTAL HEALTH · PI TYCKO, BENJAMIN · 1998 to 2014
$19.2M
Sleep and Circadian Dysfunction, Brain and Neurobehavioral Development in AutismP50HD103538 · NICHD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI S. Ali Fatemi, Bradley L Schlaggar · 2020 to 2026
$9.9M
Translational Neuroscience CoreU54HD079123 · NICHD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI FATEMI, S. ALI, SCHLAGGAR, BRADLEY L · 2014 to 2019
$7.9M
EPIDEMIOLOGY OF MENOPAUSE AND DEMENTIA IN DOWN SYNDROMER01AG014673 · NIA · INSTITUTE FOR BASIC RES IN DEV DISABIL · PI SCHUPF, NICOLE · 1998 to 2009
$4.2M
MOLECULAR STUDIES OF OVARIAN CANCER AND THE WNT PATHWAY IN HUMAN CANCERZ01AG000512 · NIA · AGING · PI MORIN, PATRICE J. · 1998 to 2007
$1.5M
Intramural NIH HHS Z01 AG000512NIA NIH HHS R01 AG014673NIA NIH HHS U01 AG051412NICHD NIH HHS P01 HD035897NICHD NIH HHS P50 HD103538NICHD NIH HHS U54 HD079123
6 · The paper itself

Abstract

Introduction: New Alzheimer's disease (AD) treatments have created an urgent need for accurate early diagnosis of high-risk adults with Down syndrome (DS), distinguishing prodromal DS-AD symptoms from lifelong cognitive impairments. Often, clinicians will need to evaluate dementia status during a single assessment, and here we describe empirically supported methods effective under such circumstances. Methods: Archived data collected between 1987 and 2017 included longitudinal findings for 144 individuals maintaining cognitive stability and 126 developing prodromal DS-AD. Response operating characteristic analyses compared groups, defined by the presence/absence of prodromal DS-AD, for a single assessment. Results: Groups differed on all measures without adjusting for developmental history, 0.717 < areas under the curve < 0.859, Discussion: The present study demonstrated that one-time assessments can inform clinical judgments when diagnosing adults at risk for DS-AD. Knowledge of developmental history is valuable but non-essential. Highlights: Non-overlapping distributions were observed for preclinical and prodromal Alzheimer's disease (AD) groups.Receiver operating characteristic area under the curve analyses were in the acceptable to excellent range for all measures.Performance was sensitive to both the severity of intellectual disability and the stage of Down syndrome-AD progression.Episodic memory tests were sensitive to the transition from preclinical to prodromal AD.Performance results at a single time point can inform dementia status decisions.

Indexed as

Alzheimer's diseaseDown syndromemild cognitive impairmentprodromal Alzheimer's disease

Identifiers

PMID39935890
PMCPMC11812125

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.