Evidence map›Paper›PMID 39968005›Full record

ArticleAging medicine (Milton (N.S.W))2025

Effect of Steroids on the Progression of Alzheimer's Dementia: A Retrospective Chart Review.

Julijana Zoran Conic, Alexandra Chetty, Lily Chen, Audrey Marsh, Sean Barry, Rodney Pattabhi, Thomas Reske, Erwin Aguilar, Lobna Ali

Abstract read
In one paragraph

Article in Aging medicine (Milton (N.S.W)), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Julijana Zoran ConicSection of Geriatric Medicine, Department of Internal Medicine, LSU Health Sciences Center School of Medicine in New Orleans New Orleans Louisiana USA.ORCID https://orcid.org/0000-0002-2267-4087
Alexandra ChettySection of General Internal Medicine, Department of Internal Medicine, LSU Health Sciences Center School of Medicine in New Orleans New Orleans Louisiana USA.
Lily ChenSection of General Internal Medicine, Department of Internal Medicine, LSU Health Sciences Center School of Medicine in New Orleans New Orleans Louisiana USA.
Audrey MarshSection of General Internal Medicine, Department of Internal Medicine, LSU Health Sciences Center School of Medicine in New Orleans New Orleans Louisiana USA.ORCID https://orcid.org/0009-0004-2377-6052
Sean BarrySection of Nephrology and Hypertension, Department of Internal Medicine, LSU Health Sciences Center School of Medicine in New Orleans New Orleans Louisiana USA.
Rodney PattabhiSection of Geriatric Medicine, Department of Internal Medicine, LSU Health Sciences Center School of Medicine in New Orleans New Orleans Louisiana USA.
Thomas ReskeSection of Geriatric Medicine and Hematology/Oncology, Department of Internal Medicine, LSU Health Sciences Center School of Medicine in New Orleans New Orleans Louisiana USA.
Erwin AguilarSection of Geriatric Medicine, Department of Internal Medicine, LSU Health Sciences Center School of Medicine in New Orleans New Orleans Louisiana USA.
Lobna AliSection of Geriatric Medicine, Department of Internal Medicine, LSU Health Sciences Center School of Medicine in New Orleans New Orleans Louisiana USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Alzheimer's disease (AD) is a prevalent age-related neurodegenerative disease that affects millions of individuals in the United States. Neuroinflammation is a driver of the neurodegenerative changes that characterize AD, prompting interest in how inflammation can be modulated for treatment and prevention. Methods: ICD-10 codes were quarried from electronic medical records to identify patients diagnosed with AD from 2012 to 2020. The patients were then divided into those who used systemic steroids and those who did not before the progression of their disease. Data on medication prescribed was used to measure the disease's progression. Clinical findings and laboratory results were collected to build a propensity score. Patients were followed until disease progression, death, or the last available visit. Kaplan-Meier curves and hazard ratios adjusted for the propensity score were used to compare the two groups. Results: Of the 459 patients identified, 77 were included in the study, and 13 used steroids. Of the 77 patients included in the study, 59 had progression of their disease, and of those, five used steroids. The median time to progression was 408.00 (191.00, 979.00) days for the overall sample. The hazard ratio (HR) comparing the group using steroids to those not using steroids was 0.26 with a 95% CI of (0.1013, 0.673) and a Conclusions: In our study, steroid use delayed the progression of dementia. Further study is needed to outline how steroids and anti-inflammatory medications can be used in the treatment and prevention of AD.

Identifiers

PMID39968005
PMCPMC11833297

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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.