Evidence map›Paper›PMID 40207637›Full record

ArticleJournal of Alzheimer's disease : JAD2025

A qualitative study of people with Alzheimer's disease in a memory clinic considering lecanemab treatment.

Anna L Parks, Ayush Thacker, Daniel Dohan, Liliana A Ramirez Gomez, Christine S Ritchie, Joanna Paladino, Sachin J Shah

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
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  3. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Anna L ParksDivision of Hematology and Hematologic Malignancies, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0003-1377-5406
Ayush ThackerMassachusetts General Hospital, Mongan Institute Center for Aging and Serious Illness, Boston, MA, USA.ORCID 0009-0000-8918-2418
Daniel DohanUniversity of California San Francisco, Institute for Health Policy Studies, San Francisco, CA, USA.ORCID 0000-0002-7052-1288
Liliana A Ramirez GomezMemory Disorders Division, Department of Neurology, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0001-8869-3240
Christine S RitchieMassachusetts General Hospital, Mongan Institute Center for Aging and Serious Illness, Boston, MA, USA.ORCID 0000-0002-4881-9416
Joanna PaladinoMassachusetts General Hospital, Mongan Institute Center for Aging and Serious Illness, Boston, MA, USA.ORCID 0000-0001-9324-1943
Sachin J ShahMassachusetts General Hospital, Mongan Institute Center for Aging and Serious Illness, Boston, MA, USA.ORCID 0000-0001-8400-6888

Funding

Next-Gen ethnography to understand decision-making among diverse populations impacted by Alzheimer'sdisease and related dementias (ADRD)DP1AG069809 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DOHAN, DANIEL P. · 2020 to 2025
$4.0M
Individualizing Anticoagulant use in Older Adults with Atrial FibrillationK76AG074919 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SHAH, SACHIN J · 2021 to 2025
$1.2M
Advancing patient-centered decision making in older adults with venous thromboembolismK76AG083304 · NIA · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Anna L Parks · 2024 to 2026
$729k
Leadership to Enhance Aging Research and Innovation in Medical Culture (LEARN-MC)K07AG066814 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DOHAN, DANIEL P. · 2020 to 2024
$675k
NIA NIH HHS DP1 AG069809NIA NIH HHS K07 AG066814NIA NIH HHS K76 AG074919NIA NIH HHS K76 AG083304
6 · The paper itself

Abstract

BackgroundPeople with Alzheimer's disease (AD) now have access to disease-modifying treatment with anti-amyloid monoclonal antibodies (mAbs). Their perception of risks and benefits and approach to treatment decisions remain unknown.ObjectiveWe aimed to understand how people with AD weigh the benefits and costs of anti amyloid mAbs and incorporate these into decisions about treatment.MethodsWe conducted semi-structured interviews with people with biomarker- or imaging-confirmed AD and mild or moderate cognitive impairment who were seen at memory care clinics and discussed lecanemab with a clinician. Interviews were recorded, transcribed, and deidentified. Thematic analysis identified themes and subthemes.ResultsAmong 22 participants (mean age 70, 8 [36%] women, 22 [100%] White), analysis revealed 3 major themes and associated subthemes: (1) People with AD sought and obtained information from different sources-advocacy organizations, the Internet, and clinicians; (2) Hopes, expected benefits, and the existential threat of dementia drove willingness and readiness to start lecanemab; (3) Individual traits, family factors, and degree of trust in expertise influenced how people balanced risks and benefits. Some would accept treatment at any cost; others carefully weighed risks and burdens, but were motivated by supportive families, insurance coverage, and trust in expertise; for a few, costs decidedly outweighed their personal benefits. People with AD desired more individualized information and to hear more from patients who took the medication.ConclusionsResults from this first qualitative study of people with AD considering treatment with anti-amyloid mAbs can inform clinician, health system and policy efforts to individualize decisions.

Indexed as

Alzheimer DiseaseAntibodies, Monoclonal, HumanizedAgedAged, 80 and overCognitive DysfunctionFemaleHumansMaleMiddle AgedQualitative ResearchAntibodies, Monoclonal, HumanizedAlzheimer's diseaseanti-amyloid monoclonal antibodiesqualitative methodsshared decision making

Identifiers

PMID40207637
PMCPMC12407175

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.