Evidence map›Paper›PMID 41727597›Full record

ArticleResearch square2026

Bloodwork-free Early Screening for Alzheimer's Disease via Comorbid Pattern Recognition in Electronic Health Records.

Dmytro Onishchenko, James A Mastrianni, Ishanu Chattopadhyay

Abstract readPreprint
In one paragraph

Article in Research square, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Dmytro OnishchenkoDivision of Biomedical Informatics, Department of Internal Medicine, University of Kentucky, Lexington, KY, USA.
James A MastrianniDepartment of Neurology, University of Chicago, Chicago, IL USA.
Ishanu ChattopadhyayDivision of Biomedical Informatics, Department of Internal Medicine, University of Kentucky, Lexington, KY, USA.

Funding

Resources and DisseminationP30AG066619 · NIA · UNIVERSITY OF CHICAGO · PI EMILY J ROGALSKI · 2020 to 2026
$6.8M
NIA NIH HHS P30 AG066619
6 · The paper itself

Abstract

Early identification of Alzheimer's disease and related dementias (ADRD) remains limited by the need for specialized tests and late-stage diagnosis. The Zero-burden Risk Assessment (ZeBRA) is a AI-driven score that predicts incident ADRD up to a decade before diagnosis, using only routine electronic health record (EHR) data, without laboratory tests, imaging, or questionnaires. Trained on 487,989 cases and 12,483,718 controls from nationwide U.S. insurance claims and validated on held-back samples, and two independent cohorts, ZeBRA achieved AUC = 0.93 and 0.83 for predicting out to 1-year and 10-year horizons respectively, maintaining positive likelihood ratios (>10) at 95% specificity and stable discrimination over time (AUC drop ≈ 1 to 1.3% per year). Performance was consistent across age, sex, race, and ethnicity subgroups. In a limited prospective pilot, higher ZeBRA scores correlated with lower Montreal Cognitive Assessment (MoCA) scores, indicating a greater degree of cognitive impairment (

Identifiers

PMID41727597
PMCPMC12919223

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.