Evidence map›Paper›PMID 42129577›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2026

Minor neuropsychological deficits and stage 2 of Alzheimer's disease.

Melina Stark, Michael Wagner, Elizabeth Kuhn, Sandra Roeske, Holger Amthauer, Claudia Bartels, Henning Boecker, Frederic Brosseron, Ralph Buchert, Katharina Buerger and 36 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Minor neuropsychological deficits and stage 2 of Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    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

46 authors.

Melina StarkDepartment of Old Age Psychiatry and Cognitive Disorders, University Hospital Bonn, University Bonn, Bonn, Germany.ORCID https://orcid.org/0009-0005-3812-023X
Michael WagnerDepartment of Old Age Psychiatry and Cognitive Disorders, University Hospital Bonn, University Bonn, Bonn, Germany.
Elizabeth KuhnDepartment of Old Age Psychiatry and Cognitive Disorders, University Hospital Bonn, University Bonn, Bonn, Germany.
Sandra RoeskeGerman Center for Neurodegenerative Diseases (DZNE) Bonn, Bonn, Germany.
Holger AmthauerDepartment of Nuclear Medicine, Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Claudia BartelsDepartment of Psychiatry and Psychotherapy, University Medical Center Goettingen, University of Goettingen, Goettingen, Germany.
Henning BoeckerGerman Center for Neurodegenerative Diseases (DZNE) Bonn, Bonn, Germany.
Frederic BrosseronGerman Center for Neurodegenerative Diseases (DZNE) Bonn, Bonn, Germany.
Ralph BuchertDepartment of Nuclear Medicine, Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Katharina BuergerGerman Center for Neurodegenerative Diseases (DZNE) Munich, Munich, Germany.
Marcel DaamenGerman Center for Neurodegenerative Diseases (DZNE) Bonn, Bonn, Germany.
Alexander DrzezgaGerman Center for Neurodegenerative Diseases (DZNE) Bonn, Bonn, Germany.
Emrah DüzelGerman Center for Neurodegenerative Diseases (DZNE) Magdeburg, Magdeburg, Germany.
Ersin ErsözlüGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Berlin, Germany.
Markus EsslerDepartment of Nuclear Medicine, University Hospital Bonn, Bonn, Germany.
Michael EwersGerman Center for Neurodegenerative Diseases (DZNE) Munich, Munich, Germany.
Klaus FliessbachDepartment of Old Age Psychiatry and Cognitive Disorders, University Hospital Bonn, University Bonn, Bonn, Germany.
Wenzel GlanzGerman Center for Neurodegenerative Diseases (DZNE) Magdeburg, Magdeburg, Germany.
Julian Hellmann-RegenGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Berlin, Germany.
Enise I IncesoyGerman Center for Neurodegenerative Diseases (DZNE) Magdeburg, Magdeburg, Germany.
Daniel JanowitzInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany.
Konstantinia KafaliGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Berlin, Germany.
Ingo KilimannGerman Center for Neurodegenerative Diseases (DZNE) Rostock, Rostock, Germany.
Bernd Joachim KrauseDepartment of Nuclear Medicine, Rostock University Medical Centre, Rostock, Germany.
Marie KronmüllerGerman Center for Neurodegenerative Diseases (DZNE) Bonn, Bonn, Germany.
Christoph LaskeGerman Center for Neurodegenerative Diseases (DZNE) Tuebingen, Tuebingen, Germany.
Franziska MaierDepartment of Psychiatry, Medical Faculty, University of Cologne, Cologne, Germany.
Angelika MaurerGerman Center for Neurodegenerative Diseases (DZNE) Bonn, Bonn, Germany.
Jochen MichelyGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Berlin, Germany.
Robert PerneczkyGerman Center for Neurodegenerative Diseases (DZNE) Munich, Munich, Germany.
Oliver PetersGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Berlin, Germany.
Lukas PreisDepartment of Psychiatry and Psychotherapy, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Josef PrillerGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Berlin, Germany.
Boris-Stephan RauchmannDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Matthias ReimoldDepartment of Nuclear Medicine and Clinical Molecular Imaging, Eberhard-Karls-University, Tuebingen, Germany.
Axel RomingerDepartment of Nuclear Medicine, Ludwig-Maximilian-University Munich, Munich, Germany.
Matthias SchmidGerman Center for Neurodegenerative Diseases (DZNE) Bonn, Bonn, Germany.
Anja SchneiderDepartment of Old Age Psychiatry and Cognitive Disorders, University Hospital Bonn, University Bonn, Bonn, Germany.
Sebastian SodenkampGerman Center for Neurodegenerative Diseases (DZNE) Tuebingen, Tuebingen, Germany.
Annika SpottkeGerman Center for Neurodegenerative Diseases (DZNE) Bonn, Bonn, Germany.
Eike Jakob SpruthGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Berlin, Germany.
Stefan TeipelGerman Center for Neurodegenerative Diseases (DZNE) Rostock, Rostock, Germany.
Jens WiltfangDepartment of Psychiatry and Psychotherapy, University Medical Center Goettingen, University of Goettingen, Goettingen, Germany.
Alzheimer´s Disease Neuroimaging Initiative (ADNI)
Frank JessenGerman Center for Neurodegenerative Diseases (DZNE) Bonn, Bonn, Germany.
Luca KleineidamDepartment of Old Age Psychiatry and Cognitive Disorders, University Hospital Bonn, University Bonn, Bonn, Germany.ORCID https://orcid.org/0009-0006-3309-6856

Funding

Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
National Alzheimer's Coordinating CenterU24AG072122 · NIA · UNIVERSITY OF WASHINGTON · PI STEPHENS, KARI A · 2021 to 2025
$45.8M
Research Education ComponentP30AG062422 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Katherine P Rankin · 2019 to 2026
$36.9M
Research Education ComponentP30AG062421 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI BRADFORD C DICKERSON · 2019 to 2026
$36.5M
UCSD Shiley-Marcos Alzheimer's Disease Research Center P30P30AG062429 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DOUGLAS R GALASKO · 2019 to 2026
$34.9M
Wisconsin Alzheimer's Disease Research CenterP30AG062715 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Sanjay Asthana · 2019 to 2026
$34.5M
Research Education ComponentP30AG062677 · NIA · MAYO CLINIC ROCHESTER · PI KEJAL KANTARCI · 2019 to 2026
$33.5M
Research Education ComponentP30AG066514 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Margaret Sewell · 2020 to 2026
$31.0M
Yale Alzheimer Disease Research CenterP30AG066508 · NIA · YALE UNIVERSITY · PI STEPHEN M STRITTMATTER · 2020 to 2026
$30.2M
Research Education CoreP30AG066462 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PHILIP L DE JAGER · 2020 to 2026
$30.1M
Research Education ComponentP30AG066468 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI C. Elizabeth Shaaban · 2020 to 2026
$29.4M
Research Education ComponentP30AG066507 · NIA · JOHNS HOPKINS UNIVERSITY · PI Corinne Pettigrew · 2020 to 2026
$29.3M
AbbVieAlzheimer's AssociationAlzheimer's Drug Discovery FoundationAraclon BiotechBiogenBristol-Myers SquibbCereSpir, Inc.CIHRCogstateDeutsches Zentrum für Neurodegenerative Erkrankungen BN012EisaiElan Pharmaceuticals, Inc.Eli Lilly and CompanyEuroImmun Medizinische LabordiagnostikaF. Hoffmann-La RocheFujirebioGE HealthcareGemeinnützige Hertie-StiftungGenentechIXICO Ltd.Janssen Alzheimer Immunotherapy Research & Development, LLC.Life Molecular ImagingLumosityLundbeckMerck & Co., Inc.Meso Scale Diagnostics, LLC.NeuroRx ResearchNeurotrack TechnologiesNIA NIH HHS P20 AG068082NIA NIH HHS P30 AG062421NIA NIH HHS P30 AG062422NIA NIH HHS P30 AG062429NIA NIH HHS P30 AG062677NIA NIH HHS P30 AG062715NIA NIH HHS P30 AG066444NIA NIH HHS P30 AG066462NIA NIH HHS P30 AG066468NIA NIH HHS P30 AG066506NIA NIH HHS P30 AG066507NIA NIH HHS P30 AG066508NIA NIH HHS P30 AG066509NIA NIH HHS P30 AG066511NIA NIH HHS P30 AG066512NIA NIH HHS P30 AG066514NIA NIH HHS P30 AG066515NIA NIH HHS P30 AG066518NIA NIH HHS P30 AG066519NIA NIH HHS P30 AG066530NIA NIH HHS P30 AG066546NIA NIH HHS P30 AG072931NIA NIH HHS P30 AG072946NIA NIH HHS P30 AG072947NIA NIH HHS P30 AG072958NIA NIH HHS P30 AG072959NIA NIH HHS P30 AG072972NIA NIH HHS P30 AG072973NIA NIH HHS P30 AG072975NIA NIH HHS P30 AG072976NIA NIH HHS P30 AG072977NIA NIH HHS P30 AG072978NIA NIH HHS P30 AG072979NIA NIH HHS P30 AG086401NIA NIH HHS P30 AG086404NIA NIH HHS R01 AG079280NIA NIH HHS U01 AG024904NIA NIH HHS U24 AG072122NIBIB NIH HHSNIH HHS U01AG024904Novartis Pharmaceuticals CorporationPfizer Inc.Piramal ImagingServierTransition TherapeuticsU.S. Department of Defense W81XWH-12-2-0012
6 · The paper itself

Abstract

introductionSubtle symptoms, like subjective cognitive decline (SCD) and minor neuropsychological deficits (MNPD), can improve the risk stratification in preclinical Alzheimer´s disease (AD) but their importance is insufficiently elaborated.

methodsWe pooled data from cognitively normal individuals participating in three longitudinal cohort studies (N = 13,192, 8,359[63.3%] female, mean [SD] age 71.0[8.4]).

resultsCompared to participants without SCD and MNPD (SCD-/MNPD-), SCD-/MNPD+, SCD+/MNPD-, and SCD+/MNPD+ participants had an increased risk for mild cognitive impairment (MCI) and dementia, including in amyloid-positive individuals. Focusing on SCD+/MNPD+ participants triples the positive predictive value of amyloid biomarker testing for the 5-year prediction of MCI and reduces the required samples size for trials in preclinical AD to one fourth, compared to considering all cognitively normal participants regardless of subtle symptoms. DISCUSSION: SCD and MNPD offer a powerful approach for risk stratification in preclinical AD, which can improve clinical trial designs, risk counseling, and future case identifications for early treatment.

Indexed as

Alzheimer DiseaseCognitive DysfunctionNeuropsychological TestsAgedAmyloid beta-PeptidesBiomarkersDisease ProgressionFemaleHumansLongitudinal StudiesMaleMiddle AgedAmyloid beta-PeptidesBiomarkersclinical stagingminor neuropsychological deficitspreclinical Alzheimer's diseasestage 2 of Alzheimer's diseasesubjective cognitive concernssubjective cognitive declinesubtle cognitive declinetransitional cognitive decline

Identifiers

PMID42129577
PMCPMC13171462

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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.