Evidence map›Paper›PMID 42898088›Full record

ArticleiScience2026

Comorbidity patterns and sex differences in late-onset Alzheimer's disease using electronic records.

Yukari Katsuhara, Umair Khan, Zachary A Miller, Isabel E Allen, Tomiko T Oskotsky, Marina Sirota, Alice S Tang

Abstract read
In one paragraph

Article in iScience, 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
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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

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

7 authors.

Yukari KatsuharaBakar Computational Health Sciences Institute, UCSF, San Francisco, CA, USA.
Umair KhanBakar Computational Health Sciences Institute, UCSF, San Francisco, CA, USA.
Zachary A MillerMemory and Aging Center, Department of Neurology, UCSF Weill Institute for Neurosciences, UCSF, San Francisco, CA, USA.
Isabel E AllenDepartment of Epidemiology and Biostatistics, UCSF, San Francisco, CA, USA.
Tomiko T OskotskyBakar Computational Health Sciences Institute, UCSF, San Francisco, CA, USA.
Marina SirotaBakar Computational Health Sciences Institute, UCSF, San Francisco, CA, USA.
Alice S TangBakar Computational Health Sciences Institute, UCSF, San Francisco, CA, USA.

Funding

ApoE Genotype-Directed Drug Repositioning and Combination Therapy for Alzheimer's DiseaseR01AG057683 · NIA · J. DAVID GLADSTONE INSTITUTES · PI HUANG, YADONG, SIROTA, MARINA · 2017 to 2021
$4.3M
An Integrative Multi-Omics Approach to Elucidate Sex-Specific Differences in Alzheimers DiseaseR01AG060393 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SIROTA, MARINA · 2018 to 2022
$4.1M
Identifying transcriptomic and exposomic factors that explain sex-specific trajectories AD/ADRD using integrative computational approachesU01AG090913 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHIRAG J. PATEL, MARINA SIROTA · 2026 to 2026
$1.5M
NIA NIH HHS R01 AG057683NIA NIH HHS R01 AG060393NIA NIH HHS U01 AG090913
6 · The paper itself

Abstract

In this retrospective study, we applied unsupervised learning techniques to electronic medical records from the University of California, San Francisco (UCSF) to characterize Alzheimer's disease (AD) comorbidity patterns. Given the well-known female predominance in AD, we performed sex-stratified analyses to explore differences in comorbidity patterns based on sex. Findings were evaluated using an independent UC-wide dataset. Among 8,363 patients in the UCSF dataset, we observed five data-driven comorbidity clusters related to cardiovascular conditions, gastrointestinal disorders, and frailty-related conditions such as pneumonia and pressure ulcers, as well as groups with higher and lower overall comorbidity burden. Sex-stratified analyses within clusters identified variation in comorbidity patterns, including circulatory diseases in males in cluster 2 and bladder stones in females in cluster 3. Key results demonstrate partial consistency in the UC-wide dataset. Our study provides a structured characterization of comorbidity heterogeneity in AD and highlights sex-related differences, though findings should be interpreted as descriptive and hypothesis-generating.

Indexed as

Alzheimer’scluster analysiscomorbidity patternselectronic medical recordssex differencesunsupervised machine learning

Identifiers

PMID42898088
PMCPMC13677334

What OpenQuestion holds

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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.