Evidence map›Paper›PMID 38596484›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)

Clinical value of Alzheimer's disease biomarker testing.

Khushbu J Patel, David Yang, John R Best, Colleen Chambers, Philip E Lee, Alexandre Henri-Bhargava, Clark R Funnell, Dean J Foti, Jacqueline A Pettersen, Howard H Feldman and 3 more

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 30% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Cost-effectiveness of testing biofluid biomarkers to diagnose Alzheimer's disease: a systematic review.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Pooled it
  2. Article
  3. Article
  4. Clinical value of Alzheimer's disease biomarker testing.Alzheimer's & dementia (New York, N. Y.)
    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

13 authors at 5 institutions in 2 countries.

Khushbu J PatelDepartment of Pathology and Laboratory Medicine University of British Columbia Vancouver Canada.
David YangDepartment of Pathology and Laboratory Medicine University of British Columbia Vancouver Canada.ORCID https://orcid.org/0000-0002-9217-4846
John R BestGerontology Research Centre Simon Fraser University Vancouver Canada.ORCID https://orcid.org/0000-0001-5775-7053
Colleen ChambersDepartment of Pathology and Laboratory Medicine University of British Columbia Vancouver Canada.
Philip E LeeDivision of Neurology Department of Medicine University of British Columbia Vancouver Canada.
Alexandre Henri-BhargavaDivision of Neurology Department of Medicine University of British Columbia Vancouver Canada.
Clark R FunnellDivision of Neurology Department of Medicine University of British Columbia Vancouver Canada.
Dean J FotiDivision of Neurology Department of Medicine University of British Columbia Vancouver Canada.
Jacqueline A PettersenDivision of Neurology Department of Medicine University of British Columbia Vancouver Canada.ORCID https://orcid.org/0000-0001-7232-7377
Howard H FeldmanDepartment of Neurosciences University of California San Diego San Diego California USA.ORCID https://orcid.org/0000-0002-9258-4538
Haakon B NygaardDivision of Neurology Department of Medicine University of British Columbia Vancouver Canada.ORCID https://orcid.org/0000-0001-5085-4723
Ging-Yuek R HsiungDivision of Neurology Department of Medicine University of British Columbia Vancouver Canada.ORCID https://orcid.org/0000-0002-8017-0856
Mari L DeMarcoDepartment of Pathology and Laboratory Medicine University of British Columbia Vancouver Canada.ORCID https://orcid.org/0000-0001-9281-9547
University of British Columbia · CAUniversity of British Columbia Hospital · CAProvidence Health Care · CASimon Fraser University · CAUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn the Investigating the Impact of Alzheimer's Disease Diagnostics in British Columbia (IMPACT-AD BC) study, we aimed to understand how Alzheimer's disease (AD) cerebrospinal fluid (CSF) biomarker testing-used in medical care-impacted medical decision-making (medical utility), personal decision-making (personal utility), and health system economics.

methodsThe study was designed as an observational, longitudinal cohort study. A total of 149 patients were enrolled between February 2019 and July 2021. Patients referred to memory clinics were approached to participate if their dementia specialist ordered AD CSF biomarker testing as part of their routine medical care, and the clinical scenario met the appropriate use criteria for lumbar puncture and AD CSF biomarker testing. For the medical utility pillar, detailed clinical management plans were collected via physician questionnaires pre- and post-biomarker disclosure.

resultsPatients with completed management questionnaires ( DISCUSSION: AD biomarker testing was associated with significant and positive changes in clinical management, including decreased health care resource use, therapy optimization, and increased patient and family member counseling. While certain changes in management were linked to the AD biomarker profile (e.g., referral to clinical trials), the majority of changes were independent of baseline clinical presentation and level of cognitive impairment, demonstrating a broad value for AD biomarker testing in individuals meeting the appropriate use criteria for testing.

Indexed as

Alzheimer's diseasebiomarkerscerebrospinal fluidclinical decision makingcounselingdementiadiagnosisdrug prescriptionspatient care managementphysiciansreferral and consultation

Identifiers

PMID38596484
PMCPMC10999950
OpenAlexW4394576113

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.