Evidence map›Paper›PMID 41309536›Full record

SynthesisTranslational psychiatry2025

The evolving etiologies of rapidly progressive dementia: a systematic review.

Mei-Hua Lei, Li-Juan Cao, Rui Liu, Yi-Er Zhang, Si-Ran Zhang, Li-Ying Zhuang, Ye-Jia Mo, Lin Cheng, Qi-Lun Lai, Song Qiao

Abstract readSystematic Review
In one paragraph

Synthesis in Translational psychiatry, 2025. 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. Review
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

10 authors.

Mei-Hua LeiDepartment of Neurology, Jinhua Second Hospital, Jinhua, 321000, China.ORCID http://orcid.org/0009-0004-1855-1289
Li-Juan CaoDepartment of Neurology, Jinhua Second Hospital, Jinhua, 321000, China.ORCID http://orcid.org/0009-0006-9274-5158
Rui LiuDepartment of Clinical Laboratory, Banshan Subdistrict Community Health Service Center, Gongshu District, Hangzhou, 310022, China.ORCID http://orcid.org/0009-0008-0217-2929
Yi-Er ZhangThe Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Si-Ran ZhangDepartment of Neurology, Zhejiang Hospital, Hangzhou, 310013, China.ORCID http://orcid.org/0000-0002-6585-8521
Li-Ying ZhuangDepartment of Neurology, Zhejiang Hospital, Hangzhou, 310013, China.ORCID http://orcid.org/0000-0002-2358-362X
Ye-Jia MoDepartment of Neurology, Zhejiang Hospital, Hangzhou, 310013, China.ORCID http://orcid.org/0000-0002-3199-914X
Lin ChengDepartment of Neurology, Zhejiang Hospital, Hangzhou, 310013, China.
Qi-Lun LaiDepartment of Neurology, Zhejiang Hospital, Hangzhou, 310013, China. laiqilun@126.com.ORCID http://orcid.org/0000-0002-3536-6921
Song QiaoDepartment of Neurology, Zhejiang Hospital, Hangzhou, 310013, China. qiaosongicu@163.com.ORCID http://orcid.org/0000-0002-8590-0926

Funding

Natural Science Foundation of Zhejiang Province (Zhejiang Provincial Natural Science Foundation) LQ23H090004
6 · The paper itself

Abstract

background and purposeRapidly progressive dementia (RPD) represents a heterogeneous group of clinical dementia syndromes characterized by a precipitous decline in cognitive function, typically occurring over weeks to months, with diverse underlying etiologies. To elucidate the evolving etiological spectrum of RPD and investigate temporal trends, we conducted a comprehensive systematic review incorporating temporal subgroup analyses.

methodEnglish-language studies published prior to December 31, 2024 were searched in the Medline (PubMed), ISI Web of Science and the Cochrane Library databases. Study design, study period, patient characteristics, etiologies of RPD in each study were retrieved.

resultWe encompassed 13 studies in our final systematic review, involving a total of 1,701 patients with RPD. Our findings revealed that neurodegenerative diseases (459 cases, 27.0%), neuroimmune diseases (327 cases, 19.2%), and central nervous system infections (295 cases, 17.3%) represented the most prevalent etiological categories associated with RPD. Among distinct disease entities, autoimmune encephalitis (AE, 266 cases, 15.6%), Alzheimer's disease (214 cases, 12.6%), and Creutzfeldt-Jakob disease (214 cases, 12.6%) were identified as the three most frequently observed etiologies of RPD. Temporally, neuroimmune diseases, particularly AE, exhibited a significant upward trend in prevalence over the study period.

conclusionThese findings highlight the evolving etiological spectrum of RPD and emphasize the need for ongoing research and targeted diagnostic strategies to address the rising incidence of neuroimmune-related RPD.

Indexed as

DementiaNeurodegenerative DiseasesAlzheimer DiseaseCreutzfeldt-Jakob SyndromeDisease ProgressionEncephalitisHumans

Identifiers

PMID41309536
PMCPMC12728188

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.