Selection criteria All unconfounded, double-blind, randomized controlled trials in which treatment with donepezil was compared with placebo for patients with mild, moderate or severe dementia due to Alzheimer's disease. 5 key findings →
Participants: 5,272
Evidence: high
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The treatment group had no EM after intervention completion (assessed at 3-month follow-up), a significantly lower rate than the control group (treatment = 0%, control = 23.1%, p = 0.010). 3 key findings →
Design: randomized controlled trial
Participants: 80
Evidence: high
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Baseline assessments were conducted on 133 family caregivers of veterans living with dementia. 5 key findings →
Design: randomized controlled trial
Participants: 67
Evidence: high
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Among the 23 studies, 10 (43.5%) focused on mobile health apps, 8 (34.8%) on video consultations, and 5 (21.7%) on remote monitoring tools. 5 key findings →
Design: meta-analysis
Participants: 23
Evidence: high
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The enrollment rate was acceptable despite pandemic related challenges (53/60 target recruitment sample). 5 key findings →
Participants: 53
Evidence: high
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79/100
✓ Peer-reviewed
alzhub usefulness score 79 out of 100.
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JAMA
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2025-03-18
In this randomized trial of dementia care programs, no significant differences existed between health system-based and community-based care interventions nor between either active intervention or usual care regarding patient behavioral symptoms and caregiver strain. 5 key findings →
Design: RCT
Participants: 2,176
Evidence: high
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Our analysis suggests that previous estimates of dementia burden, based on smaller datasets, might have underestimated the burden of dementia in China. 1 key finding →
Design: systematic review
Participants: 340,247
Evidence: high
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Nineteen interventional studies, including 3,985 participants, were identified. 2 key findings →
Design: systematic review
Participants: 3,985
Evidence: high
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Caregivers often prioritize the needs of the care recipient and neglect their own health needs. 2 key findings →
Design: randomized controlled trial
Participants: 243
Evidence: high
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The detailed estimates in this study constitute the best current basis for policymaking, planning, and allocation of health and welfare resources in dementia care. 2 key findings →
Design: systematic review
Evidence: high
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78/100
✓ Peer-reviewed
alzhub usefulness score 78 out of 100.
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JAMA
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2014-03-01
Physicians have a responsibility to recognize caregiver burden. 3 key findings →
Design: meta-analysis
Evidence: high
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MRI features of cerebral small vessel disease (CSVD), i.e. white matter hyperintensities, lacunes, microbleeds, perivascular spaces, and cerebral atrophy, may be associated with clinical events, but the strength of these associations remains unclear. 5 key findings →
Design: systematic review
Participants: 16,458
Evidence: high
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We randomly assigned patients with a computer-generated sequence in a 4:1 ratio overall to receive AADvac1 or placebo. 1 key finding →
Design: clinical trial
Participants: 30
Evidence: high
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78/100
✓ Peer-reviewed
alzhub usefulness score 78 out of 100.
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Neurology
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2000-11-01
Comparable modest reductions in agitation occurred in patients receiving haloperidol, trazodone, BMT, and placebo. 4 key findings →
Participants: 149
Evidence: high
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Community occupational therapy intervention for patients with dementia and their care givers is successful and cost effective, especially in terms of informal care giving. 3 key findings →
Design: randomized controlled trial
Participants: 135
Evidence: high
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77/100
✓ Peer-reviewed
alzhub usefulness score 77 out of 100.
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JAMA
·
2025-03-18
Among community-dwelling patients with moderate to severe dementia and their caregivers, dementia palliative care, compared with usual care, did not significantly improve patients' neuropsychiatric symptoms through 24 months. 5 key findings →
Design: RCT
Participants: 201
Evidence: moderate
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The 780 PWDs (56.3% female; mean [SD] age, 78.1 [9.9] years) and 780 caregivers (70.9% female; mean [SD] age, 64.7 [12.0] years) lived in California (n = 452), Nebraska (n = 284), or Iowa (n = 44). 2 key findings →
Participants: 452
Evidence: high
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Occupational therapy improved patients' daily functioning and reduced the burden on the care giver, despite the patients' limited learning ability. 2 key findings →
Design: randomized controlled trial
Participants: 135
Evidence: high
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Cerebrospinal fluid (CSF) p-tau181 (tau phosphorylated at threonine 181) is an established biomarker of Alzheimer's disease (AD), reflecting abnormal tau metabolism in the brain. 3 key findings →
Design: longitudinal study
Participants: 194
Evidence: moderate
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Prevalence and incidence estimates associated with MCI vary greatly both between definitions and within a definition across the 42 publications. 4 key findings →
Design: systematic review
Participants: 3,705
Evidence: high
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RO emphasised the engagement of nursing assistants in a hopeful, therapeutic process but became associated with a rigid, confrontational approach to people with dementia, leading to its use becoming less and less common. 3 key findings →
Design: systematic review
Participants: 718
Evidence: high
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75/100
✓ Peer-reviewed
alzhub usefulness score 75 out of 100.
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Neurology
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2020-09-04
Of 5,588 records identified, we included 123 studies involving 35,513 participants from 32 countries. 4 key findings →
Design: cohort study
Participants: 123
Evidence: moderate
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This large GWAS of WMH burden in community-based cohorts of individuals of European descent identifies a novel locus on chromosome 17. 5 key findings →
Design: meta-analysis
Participants: 3,024
Evidence: high
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We undertook subgroup analysis by setting (community versus care home) and by modality (individual versus group). 5 key findings →
Design: meta-analysis
Participants: 22
Evidence: high
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75/100
✓ Peer-reviewed
alzhub usefulness score 75 out of 100.
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JAMA
·
2020-10-01
In this systematic review and meta-analysis of randomized clinical trials of patients with primarily noncancer illness, palliative care, compared with usual care, was statistically significantly associated with less acute health care use and modestly lower symptom burden, but there was no significant difference in quality of life. 4 key findings →
Design: systematic review
Participants: 4,068
Evidence: high
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Original source
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How the 0–100 score works — and why some entries are capped
This is alzhub's own score. It is not an official metric, not an impact factor,
and no journal, publisher or ranking body endorses it. We built it so that a reader who is not a
scientist can tell a landmark trial from a conference abstract without having to already know the
difference. Every point comes from one of 20 components, all of them printed on the study itself,
so you can disagree with our arithmetic rather than having to trust the total.
- Journal tier up to 10 pts
- Journal's citation record up to 4 pts
- Study design up to 12 pts
- Strength of evidence up to 5 pts
- Peer-review validation up to 10 pts
- How recent up to 5 pts
- Sample size up to 4 pts
- Effect reported up to 3 pts
- Studied in people up to 3 pts
- Randomised / blinded up to 2 pts
- Times cited up to 7 pts
- Citations per year up to 5 pts
- Impact for its field and year up to 6 pts
- Cited by studies here up to 6 pts
- Still being cited up to 4 pts
- Senior author's track record up to 4 pts
- Institution's track record up to 3 pts
- Multi-centre collaboration up to 3 pts
- Indexed in PubMed up to 2 pts
- Free to read up to 2 pts
Journals are placed in ordered tiers, never given a numeric impact factor — we
could not verify current impact factors from a source we control, and an invented one would be
worse than none. Tier 1 is the top-tier general journals (NEJM, The Lancet, JAMA, Nature, Science,
Nature Medicine); tier 2 is the leading specialty journals; tier 3 is every other peer-reviewed
journal. A separate part scores how much the journal's own papers are cited, which tells the
tier-3 journals apart.
Two rules we don't bend. First, we never fill in a
missing value: if a record does not state a sample size or a design, that component scores
zero, and if we simply have no data for a part, such as a citation count, that part is left out and
the study is scored on the parts we could check. The study card says which. Second, anything that is not a peer-reviewed
article is capped at 16/100 and carries a warning chip — so a conference abstract or
a company press release can never outrank a peer-reviewed paper, no matter how good it looks.
We rank a rigorous null result — a good trial showing that something does not
work — above an early positive finding. Someone deciding whether to buy a supplement is served by
that, and the rigour is already counted by the design and journal components.
The score is computed from the published data alone and is
reproducible: the same file always yields the same numbers.
See the whole rubric drawn out →
— four charts covering all 27,380 studies: how the scores are spread and where the cap
bites, which of the 20 components the library is strong and weak on, which subjects rest on
stronger evidence, and what kinds of study each subject is actually built from.