60/100
✓ Peer-reviewed
alzhub usefulness score 60 out of 100.
·
JAMA
·
1998-08-01
Using parametric methods, no evidence for linkage to the region spanned by the chromosome 12 markers could be detected if familial AD is assumed to arise from the same genetic locus in all 53 families. 2 key findings →
Design: cohort study
Participants: 173
Evidence: moderate
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Original source
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60/100
✓ Peer-reviewed
alzhub usefulness score 60 out of 100.
·
JAMA
·
2010-01-01
This preliminary report suggests that CETP V405 valine homozygosity is associated with slower memory decline and lower incident dementia and AD risk. 5 key findings →
Design: cohort study
Participants: 523
Evidence: moderate
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Original source
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60/100
✓ Peer-reviewed
alzhub usefulness score 60 out of 100.
·
JAMA
·
2011-01-01
Lower plasma β-amyloid 42 and 42/40 levels have been associated with incident dementia, but results are conflicting and few have investigated cognitive decline among elders without dementia. 4 key findings →
Participants: 550
Evidence: low
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60/100
✓ Peer-reviewed
alzhub usefulness score 60 out of 100.
·
JAMA
·
2001-06-01
Our prognostic index, which used 6 risk factors known at discharge and a simple additive point system to stratify medical patients 70 years or older according to 1-year mortality after hospitalization, had good discrimination and calibration and generalized well in an independent sample of patients at a different site. 2 key findings →
Participants: 1,495
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
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60/100
✓ Peer-reviewed
alzhub usefulness score 60 out of 100.
·
JAMA
·
2010-11-01
When prospectively validated at the bedside and used as a continuous measure, the ability of the ADEPT score to identify nursing home residents with advanced dementia at high risk of death within 6 months was modest, albeit better than hospice eligibility guidelines. 1 key finding →
Design: cohort study
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
60/100
✓ Peer-reviewed
alzhub usefulness score 60 out of 100.
·
JAMA
·
2003-07-01
More than one third of severely cognitively impaired residents in US nursing homes have feeding tubes. 5 key findings →
Design: cross-sectional
Participants: 186,835
Evidence: low
Full summary, score breakdown and related studies →
Original source
59/100
✓ Peer-reviewed
alzhub usefulness score 59 out of 100.
·
JAMA
·
2020-10-01
From 11 295 literature citations associated with 10 PICO questions, 20 relevant studies were identified. 1 key finding →
Participants: 13
Evidence: low
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59/100
✓ Peer-reviewed
alzhub usefulness score 59 out of 100.
·
JAMA
·
2019-10-01
Dementia is commonly associated with more than 1 neuropathology, usually Alzheimer disease with cerebrovascular pathology. 1 key finding →
Evidence: low
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59/100
✓ Peer-reviewed
alzhub usefulness score 59 out of 100.
·
JAMA
·
2014-04-01
Although levodopa is the most effective medication available for treating the motor symptoms of Parkinson disease, in certain instances (eg, mild symptoms, tremor as the only or most prominent symptom, aged Conclusions and relevance Strong evidence supports using levodopa and dopamine agonists for motor symptoms at all stages of Parkinson disease. 1 key finding →
Evidence: low
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Original source
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59/100
✓ Peer-reviewed
alzhub usefulness score 59 out of 100.
·
JAMA
·
2000-03-01
In this study, levels of total A(beta)x-40 and A(beta)x-42 were elevated early in dementia and levels of both peptides were strongly correlated with cognitive decline. 4 key findings →
Design: cross-sectional
Participants: 16
Evidence: low
Full summary, score breakdown and related studies →
Original source
59/100
✓ Peer-reviewed
alzhub usefulness score 59 out of 100.
·
JAMA
·
2020-03-01
For evaluating factors associated with POLST-discordant care, the outcome was ICU admission contrary to POLST order for medical interventions during the last hospitalization of life. 5 key findings →
Design: cohort study
Evidence: moderate
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Original source
59/100
✓ Peer-reviewed
alzhub usefulness score 59 out of 100.
·
JAMA
·
2015-07-01
Incident stroke was associated with an acute decline in cognitive function and also accelerated and persistent cognitive decline over 6 years. 5 key findings →
Participants: 2,003
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
59/100
✓ Peer-reviewed
alzhub usefulness score 59 out of 100.
·
JAMA
·
1997-10-22
Although modest, the changes induced by EGb were objectively measured by the ADAS-Cog and were of sufficient magnitude to be recognized by the caregivers in the GERRI. 5 key findings →
Participants: 309
Evidence: high
Full summary, score breakdown and related studies →
Original source
58/100
✓ Peer-reviewed
alzhub usefulness score 58 out of 100.
·
JAMA
·
2014-12-01
The prevalence of MCI in adults aged 65 years and older is 10% to 20%; risk increases with age and men appear to be at higher risk than women. 2 key findings →
Evidence: low
Full summary, score breakdown and related studies →
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58/100
✓ Peer-reviewed
alzhub usefulness score 58 out of 100.
·
JAMA
·
2009-12-01
Circulating leptin was associated with a reduced incidence of dementia and AD and with cerebral brain volume in asymptomatic older adults. 4 key findings →
Participants: 785
Evidence: moderate
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Original source
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58/100
✓ Peer-reviewed
alzhub usefulness score 58 out of 100.
·
JAMA
·
2012-11-01
Behavioral symptoms such as repetitive speech, wandering, and sleep disturbances are a core clinical feature of Alzheimer disease and related dementias. 2 key findings →
Evidence: low
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Original source
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57/100
✓ Peer-reviewed
alzhub usefulness score 57 out of 100.
·
JAMA
·
2017-05-01
Major depression in older adults is common and can be effectively treated with antidepressants and electroconvulsive therapy. 2 key findings →
Evidence: low
Full summary, score breakdown and related studies →
Original source
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57/100
✓ Peer-reviewed
alzhub usefulness score 57 out of 100.
·
JAMA
·
2012-07-01
Delirium (acute confusion) complicates 15% to 50% of major operations in older adults and is associated with other major postoperative complications, prolonged length of stay, poor functional recovery, institutionalization, dementia, and death. 1 key finding →
Evidence: low
Full summary, score breakdown and related studies →
Original source
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57/100
✓ Peer-reviewed
alzhub usefulness score 57 out of 100.
·
JAMA
·
2025-01-01
AF is associated with significantly increased risk of stroke, heart failure, myocardial infarction, dementia, chronic kidney disease, and mortality. 4 key findings →
Evidence: low
Full summary, score breakdown and related studies →
Original source
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57/100
✓ Peer-reviewed
alzhub usefulness score 57 out of 100.
·
JAMA
·
2012-01-01
Unlike professional caregivers such as physicians and nurses, informal caregivers, typically family members or friends, provide care to individuals with a variety of conditions including advanced age, dementia, and cancer. 1 key finding →
Evidence: low
Full summary, score breakdown and related studies →
Original source
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57/100
✓ Peer-reviewed
alzhub usefulness score 57 out of 100.
·
JAMA
·
1996-09-01
Prevalence of Alzheimer disease in older Japanese-American men in Hawaii appears to be higher than in Japan but similar to European-ancestry populations. 2 key findings →
Evidence: moderate
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Original source
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57/100
✓ Peer-reviewed
alzhub usefulness score 57 out of 100.
·
JAMA
·
2010-05-01
Compared with healthy controls, adults with SCA had poorer cognitive performance, which was associated with anemia and age. 3 key findings →
Design: cross-sectional
Participants: 149
Evidence: low
Full summary, score breakdown and related studies →
Original source
56/100
✓ Peer-reviewed
alzhub usefulness score 56 out of 100.
·
JAMA
·
2002-11-01
Prior HRT use is associated with reduced risk of AD, but there is no apparent benefit with current HRT use unless such use has exceeded 10 years. 5 key findings →
Evidence: low
Full summary, score breakdown and related studies →
Original source
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56/100
✓ Peer-reviewed
alzhub usefulness score 56 out of 100.
·
JAMA
·
1993-05-12
Cognitive performance as measured by the MMSE varies within the population by age and education.
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55/100
✓ Peer-reviewed
alzhub usefulness score 55 out of 100.
·
JAMA
·
2002-01-01
However, in this study, the additional risk of dementia conferred by being a first-degree relative, by being female, or by the probability of having an APOE epsilon4 allele appeared similar in African American and white families. 1 key finding →
Participants: 17
Evidence: low
Full summary, score breakdown and related studies →
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.