BackgroundDonanemab, a monoclonal antibody targeting amyloid-β (Aβ) plaques, has shown the ability to reduce cerebral amyloid burden in early Alzheimer's disease (AD). 2 key findings →
Design: systematic review
Participants: 2,054
Evidence: high
Full summary, score breakdown and related studies →
Original source
The prespecified primary analyses did not show any treatment benefit at either of the doses tested for the coprimary outcomes (change in ADAS-Cog score compared with control [n=354, 6·32, 95% CI 5·31-7·34]: 75 mg LMTM twice a day [n=257] -0·02, -1·60 to 1·56, p=0·9834, 125 mg LMTM twice a day [n=250] -0·43, -2·06 to 1·20, p=0·9323; change in ADCS-ADL score compared with control [-8·22, 95% CI -9·63 to -6·82]: 75 mg LMTM twice a day -0·93, -3·12 to 1·26, p=0·8659; 125 mg LMTM twice a day -0·34, -2·61 to 1·93, p=0·9479). 3 key findings →
Participants: 354
Evidence: high
Full summary, score breakdown and related studies →
Original source
Newer GLDs were associated with a decreased risk of all-cause dementia in people with T2D. Because of the observational nature and significant heterogeneity between studies, the results should be interpreted with caution. 5 key findings →
Design: meta-analysis
Participants: 819,511
Evidence: high
Full summary, score breakdown and related studies →
Original source
79/100
✓ Peer-reviewed
alzhub usefulness score 79 out of 100.
·
Nature aging
·
2021-12-06
We developed an endophenotype disease module-based methodology for Alzheimer's disease (AD) drug repurposing and identified sildenafil as a potential disease risk modifier. 2 key findings →
Design: case-control study
Evidence: high
Full summary, score breakdown and related studies →
Original source
79/100
✓ Peer-reviewed
alzhub usefulness score 79 out of 100.
·
JAMA
·
1994-04-01
Tacrine produced statistically significant, dose-related improvements on objective performance-based tests, clinician- and caregiver-rated global evaluations, and measures of quality of life. 5 key findings →
Participants: 663
Evidence: high
Full summary, score breakdown and related studies →
Original source
79/100
✓ Peer-reviewed
alzhub usefulness score 79 out of 100.
·
JAMA
·
1998-12-01
Behavioral treatment is a safe and effective conservative intervention that should be made more readily available to patients as a first-line treatment for urge and mixed incontinence. 2 key findings →
Evidence: high
Full summary, score breakdown and related studies →
Original source
A systematic approach to the management of pain significantly reduced agitation in residents of nursing homes with moderate to severe dementia. 4 key findings →
Design: randomized controlled trial
Participants: 175
Evidence: high
Full summary, score breakdown and related studies →
Original source
79/100
✓ Peer-reviewed
alzhub usefulness score 79 out of 100.
·
JAMA
·
2004-07-01
This double-blind randomized trial does not support the hypothesis that the use of soy protein supplement containing isoflavones improves cognitive function, bone mineral density, or plasma lipids in healthy postmenopausal women when started at the age of 60 years or later. 2 key findings →
Design: randomized controlled trial
Participants: 175
Evidence: high
Full summary, score breakdown and related studies →
Original source
79/100
✓ Peer-reviewed
alzhub usefulness score 79 out of 100.
·
BMJ open
·
2022-01-06
Our systematic review indicates that a majority of studies examining the vision-cognition relationship report that VI is associated with more cognitive decline, cognitive impairment or dementia among older adults. 4 key findings →
Design: systematic review
Participants: 100
Evidence: high
Full summary, score breakdown and related studies →
Original source
79/100
✓ Peer-reviewed
alzhub usefulness score 79 out of 100.
·
Aging
·
2022-01-14
Patients with AD spectrum demonstrated altered GM abundance, which was differentially mediated by countries and clinical stages. 5 key findings →
Design: systematic review
Participants: 427
Evidence: high
Full summary, score breakdown and related studies →
Original source
Nineteen interventional studies, including 3,985 participants, were identified. 2 key findings →
Design: systematic review
Participants: 3,985
Evidence: high
Full summary, score breakdown and related studies →
Original source
EQ-5D utility scores averaged 0·03 (95% CI 0·01-0·05; p=0·0002) better with levodopa than with levodopa-sparing therapy; rates of dementia (hazard ratio [HR] 0·81, 95% CI 0·61-1·08, p=0·14), admissions to institutions (0·86, 0·63-1·18; p=0·4), and death (0·85, 0·69-1·06, p=0·17) were not significantly different, but the upper CIs precluded any substantial increase with levodopa compared with levodopa-sparing therapy. 179 (28%) of 632 patients allocated dopamine agonists and 104 (23%) of 460 patients allocated MAOBI discontinued allocated treatment because of side-effects compared with 11 (2%) of 528 patients allocated levodopa (p<0·0001). 2 key findings →
Design: randomized controlled trial
Participants: 1,620
Evidence: high
Full summary, score breakdown and related studies →
Original source
Contemporary healthcare policies are designed to shape the conditions that can help delay the institutionalization of patients with dementia. 4 key findings →
Design: systematic review
Participants: 9,043
Evidence: high
Full summary, score breakdown and related studies →
Original source
Overall, less than half of patients diagnosed with schizophrenia have shown substantial clinical improvement after follow-up averaging nearly 6 years. 5 key findings →
Design: meta-analysis
Participants: 51,800
Evidence: high
Full summary, score breakdown and related studies →
Original source
Our findings indicate that high-speed resistance exercise training approaches are effective in improving cognitive function and physical performance in older adults with cognitive frailty. 3 key findings →
Design: randomized controlled trial
Participants: 30
Evidence: high
Full summary, score breakdown and related studies →
Original source
Higher all-cause mortality was observed among apparently healthy older adults who received daily aspirin than among those who received placebo and was attributed primarily to cancer-related death. 3 key findings →
Participants: 19,114
Evidence: low
Full summary, score breakdown and related studies →
Original source
Participants with Elevated/High %p-tau217 exhibited accelerated cognitive decline, hippocampal atrophy, and significantly higher risks of progression to MCI (hazard ratio [HR] > 6.0) and dementia (HR > 9.9). 4 key findings →
Design: longitudinal study
Participants: 1,204
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
This study investigated the potential association between levels of plasma neurofilament light chain (NfL) and cognitive function in patients suffering from Parkinson's disease (PD) in P.R. 3 key findings →
Design: meta-analysis
Participants: 168
Evidence: high
Full summary, score breakdown and related studies →
Original source
Plasma amyloid-β(Aβ)42/40 ratio, glial fibrillary acidic protein (GFAP), neurofilament light (NfL), and phosphorylated tau181(p-tau181) are promising biomarkers for Alzheimer's disease (AD)-related pathology. 3 key findings →
Design: cohort study
Participants: 1,270
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Seventy-four participants completed the study. 5 key findings →
Design: randomized controlled trial
Participants: 84
Evidence: high
Full summary, score breakdown and related studies →
Original source
Levels of apathy decreased slightly in both groups (mean decrease in AES-I of .61 points, 95% CI -3.54, 2.33 for TBI and .36 points, 95% CI -3.27, 2.55 for CAS). 5 key findings →
Design: randomized controlled trial
Participants: 162
Evidence: high
Full summary, score breakdown and related studies →
Original source
79/100
✓ Peer-reviewed
alzhub usefulness score 79 out of 100.
·
BMC psychiatry
·
2022-08-12
The present study will address several shortcomings of previous CCT studies. 5 key findings →
Design: randomized controlled trial
Participants: 162
Evidence: high
Full summary, score breakdown and related studies →
Original source
Narcolepsy type 1 is strongly associated with human leukocyte antigen (HLA)-DQB1*06:02; however, no significant associations between IH and HLA alleles have been reported. 4 key findings →
Design: meta-analysis
Participants: 414
Evidence: high
Full summary, score breakdown and related studies →
Original source
The aims of this study were to identify candidate single nucleotide polymorphisms (SNPs) and mechanisms of Alzheimer's disease (AD) and to generate SNP to gene to pathway hypotheses. 5 key findings →
Design: meta-analysis
Participants: 370,542
Evidence: high
Full summary, score breakdown and related studies →
Original source
GWAS of Alzheimer's disease have been predominantly based on European ancestry cohorts with clinically diagnosed patients. 2 key findings →
Design: meta-analysis
Evidence: high
Full summary, score breakdown and related studies →
Original source
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.