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  • Alzheimer's Association 24/7 Helpline 800-272-3900 24 hours a day, 365 days a year Free, confidential support and information for people with dementia, caregivers, families and the public. Master's-level clinicians. Also Spanish.
  • 988 Suicide & Crisis Lifeline 988 24/7 Call or text 988, or chat at 988lifeline.org. For anyone in emotional distress or a mental-health crisis, including caregivers.
  • Alzheimer's Foundation of America (AFA) Helpline 866-232-8484 9:00 am - 9:00 pm ET, seven days a week Licensed social workers providing support, info and referrals. Also text message and web chat. Text: 646-586-5283

In a medical emergency, call 911. More numbers, and what each line does, on the help page.

Each study has a usefulness score out of 100 (rubric version 4.0). Tap a score to see what makes it up.

Highest usefulness score first. Studies without a score come last.

  1. Place of Death: Trends Over the Course of a Decade: A Population-Based Study of Death Certificates From the Years 2001 and 2011

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. Deutsches Arzteblatt international 2015-07-01 End-of-life care

    Most people in Germany die in institutions; the most common place of death is still the hospital, where more than half of all deaths take place.

  2. Availability and Primary Health Care Orientation of Dementia-Related Services in Rural Saskatchewan, Canada

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. Home health care services quarterly 2015-07-01 End-of-life care

    Community-based services are important for improving outcomes for individuals with dementia and their caregivers.

  3. Classification and clinicoradiologic features of primary progressive aphasia (PPA) and apraxia of speech

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. Cortex; a journal devoted to the study of the nervous system and behavior 2015-05-27 Digital health tools

    The consensus criteria for the diagnosis and classification of primary progressive aphasia (PPA) have served as an important tool in studying this group of disorders.

    Why it matters

    This study classified 130 patients with degenerative speech and language disorders into subtypes and found distinct patterns of brain loss, with logopenic aphasia strongly associated with being amyloid positive. It is about classifying these disorders, not about treating, curing, or preventing Alzheimer's disease.

  4. Age- and education-adjusted normative data for the Montreal Cognitive Assessment (MoCA) in older adults age 70-99

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. Neuropsychology, development, and cognition. Section B, Aging, neuropsychology and cognition 2015-05-05 Cognitive tests and assessment

    The original validation study for the Montreal Cognitive Assessment (MoCA) suggests a cutoff score of 26; however, this may be too stringent for older adults, particularly for those with less education.

    Why it matters

    This study produced age- and education-adjusted norms for the Montreal Cognitive Assessment in older adults aged 70 to 99. It is about interpreting a cognitive screening test, not about treating, curing or preventing Alzheimer's disease.

  5. Pharmacological treatment and prevention of cerebral small vessel disease: a review of potential interventions

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. International journal of stroke : official journal of the International Stroke Society 2015-03-02 Inflammation and the immune system

    Small vessel disease encompasses lacunar stroke, white matter hyperintensities, lacunes and microbleeds.

  6. Latent Classes of Neuropsychiatric Symptoms in NACC Controls and Conversion to Mild Cognitive Impairment or Dementia

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. Journal of Alzheimer's disease : JAD 2015-01-01 Long-term cohort studies

    A number of studies have linked neuropsychiatric symptoms to increase risk of dementia.

    Why it matters

    Among 4,517 cognitively normal volunteers aged 60 and older, this study examined whether different patterns of neuropsychiatric symptoms were linked to conversion to mild cognitive impairment or dementia. The researchers used data from 34 Alzheimer Disease Centers to see if symptom patterns in healthy controls predicted later decline.

  7. Nothing to complain about? Residents' and relatives' views on a "good life" and ethical challenges in nursing homes

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. Nursing ethics 2014-12-08 End-of-life care

    Residents and relatives experience ethical challenges in Norwegian nursing homes, mostly connected to "everyday ethical issues."

  8. Cerebrospinal fluid cortisol and clinical disease progression in MCI and dementia of Alzheimer's type

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. Neurobiology of aging 2014-10-31 Mild cognitive impairment

    Increased peripheral and central nervous system cortisol levels have been reported in Alzheimer's disease (AD) and may reflect dysfunction of cerebral components of the hypothalamic-pituitary-adrenal (HPA) axis.

    Why it matters

    Cerebrospinal fluid cortisol was higher in people with Alzheimer's dementia or MCI of Alzheimer's type than in other groups, and higher baseline levels were associated with faster clinical worsening in MCI of Alzheimer's type. This is an observational study of a marker and does not show that lowering cortisol treats, cures, or prevents the disease.

  9. Advance care planning in people with early cognitive impairment

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. BMJ supportive & palliative care 2014-10-21 End-of-life care

    A large proportion of patients with ECI decline ACP discussions and the reasons are influenced by personal values, coping behaviours and sociocultural norms.

  10. A validation study of the Hong Kong version of Montreal Cognitive Assessment (HK-MoCA) in Chinese older adults in Hong Kong

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. Hong Kong medical journal = Xianggang yi xue za zhi 2014-08-15 Cognitive tests and assessment

    Cognition clinic and memory clinic of a public hospital in Hong Kong.

    Why it matters

    This cross-sectional study validated the Hong Kong version of the Montreal Cognitive Assessment in 272 Chinese older adults with dementia, mild cognitive impairment, or normal cognition. It is a test-validation study and does not test any treatment, cure, or prevention.

  11. Post-stroke cognitive impairment: epidemiology, mechanisms and management

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. Annals of translational medicine 2014-08-01 How common it is

    Post-stroke cognitive impairment occurs frequently in the patients with stroke.

    Why it matters

    This review describes that post-stroke cognitive impairment is common and that its mechanisms are not known in detail, though stroke lesions, white matter lesions, microbleeds, and mixed Alzheimer's disease with stroke may contribute. It discusses possible management strategies but does not test any treatment or prevention.

  12. Cognitive impairment in older patients with breast cancer before systemic therapy: is there an interaction between cancer and comorbidity?

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. Journal of clinical oncology : official journal of the American Society of Clinical Oncology 2014-05-19 Caregiving

    There were no overall differences between patients with breast cancer and controls before systemic treatment, but there may be pretreatment cognitive impairment within subgroups of patient cases with greater tumor or comorbidity burden.

    Why it matters

    This study found that older patients with breast cancer had similar neuropsychological domain scores to controls before systemic therapy. However, among patients, those with more advanced cancer had lower executive function, and greater comorbidity was associated with higher odds of impairment.

  13. Anxiety is not associated with the risk of dementia or cognitive decline: the Rotterdam Study

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry 2014-03-15 Long-term cohort studies

    We studied whether anxiety symptoms and anxiety disorders are associated with the risk of dementia and cognition.

    Why it matters

    In this large population study, anxiety symptoms and anxiety disorders were not associated with the risk of dementia or cognitive decline. This means anxiety does not appear to be a risk factor for dementia in this group, though it does not rule out other reasons to treat anxiety.

  14. Caregiver burden in end-of-life care: advanced cancer and final stage of dementia

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. Palliative & supportive care 2014-03-10 End-of-life care

    The percentage of psychological distress was similar between caregivers of cancer patients (77.6%) and caregivers of dementia patients (72.4%).

  15. Development and evaluation of a decision aid on mammography screening for women 75 years and older

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. JAMA internal medicine 2014-03-01 Disparities

    The median age of participants was 79 years, 69% (31 of 45) were of non-Hispanic white race/ethnicity, and 60% (27 of 45) had attended at least some college.

    Why it matters

    This study developed and evaluated a decision aid about mammography screening for women 75 and older. It concerns breast cancer screening decisions and did not study the treatment, cure or prevention of Alzheimer's disease.

  16. Depressive symptoms predict incident dementia during short- but not long-term follow-up period

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. Alzheimer's & dementia : the journal of the Alzheimer's Association 2014-02-12 Long-term cohort studies

    Whether depression is a long-term risk factor for dementia or represents a dementia prodrome is unclear.

    Why it matters

    In 4,393 nondemented Rotterdam Study participants followed for 13.7 years, depressive symptoms predicted incident dementia during short but not long follow-up. This suggests depression may sometimes be an early sign of dementia rather than a long-term cause, and it does not test any treatment, cure, or prevention.

  17. Network dysfunction after traumatic brain injury

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. Nature reviews. Neurology 2014-02-11 Brain scans and imaging

    Diffuse axonal injury after traumatic brain injury (TBI) produces neurological impairment by disconnecting brain networks.

    Why it matters

    This review describes how traumatic brain injury disrupts large-scale brain networks and discusses how such damage might interact with inflammation and neurodegeneration in the later development of Alzheimer's disease. It is a review of mechanisms and reports no treatment that cures or prevents Alzheimer's disease.

  18. Barriers to advance care planning in cancer, heart failure and dementia patients: a focus group study on general practitioners' views and experiences

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. PloS one 2014-01-21 End-of-life care

    The results of our study contribute to a better understanding of the factors hindering GPs in initiating ACP.

  19. Parkinson's disease: a review

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. Frontiers in bioscience (Scholar edition) 2014-01-01 How common it is

    Parkinson's Disease is the second most common progressive neurodegenerative disorder affecting older American adults and is predicted to increase in prevalence as the United States population ages.

    Why it matters

    This review states that Parkinson's disease can be associated with cognitive impairment and dementia, and that no definitive disease-modifying therapy exists, with experimental therapies showing limited results. It provides background on Parkinson's disease rather than testing any treatment, prevention, or cure for Alzheimer's disease.

  20. Physical exercise and cognitive performance in the elderly: current perspectives

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. Clinical interventions in aging 2013-12-18 Prevention and risk

    In an aging population with increasing incidence of dementia and cognitive impairment, strategies are needed to slow age-related decline and reduce disease-related cognitive impairment in older adults.

    Why it matters

    This review reports that observational studies support a dose-dependent neuroprotective relationship between physical exercise and cognitive performance in older adults. It notes that while some clinical trials of exercise interventions show positive effects on cognitive performance, others show minimal to no effect.

  21. Prospective study of Dietary Approaches to Stop Hypertension- and Mediterranean-style dietary patterns and age-related cognitive change: the Cache County Study on Memory, Health and Aging

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. The American journal of clinical nutrition 2013-09-18 Prevention trials

    Higher levels of accordance with both the DASH and Mediterranean dietary patterns were associated with consistently higher levels of cognitive function in elderly men and women over an 11-y period.

  22. Determinants for undetected dementia and late-life depression

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. The British journal of psychiatry : the journal of mental science 2013-07-25 Disparities

    Older adults in China have high levels of undetected dementia and depression.

    Why it matters

    This study found that most dementia and depression in older adults in China went undetected. It identified low education, low occupation, and rural living as factors linked to undetected dementia, but it does not test any treatment or cure.

  23. Mediterranean diet adherence and self-reported psychological functioning in an Australian sample

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. Appetite 2013-07-02 Prevention trials

    Given the reported health benefits of a Mediterranean diet (MedDiet) and delay in cognitive decline, we aimed to determine the level of adherence to a MedDiet using an 11-point scale and examine relationships with cognitive function and psychological well-being.

  24. Qualitative evaluation of advanced care planning in early dementia (ACP-ED)

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. PloS one 2013-04-10 End-of-life care

    This qualitative evaluation of ACP in early dementia has encouragingly positive results which support the wider application of the intervention in memory services and community mental health teams.

  25. Methodology of China's national study on the evaluation, early recognition, and treatment of psychological problems in the elderly: the China Longitudinal Aging Study (CLAS)

    ✓ Peer-reviewed alzhub usefulness score 47 out of 100. Shanghai archives of psychiatry 2013-04-01 Prevention trials

    Cognitive and depressive disorders are common in elderly Chinese and are becoming an increasingly important public health problem, partly because of the rapid aging of the population.

From across this topic

10 of the 7,967 studies in this topic, picked by a fixed rule (a hash of each study's address), not by score or date; each page of this list shows a different 10. The same 10 appear here every time.

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