2018
DOI: 10.1016/j.jalz.2018.10.003
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Subjective cognitive decline and rates of incident Alzheimer's disease and non–Alzheimer's disease dementia

Abstract: Introduction: In this multicenter study on subjective cognitive decline (SCD) in community-based and memory clinic settings, we assessed the (1) incidence of Alzheimer’s disease (AD) and non-AD dementia and (2) determinants of progression to dementia. Methods: Eleven cohorts provided 2978 participants with SCD and 1391 controls. We estimated dementia incidence and identified risk factors using Cox proportional hazards models. Results: In SCD,… Show more

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Cited by 290 publications
(323 citation statements)
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“…Indeed, the evolution of preclinical and predementia stages is extremely variable between individuals (see, e.g., 75 ). MCI and SCD stages are heterogeneous conditions that may be caused by different pathologies (see, e.g., [76][77][78][79] ), so it can be expected that the majority of SCD and MCI patients included in our study will never progress to AD. Another explanation for these negative results may thus be that these two groups of participants are on average more alike to healthy subjects, possibly overshadowing a continuous progression of DMN alteration from SCD to AD.…”
Section: Discussionmentioning
confidence: 99%
“…Indeed, the evolution of preclinical and predementia stages is extremely variable between individuals (see, e.g., 75 ). MCI and SCD stages are heterogeneous conditions that may be caused by different pathologies (see, e.g., [76][77][78][79] ), so it can be expected that the majority of SCD and MCI patients included in our study will never progress to AD. Another explanation for these negative results may thus be that these two groups of participants are on average more alike to healthy subjects, possibly overshadowing a continuous progression of DMN alteration from SCD to AD.…”
Section: Discussionmentioning
confidence: 99%
“…The latter characteristic appears preferable when studying the interplay between cognitive and physical function. In addition, the presence of subjective cognitive complaint, part of the operationalization of MCI, which is highly predictive of dementia in people referred to a memory clinic or to general practitioners [25], shows less accuracy in population-based studies because of a higher number of false positive and false negative results [26][27][28][29]. Based on example of previous reports [17,23], we operationalized CIND as the presence of objective cognitive impairment, defined as scoring 1.5 standard deviations (SDs) or more below age group-specific means in at least one domain of the neuropsychological assessment, in the absence of dementia [23].…”
Section: Definitions Of Main Variables and Covariatesmentioning
confidence: 99%
“…As the preclinical stage of AD, SCD precedes the occurrence of MCI by approximately 15 years (Rabin et al, 2015). Patient with SCD has a significantly higher risk of AD than those without SCD (Slot et al, 2018).…”
mentioning
confidence: 99%