Methodological flaws in"diagnostic accuracy of blood biomarkers for Alzheimer's disease and amnestic mild cognitive impairment: A meta-analysis".

Ageing Res Rev

Department of Emergency, School of Medicine, College of Medicine, Taipei Medical University, Taiwan; Emergency Department, Department of Emergency and Critical Medicine, Wan Fang Hospital, Taipei Medical University, Taiwan. Electronic address:

Published: July 2023

AI Article Synopsis

  • The review by Chen et al. aimed to assess how accurately blood-based biomarkers can detect Alzheimer's disease and amnestic mild cognitive impairment.
  • However, the authors identified significant methodological flaws in the study, such as lack of a thorough literature search, ignoring negative results, and incorrect data input.
  • Due to these issues, the conclusion that blood-based biomarkers are reliable for diagnosing Alzheimer's disease is questionable and needs reevaluation.

Article Abstract

We read with interest the review by Chen et al. They intended to examine the diagnostic accuracy of blood-based biomarkers for detecting Alzheimer's disease and amnestic mild cognitive impairment. We believe that there were substantial methodological flaws in their meta-analysis. These methodological flaws included no comprehensive literature search details, neglect of the negative result research, no prespecified cut-off values, erroneous data input in their meta-analysis, and the issue of prevalence determined by the included studies. These factors potentially contributed to overestimation of the discriminative accuracy of blood-based biomarkers. Subsequently, the conclusion that blood-based biomarkers are effective tools for detecting Alzheimer's disease is debatable without correction of these methodological flaws and providing robust and trustworthy estimates.

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Source
http://dx.doi.org/10.1016/j.arr.2023.101938DOI Listing

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