3 results match your criteria: "Duke University School of Medicine and Duke Institute for Brain Sciences[Affiliation]"

Differences in Risk of Alzheimer's Disease Following Later-Life Traumatic Brain Injury in Veteran and Civilian Populations.

J Head Trauma Rehabil

November 2023

Biodemography of Aging Research Unit, Social Science Research Institute, Duke University, Durham, North Carolina (Drs Yashkin, Yashin, and Akushevich and Ms Gorbunova); Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina (Dr Tupler); and Departments of Psychiatry and Medicine, Duke University School of Medicine and Duke Institute for Brain Sciences, Durham, North Carolina (Dr Doraiswamy).

Objective: To directly compare the effect of incident age 68+ traumatic brain injury (TBI) on the risk of diagnosis of clinical Alzheimer's disease (AD) in the general population of older adults, and between male veterans and nonveterans; to assess how this effect changes with time since TBI.

Setting And Participants: Community-dwelling traditional Medicare beneficiaries 68 years or older from the Health and Retirement Study (HRS).

Design: Fine-Gray models combined with inverse-probability weighting were used to identify associations between incident TBI, post-TBI duration, and TBI treatment intensity, with a diagnosis of clinical AD dementia.

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Article Synopsis
  • The rapid increase in biomarker data from Alzheimer's disease clinical trials has led to the creation of various mathematical models to track how these biomarkers change over time.
  • Different models range from empiric to causal, with the latter grounded in hypotheses about the complicated mechanisms of Alzheimer's.
  • This paper introduces a new data-driven method that builds and fine-tunes causal models for Alzheimer's biomarkers, allowing for personalized predictions of cognitive decline by analyzing a large dataset from the Alzheimer's Disease Neuroimaging Initiative.
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