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Accurate classification within longitudinal cohort studies is crucial for understanding disease progression and for the comparability and collaboration across studies. The main objective of this systematic review was to identify and compare the diagnostic criteria used in prospective population study cohorts centering on the Alzheimer\u2019s disease clinical continuum in older adults. A review was performed of cohort studies started in the year 2000 or later, with a follow-up duration of at least 3\u00a0years among people aged between 50 and 85\u00a0years old living in the community. Original studies were searched in MEDLINE, Embase, Cochrane, PsycINFO, and Web of Science. Two independent reviewers agreed on the final selection of 28 studies covering 25 cohorts. One study was identified by three independent judges as having methodological limitations due to inadequate reporting as per the modified NIH quality assessment tool. Data was extracted from each included study using a standardized extraction form. In general, the studies followed fewer than 1500 participants. The results showed convergence in the choice of diagnostic classification criteria among the 25 cohorts studied especially for the later stages of AD, while criteria for the earliest stages showed greater variability. Only five cohorts studied were concerned with the follow-up of the full spectrum of the disease. Our study may help to put in place a unified set of clinical diagnostic criteria across the continuum of Alzheimer\u2019s disease, rather than criteria developed specifically for a given study.<\/jats:p>","DOI":"10.1007\/s11065-025-09663-9","type":"journal-article","created":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T02:25:19Z","timestamp":1746757519000},"page":"3-24","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A Comparison of Clinical Diagnostic Classification Criteria Used in Longitudinal Cohort Studies of the Alzheimer\u2019s Disease Continuum: A Systematic Review"],"prefix":"10.1007","volume":"36","author":[{"given":"Juan Manuel","family":"Villalpando","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1386-7411","authenticated-orcid":false,"given":"Bernard-Simon","family":"Leclerc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minh Tri","family":"Le","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Hudon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aline","family":"Bolduc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Jeanne","family":"Kergoat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Consortium for the Early Identification of Alzheimer\u2019s Disease-Quebec (CIMA-Q)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,5,9]]},"reference":[{"key":"9663_CR1","doi-asserted-by":"publisher","unstructured":"Aisen, P. 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Frontiers in Aging Neuroscience, 13. https:\/\/doi.org\/10.3389\/fnagi.2021.797704","DOI":"10.3389\/fnagi.2021.797704"}],"container-title":["Neuropsychology Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11065-025-09663-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11065-025-09663-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11065-025-09663-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T15:18:14Z","timestamp":1781795894000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11065-025-09663-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,9]]},"references-count":79,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["9663"],"URL":"https:\/\/doi.org\/10.1007\/s11065-025-09663-9","relation":{},"ISSN":["1040-7308","1573-6660"],"issn-type":[{"value":"1040-7308","type":"print"},{"value":"1573-6660","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,9]]},"assertion":[{"value":"25 April 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 April 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 May 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Marie-Jeanne Kergoat, Juan Manuel Villalpando, and Carol Hudon are members of the Consortium for the Early Identification of Alzheimer\u2019s Disease-Quebec (CIMA-Q) but did not receive any funding or influence for the submitted work. Minh Tri Le, a medical student, benefited from a summer scholarship from CIMA-Q. The other authors did not receive any funds, grants, or support from other organizations and have no competing, relevant financial or non-financial interests to disclose. No other potential conflicts of interest are reported by the authors. CIMA-Q, the Consortium pour l\u2019Identification Pr\u00e9coce de la Maladie d\u2019Alzheimer\u2014Qu\u00e9bec received funding from the Fonds d\u2019Innovation Pfizer-FRQS for Alzheimer\u2019s disease and related diseases, FRQS (Fonds de recherche du Qu\u00e9bec-Sant\u00e9), RQRV (Quebec Network for Research on Aging), Fondation Courtois (Neuromod project), and the Fondation Famille Lemaire.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}