Chapter 11 · Evidence
Cohort Lineage and Independence
A new paper is not automatically an independent replication. Reused cohorts, nested autopsy subsets, and consortium analyses must be tracked before judging consistency.
COH001 | Boston v2.0 multicentre tissue cohort
Recruitment: Symptomatic referral patients with MRI and tissue
Known reuse: Derivation, temporal, geographic, and full-autopsy analyses within one publication
Bias relevance: Tissue verification and referral spectrum can inflate transportability
Independence note: Validation subsets are separated but arise from the same coordinated study program
COH002 | ROSMAP
Recruitment: Religious Orders Study and Rush Memory and Aging Project
Known reuse: Boston transportability, ARTS development, arteriolosclerosis, cognition, and mixed-pathology studies
Bias relevance: Volunteer, highly educated, older cohort; repeated reuse is not independent replication
Independence note: Publications may use overlapping participants and differently filtered subsets
COH003 | Mayo nonhemorrhagic MRI-autopsy cohort
Recruitment: Community/memory presentations without hemorrhage
Known reuse: Boston v2.0 nonhemorrhagic validation
Bias relevance: Small selected pathology subset and nonhemorrhagic spectrum
Independence note: Independent setting from Boston derivation but modest sample
COH004 | Mild Stroke Study 3
Recruitment: Edinburgh/Lothian minor ischemic stroke services
Known reuse: Cross-sectional and longitudinal CVR/SVD analyses
Bias relevance: Stroke enrichment limits generalization to community aging and specific vessel pathology
Independence note: Analyses using the same cohort should not be counted as independent replication
COH005 | MarkVCID multisite consortium
Recruitment: Older adults across participating US sites
Known reuse: PSMD, free water, CVR, clinical and fluid protocols
Bias relevance: Heterogeneous sites improve transportability but outcomes often remain associative
Independence note: Sites may be analyzed independently, but consortium-wide papers share infrastructure and some participants
COH006 | ADNI
Recruitment: Research volunteers across cognitive stages
Known reuse: ARTS translation and outcome association
Bias relevance: AD-focused selection and exclusions limit arteriolosclerosis generalization
Independence note: May be external to ROSMAP development but not representative clinical care
COH007 | Edinburgh lobar ICH pathology cohort
Recruitment: Adults with spontaneous lobar ICH
Known reuse: Edinburgh CT and genetic criteria
Bias relevance: Applies to lobar ICH, not cognitive or asymptomatic presentations
Independence note: Distinct context from MRI-based Boston criteria
COH008 | Specialist CAA-ri comparative cohort
Recruitment: CAA-ri and non-inflammatory CAA specialty care
Known reuse: CAA-ri spectrum characterization
Bias relevance: Referral enrichment and incorporation of imaging into diagnosis
Independence note: Useful comparative phenotype evidence; not population accuracy
COH009 | International postmortem CAA protocol network
Recruitment: Eleven neuropathology groups
Known reuse: Consensus protocol development, appraisal, and validation
Bias relevance: Consensus improves comparability but does not eliminate sampling error
Independence note: Method paper rather than participant-outcome cohort
COH010 | Hereditary CAA family cohorts
Recruitment: Mutation-defined families, including Dutch-type CAA
Known reuse: Natural history, risk factors, and mechanistic staging
Bias relevance: Founder effects, mutation specificity, younger age, and limited numbers
Independence note: Different mutations should not be pooled without biological justification