Pascal Geldsetzer
@pascalge.bsky.social
67 followers 28 following 9 posts
Assistant Professor of Medicine and, by courtesy, of Epidemiology and Population Health, Stanford University; CZ Biohub – San Francisco investigator https://profiles.stanford.edu/pascal-geldsetzer @PGeldsetzer1 on X/Twitter
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Reposted by Pascal Geldsetzer
mmolteni.bsky.social
This very cool paper is out today in Nature. It makes the strongest case yet that the shingles vaccine can lower risks of developing dementia. It was supported by multiple NIH grants.

We first covered it as a preprint back during a quieter time for US science:

www.statnews.com/2024/10/18/d...
pascalge.bsky.social
Huge thanks to my postdocs @meyting.bsky.social , @minxiesci.bsky.social & Seunghun Chung; PhD student Felix Michalik; and co-author @hesss.org
#dementia #Alzheimers #shingles #epitwitter #econtwitter #neurotwitter #NeuroTwitterNetwork #Neuroscience
pascalge.bsky.social
What’s next? We want to run a randomized clinical trial. This relies on philanthropy because we want to trial a version of the old shingles vaccine (that’s what we’ve all the evidence for!), which is no longer being manufactured. Reach out if you want to help fund!
pascalge.bsky.social
We see the same protective effect in dataset after dataset from different countries that rolled out the shingles vaccine in similar ways --> this can’t just be a chance finding!
pascalge.bsky.social
Other studies have all compared people who go get vaccinated to those who don’t --> these are folk with very different health behaviors. So, what you get then is much more likely to be biased.
pascalge.bsky.social
You take 1,000 people born one week and 1,000 born just a week later --> no reason to think that they should differ in their health behaviors 🏃‍♀️🧑‍🍳. So, we have beauuutiful comparison groups. This is an opportunity to get at cause and effect!
pascalge.bsky.social
What’s so special about our study? In Wales, if your 80th birthday was just b4 the start date of the shingles vax program, you were ineligible. If it was just after, you could get the shot. Just a week’s difference in age means your chances of getting vaxxed jump from 0 to 50%!