Evidence map›Paper›PMID 21303352›Full record

ArticleActa neurologica Scandinavica2011

The Creutzfeldt-Jakob disease (CJD) neurological status scale: a new tool for evaluation of disease severity and progression.

O S Cohen, I Prohovnik, A D Korczyn, L Ephraty, Z Nitsan, R Tsabari, S Appel, H Rosenmann, E Kahana, J Chapman

Registry-linked trialAbstract read
In one paragraph

Article in Acta neurologica Scandinavica, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02480725 (The Role of the Coagulation Pathway at the Synapse in Prion Diseases), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.7field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02480725 unknown statusnot on this mapstarted 2015, after this paper: background citation

The Role of the Coagulation Pathway at the Synapse in Prion Diseases

TypeobservationalSponsorSheba Medical CenterRan2015 to 2025Enrolled50ConditionsCreutzfeldt-Jakob SyndromeArmscollect CSF (Cerebrospinal fluid) sample
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 17 citations in OpenAlex.

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  5. Clinical radiological correlation in E200K familial Creutzfeldt-Jakob disease.Journal of neural transmission (Vienna, Austria : 1996) · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

O S CohenDepartment of Neurology and the Sagol Neuroscience Center, Tel-Hashomer, Israel. oren.cohen@sheba.health.gov.il
I Prohovnik
A D Korczyn
L Ephraty
Z Nitsan
R Tsabari
S Appel
H Rosenmann
E Kahana
J Chapman
Sheba Medical Center · ILBarzilai Medical Center · ILHadassah Medical Center · ILMount Sinai Medical Center · USTel Aviv University · IL

Funding

Neuroimaging of Genetically-Defined Incipient CJDR01NS043488 · NINDS · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI PROHOVNIK, ISAK · 2005 to 2007
$1.2M
NINDS NIH HHS NS043488NINDS NIH HHS R01 NS043488
6 · The paper itself

Abstract

objectivesTo develop a scale sensitive for the neurological manifestations of Creutzfeldt-Jakob disease (CJD).

methodsA 26-item CJD neurological status scale (CJD-NS) was created based on characteristic disease manifestations. Each sign was assigned to one of eight neurological systems to calculate a total scale score (TSS) and a system involvement score (SIS). The scale was administered to 37 CJD patients, 101 healthy first-degree relatives of the patients and 14 elderly patients with Parkinson's disease (PD).

resultsThe mean TSS (±SD) was significantly higher in patients with CJD (13.19 ± 5.63) compared with normal controls (0.41 ± 0.78) and PD patients (9.71 ± 3.05). The mean SIS was also significantly different between the CJD (5.19 ± 1.22) and PD (2.78 ± 1.18 P ≤ 0.01) groups reflecting the disseminated nature of neurological involvement in CJD. Using a cutoff of TSS > 4 yielded a sensitivity of 97% for CJD, and specificity of 100% against healthy controls. All individual items showed excellent specificity against healthy subjects, but sensitivity was highly variable. Repeat assessments of CJD patients over 3-9 months revealed a time-dependent increase in both the TSS and the SIS reflecting the scale's ability to track disease progression.

conclusionsThe CJD-NS scale is sensitive to neurological signs and their progression in CJD patients.

Indexed as

Neuropsychological TestsAgedCreutzfeldt-Jakob SyndromeDiagnostic Techniques, NeurologicalDisease ProgressionFemaleHumansMaleMiddle AgedNeurologic ExaminationSensitivity and Specificity

Identifiers

PMID21303352
PMCPMC3100358
OpenAlexW1533580321

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.