Evidence map›Paper›PMID 26093615›Full record

ArticleCerebellum (London, England)2016

Comparison of Different Symptom Assessment Scales for Multiple System Atrophy.

Masaaki Matsushima, Ichiro Yabe, Koji Oba, Ken Sakushima, Yasunori Mito, Asako Takei, Hideki Houzen, Kazufumi Tsuzaka, Kazuto Yoshida, Yasunori Maruo and 1 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Cerebellum (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Multiple System Atrophy Combined Outcome Assessment (MuSyCA): process, format, and validation plan.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Sympathetic outflow to skin predicts central autonomic dysfunction in multiple system atrophy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Article
  8. Article
  9. First symptoms in multiple system atrophy.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2018
    Article
  10. Review
  11. 3-Hz postural tremor in multiple system atrophy cerebellar type (MSA-C)-a static posturography study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2018
    Article
  12. Review
  13. Article
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

11 authors.

Masaaki MatsushimaDepartment of Neurology, Hokkaido University Graduate School of Medicine, Kita-15, Nishi-7, Kita-ku, Sapporo, 060-8638, Japan. mmasaaki@huhp.hokudai.ac.jp.
Ichiro YabeDepartment of Neurology, Hokkaido University Graduate School of Medicine, Kita-15, Nishi-7, Kita-ku, Sapporo, 060-8638, Japan.
Koji ObaResearch and Clinical Trial Center, Hokkaido University Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Ken SakushimaDepartment of Neurology, Hokkaido University Graduate School of Medicine, Kita-15, Nishi-7, Kita-ku, Sapporo, 060-8638, Japan.
Yasunori MitoSapporo City General Hospital, 1-1 Kita-11, Nishi-13, Chuo-ku, Sapporo, 060-8604, Japan.
Asako TakeiHokuyukai Neurological Hospital, Niju-Yon-Ken 2-2-4-30, Nishi-ku, Sapporo, 063-0802, Japan.
Hideki HouzenObihiro Kosei Hospital, Nishi-6, Minami-8, Obihiro, 080-0016, Japan.
Kazufumi TsuzakaKushiro Rosai Hospital, 13-23 Nakazono-cho, Kushiro, 085-8533, Japan.
Kazuto YoshidaJapanese Red Cross Asahikawa Hospital, 1-1 Akebono, Asahikawa, 070-8530, Japan.
Yasunori MaruoHakodate Municipal Hospital, 1-10-1 Minato-cho, Hakodate, 041-8680, Japan.
Hidenao SasakiDepartment of Neurology, Hokkaido University Graduate School of Medicine, Kita-15, Nishi-7, Kita-ku, Sapporo, 060-8638, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To identify the most sensitive scale for use in clinical trials on multiple system atrophy (MSA), a short and sensitive scale is needed for MSA clinical trials. Potential candidates are the Unified MSA Rating Scale (UMSARS), Scale for the Assessment and Rating of Ataxia (SARA), Berg Balance Scale (BBS), MSA Health-Related Quality of Life scale (MSA-QoL), and Scales for Outcomes in Parkinson's Disease-Autonomic questionnaire (SCOPA-AUT). We enrolled patients with MSA from eight hospitals in Hokkaido, Japan. Board-certified neurologists assessed each patient at 6-month intervals and scored them on the UMSARS, SARA, BBS, MSA-QoL, and SCOPA-AUT. Score changes were evaluated using the standardized response mean (SRM). The correlation between disease duration and each score was examined. The first evaluation was conducted on 85 patients (60 patients with MSA cerebellar ataxia dominant subtype [MSA-C] and 25 patients with MSA Parkinsonism-dominant subtype [MSA-P]). Sixty-nine patients were examined after 6 months and 63 patients after 12 months. The UMSARS Part 4 had the largest SRM after 6 months and the SARA after 12 months. SRMs for MSA-P, the shorter duration group, and the early-onset group were larger than were those for MSA-C, the longer duration group, and the late-onset group. SRMs for items regarding skilled hand activities, walking, and standing were relatively large. Our study indicates that the UMSARS (parts 2 and 4), SARA, and BBS are sensitive scales for evaluating MSA progression over 12 months. Items with large SRMs effectively evaluated short-term changes.

Indexed as

AdultAgedDisability EvaluationDisease ProgressionFemaleHumansMaleMiddle AgedMultiple System AtrophyQuality of LifeSeverity of Illness IndexSurveys and QuestionnairesSymptom AssessmentTime FactorsMultiple system atrophySample sizeShort-term changeStandardized response meanSymptom assessment scale

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.