Evidence map›Paper›PMID 26563353›Full record

ArticleBMC neurology2015

Quantifying cognition at the bedside: a novel approach combining cognitive symptoms and signs in HIV.

Marie-Josée Brouillette, Lesley K Fellows, Lisa Palladini, Lois Finch, Réjean Thomas, Nancy E Mayo

Open access · goldAbstract read
In one paragraph

Article in BMC neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 28% 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.

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 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Development of a self-report measure of cognitive change: assessment of interpretability in two samples, people with HIV and people without HIV.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Development and validation of a voice-of-the-patient measure of cognitive concerns experienced by people living with HIV.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Article
  10. Relationships between cognition, function, and quality of life among HIV+ Canadian men.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020
    Article
  11. 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

6 authors at 2 institutions in 1 country.

Marie-Josée BrouilletteDepartment of Psychiatry, Faculty of Medicine, McGill University, Montreal, QC, Canada. marie-josee.brouillette@mcgill.ca.
Lesley K FellowsDepartment of Neurology and Neurosurgery, Faculty of Medicine, McGill University, Montreal, QC, Canada. lesley.fellows@mcgill.ca.
Lisa PalladiniSchool of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montreal, QC, Canada. lisa.palladini@mail.mcgill.ca.
Lois FinchDivision of Clinical Epidemiology, McGill University Health Center, Montreal, QC, Canada. lois.finch@mail.mcgill.ca.
Réjean ThomasClinique Médicale l'Actuel, Montreal, QC, Canada. rejean.thomas@lactuel.ca.
Nancy E MayoSchool of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montreal, QC, Canada. nancy.mayo@mcgill.ca.
McGill University · CAMcGill University Health Centre · CA

Funding

Canadian Institutes of Health Research TCO-125272
6 · The paper itself

Abstract

backgroundUp to half of all people with HIV infection have some degree of cognitive impairment. This impairment is typically mild, but nonetheless often disabling. Although early detection of cognitive impairment offers the greatest hope of effective intervention, there are important barriers to this goal in most clinical settings. These include uncertainty about how self-reported cognitive symptoms relate to objective impairments, and the paucity of bedside measurement tools suitable for mild deficits. Clinicians need guidance in interpreting cognitive symptoms in this population, and a brief cognitive measurement tool targeted to mild impairment. We addressed these two problems together here. The objective of this study was to determine the extent to which performance on cognitive tests and self-reported cognitive symptoms form a unidimensional construct.

methodsTwo hundred three HIV+ individuals completed the Montreal Cognitive Assessment, computerized cognitive tasks and a questionnaire eliciting cognitive symptoms. Rasch measurement theory was applied to determine whether patient-reported and performance items could be combined to measure cognition as a unidimensional latent construct.

resultsPerformance-based items and cognitive symptoms are arranged hierarchically along the same continuum of cognitive ability, forming a measure with thresholds covering a broad spectrum of ability that has good internal reliability. The cognitive symptoms that fit the measurement model relate to important aspects of everyday life, providing evidence that the identified construct is meaningful.

conclusionsThis finding lays the foundation for a rapid measure of cognitive ability in people with HIV infection that is feasible for routine clinical use, and shows that some cognitive symptoms are systematically related to performance in this population.

Indexed as

AdultAttentionCognitionCognition DisordersDepressionEducational StatusExecutive FunctionFeasibility StudiesFemaleHIV InfectionsHIV SeropositivityHumansMaleMemoryMiddle AgedPoint-of-Care Systems

Identifiers

PMID26563353
PMCPMC4643497
OpenAlexW2179595640

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.