Evidence map›Paper›PMID 27260296›Full record

SynthesisJournal of neurology2017

Screening tests for aphasia in patients with stroke: a systematic review.

Hanane El Hachioui, Evy G Visch-Brink, Lonneke M L de Lau, Mieke W M E van de Sandt-Koenderman, Femke Nouwens, Peter J Koudstaal, Diederik W J Dippel

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Journal of neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.

  1. Pooled it
  2. Article
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  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. The Severity-Calibrated Aphasia Naming Test.American journal of speech-language pathology · 2022
    Article
  15. Article
  16. Assessment of language impairment and function.Handbook of clinical neurology · 2022
    Review
  17. The Screening Test for Aphasia and Dysarthria (STAD) for Patients with Neurological Communicative Disorders: A Large-Scale, Multicenter Validation Study in Japan.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2022
    Article
  18. Article
  19. Review
  20. Review
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

7 authors at 2 institutions in 1 country.

Hanane El HachiouiDepartment of Neurology, Erasmus MC University Medical Center, Room EE 2291, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Evy G Visch-BrinkDepartment of Neurology, Erasmus MC University Medical Center, Room EE 2291, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands. e.visch-brink@erasmusmc.nl.
Lonneke M L de LauDepartment of Neurology, Erasmus MC University Medical Center, Room EE 2291, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Mieke W M E van de Sandt-KoendermanRijndam Rehabilitation Institute, Rotterdam, The Netherlands.
Femke NouwensDepartment of Neurology, Erasmus MC University Medical Center, Room EE 2291, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Peter J KoudstaalDepartment of Neurology, Erasmus MC University Medical Center, Room EE 2291, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Diederik W J DippelDepartment of Neurology, Erasmus MC University Medical Center, Room EE 2291, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Erasmus MC · NLCodarts Rotterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aphasia has a large impact on the quality of life and adds significantly to the costs of stroke care. Early recognition of aphasia in stroke patients is important for prognostication and well-timed treatment planning. We aimed to identify available screening tests for differentiating between aphasic and non-aphasic stroke patients, and to evaluate test accuracy, reliability, and feasibility. We searched PubMed, EMbase, Web of Science, and PsycINFO for published studies on screening tests aimed at assessing aphasia in stroke patients. The reference lists of the selected articles were scanned, and several experts were contacted to detect additional references. Of each screening test, we estimated the sensitivity, specificity, likelihood ratio of a positive test, likelihood ratio of a negative test, and diagnostic odds ratio (DOR), and rated the degree of bias of the validation method. We included ten studies evaluating eight screening tests. There was a large variation across studies regarding sample size, patient characteristics, and reference tests used for validation. Many papers failed to report on the consecutiveness of patient inclusion, time between aphasia onset and administration of the screening test, and blinding. Of the three studies that were rated as having an intermediate or low risk of bias, the DOR was highest for the Language Screening Test and ScreeLing. Several screening tools for aphasia in stroke are available, but many tests have not been verified properly. Methodologically sound validation studies of aphasia screening tests are needed to determine their usefulness in clinical practice.

Indexed as

AphasiaHumansStrokeAphasiaCerebrovascular disease/strokeDiagnostic test assessmentInfarctionIntracerebral hemorrhageScreening test

Identifiers

PMID27260296
PMCPMC5306063
OpenAlexW2411457605

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.