Evidence map›Paper›PMID 27324431›Full record

Trial reportMovement disorders : official journal of the Movement Disorder Society2016

Minimal clinically important worsening on the progressive supranuclear Palsy Rating Scale.

Sarah Hewer, Sue Varley, Adam L Boxer, Eldho Paul, David R Williams, AL-108-231 Investigators

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Movement disorders : official journal of the Movement Disorder Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Progressive Supranuclear Palsy-A Global Review.Movement disorders clinical practice · 2026
    Review
  5. Language impairment is associated with faster progression in progressive supranuclear palsy-Richardson syndrome.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. 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

6 authors.

Sarah HewerNeurosciences Department, Alfred Hospital, Melbourne, Victoria, Australia. sarah.hewer@dhhs.tas.gov.au.
Sue VarleyNeurosciences Department, Alfred Hospital, Melbourne, Victoria, Australia.
Adam L BoxerMemory and Aging Center, Department of Neurology, University of California, San Francisco, San Francisco, California, USA.
Eldho PaulDepartment of Epidemiology and Preventive Medicine, Clinical Haematology Department, Alfred Hospital, Monash University, Melbourne, Victoria, Australia.
David R WilliamsDepartment of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.
AL-108-231 Investigators

Funding

The Four Repeat Tauopathy Neuroimaging InitiativeR01AG038791 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BOXER, ADAM L. · 2010 to 2020
$18.1M
Longitudinal Evaluation of Familial Frontotemporal Dementia Subjects (LEFFTDS)U01AG045390 · NIA · MAYO CLINIC ROCHESTER · PI BOEVE, BRADLEY F, ROSEN, HOWARD J · 2014 to 2018
$16.9M
Training - The Frontotemporal Lobar Degeneration Clinical Research ConsortiumU54NS092089 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BOXER, ADAM L. · 2014 to 2018
$6.4M
NIA NIH HHS R01 AG038791NIA NIH HHS U01 AG045390NINDS NIH HHS U54 NS092089
6 · The paper itself

Abstract

backgroundDespite the widespread use of the Progressive Supranuclear Palsy Rating Scale (PSPRS), it is not known what change in this scale is meaningful for patients.

methodsWe analyzed data from a large clinical trial in PSP-Richardson's syndrome (AL-108-231) to calculate minimal clinically important worsening. This was defined as the difference in mean change of PSPRS in subjects rated "a little worse" and those rated "unchanged" on the Clinicians' Global Impression of Change Scale. A multivariate analysis using logistic regression assessed the relationship between clinical worsening, PSPRS, depression, and activities of daily living.

resultsThe minimal clinically important worsening on the PSPRS was 5.7 points, corresponding to the mean decline over 6 months in the trial. Changes in activities of daily living and PSPRS were significantly associated with clinical worsening.

conclusionsClinically meaningful change is measurable on the PSPRS over 6 months. © 2016 International Parkinson and Movement Disorder Society.

Indexed as

Disease ProgressionMinimal Clinically Important DifferenceSeverity of Illness IndexAgedFemaleHumansMaleMiddle AgedOligopeptidesSupranuclear Palsy, ProgressivedavunetideOligopeptidesminimal clinically important change (MCIC)progressive supranuclear palsy (PSP)progressive supranuclear palsy rating scale (PSPRS)

Identifiers

PMID27324431
PMCPMC5215805

What OpenQuestion holds

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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.