Evidence map›Paper›PMID 28250029›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2017

Stability of mild cognitive impairment in newly diagnosed Parkinson's disease.

Rachael A Lawson, Alison J Yarnall, Gordon W Duncan, David P Breen, Tien K Khoo, Caroline H Williams-Gray, Roger A Barker, David J Burn, ICICLE-PD study group

Abstract read
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
–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

43 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Progression of Cognitive Decline in Parkinson's Disease.Journal of Parkinson's disease · 2018
    Pooled it
  4. Article
  5. Article
  6. Serum phosphorylated tau 217 inJournal of Parkinson's disease · 2026
    Article
  7. Article
  8. Article
  9. Implications and opportunities regarding biological frameworks in overt and prodromal dementia with Lewy bodies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  10. Article
  11. Review
  12. Article
  13. Cognition and Activity of Daily Living Function in people with Parkinson's disease.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
  14. GWAS Identifies DPP6 as Risk Gene of Cognitive Decline in Parkinson's Disease.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
  15. Review
  16. Prodromal dementia with Lewy bodies in REM sleep behavior disorder: A multicenter study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  17. Article
  18. Article
  19. Article
  20. 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

9 authors.

Rachael A LawsonInstitute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK.
Alison J YarnallInstitute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK.
Gordon W DuncanInstitute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK.
David P BreenJohn van Geest Centre for Brain Repair, University of Cambridge, Cambridge, UK.
Tien K KhooSchool of Medicine & Menzies Health Institute Queensland, Griffith University, Southport, Queensland, Australia.
Caroline H Williams-GrayJohn van Geest Centre for Brain Repair, University of Cambridge, Cambridge, UK.
Roger A BarkerJohn van Geest Centre for Brain Repair, University of Cambridge, Cambridge, UK.
David J BurnInstitute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK.
ICICLE-PD study group

Funding

Medical Research Council MC_U105597119Medical Research Council MC_UU_00005/12Parkinson's UK G-1301Parkinson's UK J-0802
6 · The paper itself

Abstract

backgroundMild cognitive impairment (MCI) is common in early Parkinson's disease (PD). We evaluated the stability of PD-MCI over time to determine its clinical utility as a marker of disease.

methods212 newly diagnosed participants with PD were recruited into a longitudinal study and reassessed after 18 and 36 months. Participants completed a range of clinical and neuropsychological assessments. PD-MCI was classified using Movement Disorders Society Task Force level I (Montreal Cognitive Assessment <26) and level II (using cut-offs of 1, 1.5 and 2SD) criteria.

resultsAfter 36 months, 75% of participants returned; 8% of patients had developed a dementia all of which were previously PD-MCI. Applying level I criteria, 70% were cognitively stable, 19% cognitively declined and 11% improved over 36 months. Applying level II criteria (1, 1.5 and 2SD), 25% were cognitively stable, 41% cognitively declined, 15% improved and 19% fluctuated over 36 months. 18% of participants reverted to normal cognition from PD-MCI. DISCUSSION: Cognitive impairment in PD is complex, with some individuals' function fluctuating over time and some reverting to normal cognition. PD-MCI level I criteria may have greater clinical convenience, but more comprehensive level II criteria with 2SD cut-offs may offer greater diagnostic certainty.

Indexed as

AgedCognitive DysfunctionCohort StudiesDementiaDisease ProgressionEnglandFemaleHumansLongitudinal StudiesMaleMiddle AgedNeuropsychological TestsParkinson DiseaseCOGNITIONDEMENTIAPARKINSON'S DISEASE

Identifiers

PMID28250029
PMCPMC5537517

What OpenQuestion holds

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LicenceCC BY
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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.