Evidence map›Paper›PMID 28387684›Full record

ArticleJournal of Parkinson's disease2017

Neuropsychological Subgroups in Non-Demented Parkinson's Disease: A Latent Class Analysis.

Laura Brennan, Kathryn M Devlin, Sharon X Xie, Dawn Mechanic-Hamilton, Baochan Tran, Howard H Hurtig, Alice Chen-Plotkin, Lama M Chahine, James F Morley, John E Duda and 6 more

Open access · greenAbstract read
In one paragraph

Article in Journal of Parkinson's disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 15% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Metabolic Risk Factors as Differential Predictors of Profiles of Neurocognitive Impairment Among Older HIV+ and HIV- Adults: An Observational Study.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2021
    Observational
  12. Article
  13. Montreal Cognitive Assessment: Seeking a Single Cutoff Score May Not Be Optimal.Evidence-based complementary and alternative medicine : eCAM · 2021
    Article
  14. Subjective Cognitive Complaint in Parkinson's Disease Patients With Normal Cognition: Canary in the Coal Mine?Movement disorders : official journal of the Movement Disorder Society · 2020
    Article
  15. Parkinson disease clinical subtypes: key features & clinical milestones.Annals of clinical and translational neurology · 2020
    Article
  16. Article
  17. Article
  18. 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

16 authors at 4 institutions in 1 country.

Laura BrennanDepartment of Neurology, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Kathryn M DevlinDepartment of Psychology, Temple University, Philadelphia, PA, USA.
Sharon X XieDepartment of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Dawn Mechanic-HamiltonDepartment of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Baochan TranDepartment of Psychology, Widener University, Chester, PA, USA.
Howard H HurtigDepartment of Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Alice Chen-PlotkinDepartment of Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Lama M ChahineDepartment of Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
James F MorleyDepartment of Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
John E DudaDepartment of Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
David R RoalfDepartment of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Nabila DahodwalaDepartment of Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Jacqueline RickDepartment of Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
John Q TrojanowskiDepartment of Pathology, and Laboratory Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Paul J MobergDepartment of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Daniel WeintraubDepartment of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
University of Pennsylvania · USTemple University · USThomas Jefferson University Hospital · USVeterans Health Administration · US

Funding

Project 1U19AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI ANDREW J SAYKIN · 2016 to 2026
$226.7M
Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
Transgenic Mouse Models of Tau PathologiesP01AG017586 · NIA · UNIVERSITY OF PENNSYLVANIA · PI LEE, VIRGINIA M · 2000 to 2021
$37.3M
UPenn ADCC Biomarker CoreP30AG010124 · NIA · UNIVERSITY OF PENNSYLVANIA · PI TROJANOWSKI, JOHN Q. · 1991 to 2020
$35.1M
Project IV: "Alpha-Synuclein Strains & Diverse Synucleinopathies"P50NS053488 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI TROJANOWSKI, JOHN Q. · 2007 to 2017
$20.9M
Alzhelmer's Disease Drug Development ProgramU01AG029213 · NIA · UNIVERSITY OF PENNSYLVANIA · PI SMITH, AMOS B · 2008 to 2012
$3.1M
Olfactory Neuroimaging Markers of Heightened Developmental Risk for SchizophreniaR01MH099156 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI TURETSKY, BRUCE I · 2013 to 2017
$2.9M
Unbiased Approaches to Novel Biomarker Discovery in Parkinson's DiseaseU01NS082134 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI CHEN-PLOTKIN, ALICE S · 2012 to 2016
$1.8M
Parkinsons disease and research consent capacityR01NS065087 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI KARLAWISH, JASON H · 2009 to 2011
$804k
Towards a blood-based diagnostic panel for confirmation of Parkinson's diseaseU01NS097056 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI CHEN-PLOTKIN, ALICE S · 2017 to 2019
$785k
Neurocognitive variability in schizophrenia and youth at-risk for psychosisK01MH102609 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI ROALF, DAVID R · 2014 to 2017
$685k
Aberrant Paranasal Sinus Development in SchizophreniaR21MH108895 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI MOBERG, PAUL J · 2015 to 2016
$440k
NIA NIH HHS P01 AG017586NIA NIH HHS P30 AG010124NIA NIH HHS U01 AG024904NIA NIH HHS U01 AG029213NIA NIH HHS U19 AG024904NIMH NIH HHS K01 MH102609NIMH NIH HHS R01 MH099156NIMH NIH HHS R21 MH108895NINDS NIH HHS P50 NS053488NINDS NIH HHS R01 NS065087NINDS NIH HHS U01 NS082134NINDS NIH HHS U01 NS097056
6 · The paper itself

Abstract

backgroundMethods to detect early cognitive decline and account for heterogeneity of deficits in Parkinson's disease (PD) are needed. Quantitative methods such as latent class analysis (LCA) offer an objective approach to delineate discrete phenotypes of impairment.

objectiveTo identify discrete neurocognitive phenotypes in PD patients without dementia.

methodsLCA was applied to a battery of 8 neuropsychological measures to identify cognitive subtypes in a cohort of 199 non-demented PD patients. Two measures were analyzed from each of four domains: executive functioning, memory, visuospatial abilities, and language. Additional analyses compared groups on clinical characteristics and cognitive diagnosis.

resultsLCA identified 3 distinct groups of PD patients: an intact cognition group (54.8%), an amnestic group (32.2%), and a mixed impairment group with dysexecutive, visuospatial and lexical retrieval deficits (13.1%). The two impairment groups had significantly lower instrumental activities of daily living ratings and greater motor symptoms than the intact group. Of those diagnosed as cognitively normal according to MDS criteria, LCA classified 23.2% patients as amnestic and 9.9% as mixed cognitive impairment.

conclusionsNon-demented PD patients exhibit distinct neuropsychological profiles. One-third of patients with LCA-determined impairment were diagnosed as cognitively intact by expert consensus, indicating that classification using a statistical algorithm may improve detection of initial and subtle cognitive decline. This study also demonstrates that memory impairment is common in non-demented PD even when cognitive impairment is not clinically apparent. This study has implications for predicting eventual emergence of significant cognitive decline, and treatment trials for cognitive dysfunction in PD.

Indexed as

AgedAmnesiaCognitionCognitive DysfunctionExecutive FunctionFemaleHumansMaleNeuropsychological TestsParkinson Diseasecognitionlatent class analysisneuropsychologyParkinson’s disease

Identifiers

PMID28387684
PMCPMC5548408
OpenAlexW2605364742

What OpenQuestion holds

Textmetadata
LicenceTDM
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.