Evidence map›Paper›PMID 29566043›Full record

SynthesisPloS one2018

Diagnosis of aphasia in stroke populations: A systematic review of language tests.

Alexia Rohde, Linda Worrall, Erin Godecke, Robyn O'Halloran, Anna Farrell, Margaret Massey

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
5.3field-weighted citation impact, top 4% 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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 106 citations in OpenAlex.

  1. [Delirium in stroke: systematic review and meta-analysis].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024
    Pooled it
  2. Pooled it
  3. Article
  4. Altered Dynamic Functional Network Connectivity in Post-Stroke Aphasia.Annals of clinical and translational neurology · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Establishing Quality Indicators and Implementation Priorities for Post-Stroke Aphasia Services Through End-User Involvement.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  12. Article
  13. Article
  14. Review
  15. Defining aphasia: Content analysis of six aphasia diagnostic batteries.Cortex; a journal devoted to the study of the nervous system and behavior · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Assessment of language impairment and function.Handbook of clinical neurology · 2022
    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 at 4 institutions in 1 country.

Alexia RohdeSchool of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.ORCID 0000-0003-2938-6720
Linda WorrallSchool of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
Erin GodeckeSchool of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia.
Robyn O'HalloranDepartment of Community and Clinical Allied Health, La Trobe University, Melbourne, Victoria, Australia.
Anna FarrellDepartment of Speech Pathology, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
Margaret MasseySchool of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
The University of Queensland · AUEdith Cowan University · AULa Trobe University · AURoyal Brisbane and Women's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeAccurate aphasia diagnosis is important in stroke care. A wide range of language tests are available and include informal assessments, tests developed by healthcare institutions and commercially published tests available for purchase in pre-packaged kits. The psychometrics of these tests are often reported online or within the purchased test manuals, not the peer-reviewed literature, therefore the diagnostic capabilities of these measures have not been systematically evaluated. This review aimed to identify both commercial and non-commercial language tests and tests used in stroke care and to examine the diagnostic capabilities of all identified measures in diagnosing aphasia in stroke populations.

methodsLanguage tests were identified through a systematic search of 161 publisher databases, professional and resource websites and language tests reported to be used in stroke care. Two independent reviewers evaluated test manuals or associated resources for cohort or cross-sectional studies reporting the tests' diagnostic capabilities (sensitivity, specificity, likelihood ratios or diagnostic odds ratios) in differentiating aphasic and non-aphasic stroke populations.

resultsFifty-six tests met the study eligibility criteria. Six "non-specialist" brief screening tests reported sensitivity and specificity information, however none of these measures reported to meet the specific diagnostic needs of speech pathologists. The 50 remaining measures either did not report validity data (n = 7); did not compare patient test performance with a comparison group (n = 17); included non-stroke participants within their samples (n = 23) or did not compare stroke patient performance against a language reference standard (n = 3). Diagnostic sensitivity analysis was completed for six speech pathology measures (WAB, PICA, CADL-2, ASHA-FACS, Adult FAVRES and EFA-4), however all studies compared aphasic performance with that of non-stroke healthy controls and were consequently excluded from the review.

conclusionsNo speech pathology test was found which reported diagnostic data for identifying aphasia in stroke populations. A diagnostically validated post-stroke aphasia test is needed.

Indexed as

Language TestsAphasiaHumansStroke

Identifiers

PMID29566043
PMCPMC5863973
OpenAlexW2791674871

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.