Evidence map›Paper›PMID 29750428›Full record

ArticleThe patient2018

Understanding How Chorea Affects Health-Related Quality of Life in Huntington Disease: An Online Survey of Patients and Caregivers in the United States.

Eileen Mack Thorley, Ravi G Iyer, Paul Wicks, Chris Curran, Sanjay K Gandhi, Victor Abler, Karen E Anderson, Noelle E Carlozzi

Open access · hybridAbstract read
In one paragraph

Article in The patient, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 32% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  7. Review
  8. Article
  9. Real-world experience with Deutetrabenazine management in patients with Huntington's disease using video-based telemedicine.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
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  18. Article
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  20. Exercise in Huntington's Disease: Current State and Clinical Significance.Tremor and other hyperkinetic movements (New York, N.Y.) · 2019
    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

8 authors at 4 institutions in 1 country.

Eileen Mack ThorleyPatientsLikeMe, 160 2nd Street, Cambridge, MA, 02142, USA. emackthorley@patientslikeme.com.
Ravi G IyerTeva Pharmaceutical Industries, 41 Moores Rd, Frazer, PA, 19355, USA.
Paul WicksPatientsLikeMe, 160 2nd Street, Cambridge, MA, 02142, USA.
Chris CurranPatientsLikeMe, 160 2nd Street, Cambridge, MA, 02142, USA.
Sanjay K GandhiTeva Pharmaceutical Industries, 41 Moores Rd, Frazer, PA, 19355, USA.
Victor AblerTeva Pharmaceutical Industries, 41 Moores Rd, Frazer, PA, 19355, USA.
Karen E AndersonDepartment of Psychiatry, Georgetown University, Washington, DC, USA.
Noelle E CarlozziDepartment of Physical Medicine and Rehabilitation, University of Michigan, 500 S. State Street, Ann Arbor, MI, 48109, USA.
PatientsLikeMe (United States) · USTeva Pharmaceuticals (United States) · USGeorgetown University · USState Street (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChorea is the hallmark motor feature of Huntington disease (HD) and can negatively impact daily functioning and health-related quality of life (HRQoL).

objectiveThe objective of this study was to evaluate how chorea impacts HRQoL and overall functioning among HD patients participating on the PatientsLikeMe website ( www.PatientsLikeMe.com ).

methodsA survey was provided to HD participants and/or their caregivers via PatientsLikeMe (9 February 2017-22 March 2017), comprising multiple-choice and open-ended questions designed to assess how chorea impacts HRQoL and overall functioning, and the importance of treating chorea. The HDQLIFE measurement system was used to evaluate patient-reported outcomes of chorea and compare Anxiety and Stigma scores in participants with high chorea versus those with low chorea [HDQLIFE Chorea scores ≥  60 (n = 45) vs. <  60 (n = 38)].

resultsA total of 115 participants (n = 35 caregivers; n = 80 individuals with HD) were included in this study. Among those experiencing chorea (n = 83, 74% of respondents), 66% indicated it was 'Very Important' to manage chorea; however, only 47% agreed that their current medication regimen helped manage their movements. In general, respondents reported that chorea negatively affected HRQoL [HDQLIFE Chorea mean score (standard deviation): 59.3 (6.1)]. Consistent with this, significantly higher Anxiety (P = 0.0423) and stigma (P < 0.0001) scores were observed among respondents with high chorea than in those with low chorea.

conclusionsThese results highlight the negative impact of chorea on HRQoL and overall functioning in individuals with HD. Better chorea treatment options are needed to successfully manage symptoms and to help improve HRQoL in these individuals, and patient experiences of anxiety and stigma should be considered in treatment plans.

Indexed as

AdultAgedAged, 80 and overCaregiversChoreaFemaleHumansHuntington DiseaseMaleMiddle AgedPatientsQuality of LifeSurveys and QuestionnairesUnited StatesYoung Adult

Identifiers

PMID29750428
PMCPMC6132452
OpenAlexW2802977944

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.