Evidence map›Paper›PMID 29862010›Full record

ArticleParkinson's disease2018

Sensitivity and Specificity of the ECAS in Parkinson's Disease and Progressive Supranuclear Palsy.

Jennifer A Foley, Elaine H Niven, Andrew Paget, Kailash P Bhatia, Simon F Farmer, Paul R Jarman, Patricia Limousin, Thomas T Warner, Huw R Morris, Thomas H Bak and 2 more

Abstract read
In one paragraph

Article in Parkinson's disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Compensating for verbal-motor deficits in neuropsychological assessment in movement disorders: sensitivity and specificity of the ECAS in Parkinson's and Huntington's diseases.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Article
  4. Review
  5. 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

12 authors.

Jennifer A FoleyNational Hospital for Neurology and Neurosurgery, Queen Square, London, UK.ORCID 0000-0001-5083-2823
Elaine H NivenSchool of Social Sciences (Psychology), University of Dundee, Dundee, UK.
Andrew PagetNational Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Kailash P BhatiaNational Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Simon F FarmerNational Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Paul R JarmanNational Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Patricia LimousinNational Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Thomas T WarnerNational Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Huw R MorrisNational Hospital for Neurology and Neurosurgery, Queen Square, London, UK.ORCID 0000-0001-9188-3934
Thomas H BakHuman Cognitive Neuroscience-PPLS, University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-6424-3699
Sharon AbrahamsHuman Cognitive Neuroscience-PPLS, University of Edinburgh, Edinburgh, UK.
Lisa CipolottiNational Hospital for Neurology and Neurosurgery, Queen Square, London, UK.ORCID 0000-0001-5838-3647

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disentangling Parkinson's disease (PD) and progressive supranuclear palsy (PSP) may be a diagnostic challenge. Cognitive signs may be useful, but existing screens are often insufficiently sensitive or unsuitable for assessing people with motor disorders. We investigated whether the newly developed ECAS, designed to be used with people with even severe motor disability, was sensitive to the cognitive impairment seen in PD and PSP and able to distinguish between these two disorders. Thirty patients with PD, 11 patients with PSP, and 40 healthy controls were assessed using the ECAS, as well as an extensive neuropsychological assessment. The ECAS detected cognitive impairment in 30% of the PD patients, all of whom fulfilled the diagnostic criteria for mild cognitive impairment. The ECAS was also able to detect cognitive impairment in PSP patients, with 81.8% of patients performing in the impaired range. The ECAS total score distinguished between the patients with PSP and healthy controls with high sensitivity (91.0) and specificity (86.8). Importantly, the ECAS was also able to distinguish between the two syndromes, with the measures of verbal fluency offering high sensitivity (82.0) and specificity (80.0). In sum, the ECAS is a quick, simple, and inexpensive test that can be used to support the differential diagnosis of PSP.

Identifiers

PMID29862010
PMCPMC5971325

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Registered trials

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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.