Evidence map›Paper›PMID 29996887›Full record

ArticleJournal of translational medicine2018

The dimensionality of fatigue in Parkinson's disease.

Raymond Chong, Lauren Albor, Chandramohan Wakade, John Morgan

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

12 citing papers in PubMed, 23 citations in OpenAlex.

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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

4 authors at 2 institutions in 1 country.

Raymond ChongDepartment of Interdisciplinary Health Sciences, Augusta University, Augusta, Georgia, USA. rchong@augusta.edu.ORCID 0000-0002-2706-1300
Lauren AlborCincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Chandramohan WakadeDepartment of Interdisciplinary Health Sciences, Augusta University, Augusta, Georgia, USA.
John MorganDepartment of Neurology, Augusta University, Augusta, Georgia, USA.
Augusta University · USCincinnati Children's Hospital Medical Center · US

Funding

GPR109A and Parkinson's Disease: Role of Niacin in Outcome MeasuresI01RX001613 · VA · CHARLIE NORWOOD VA MEDICAL CENTER · PI WAKADE, CHANDRAMOHAN · 2016 to 2020
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RRD VA I01 RX001613
6 · The paper itself

Abstract

backgroundFatigue is a common problem among individuals with Parkinson's disease (PD). It may occur before the overt symptoms of bradykinesia, rigidity and tremor. Little is understood about how to measure fatigue in PD. Here we determined the dimensionality of the constructs of fatigue.

methodsFour recommended scales, the Fatigue Severity Scale, Functional Assessment of Chronic Illness Therapy-Fatigue, Parkinson Fatigue Scale and Visual Analog Fatigue Scale (VAFS) were tested against quality of life measures including cognition, depression, sleep, life orientation, physical activity and PD symptoms in 22 PD subjects and 15 caregivers.

resultsFatigue was associated with many quality of life variables, with the PDQ-39 summary index showing the strongest association. PD subjects agreed more strongly than caregivers that they experienced higher levels of fatigue. 27% of PD subjects rated fatigue as one of their top three most bothersome symptoms. The constructs of fatigue was captured within one dimension which explained 67% of the total variance, of which the VAFS showed the highest internal consistency. The highest likelihood ratio gave a cut-off score of < 5.5 on the VAFS. The change in scores required to produce a perceptible difference or is grossly observable ranged between 1.4 and 2.2 points respectively.

conclusionThe potential utility of a single measure such as the VAFS in PD that is reliably correlated with quality of life is consistent with the pursuit to develop clinical tests and measurements that are accessible, easy to use and universally interpretable across health science disciplines.

Indexed as

AgedDiscriminant AnalysisFatigueFemaleHumansMaleParkinson DiseaseQuality of LifeROC CurveSeverity of Illness IndexCanonical correlationDiscrimination function analysisFactor analysisVisual analog

Identifiers

PMID29996887
PMCPMC6040062
OpenAlexW2867117759

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.