Evidence map›Paper›PMID 31402628›Full record

ArticleAnnals of clinical and translational neurology2019

Predicting motor, cognitive & functional impairment in Parkinson's.

Christine Lo, Siddharth Arora, Fahd Baig, Michael A Lawton, Claire El Mouden, Thomas R Barber, Claudio Ruffmann, Johannes C Klein, Peter Brown, Yoav Ben-Shlomo and 2 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 5 pooled it
3.6field-weighted citation impact, top 7% 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

38 citing papers in PubMed, 5 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Digital Outcomes as Biomarkers of Disease Progression in Early Parkinson's Disease: A Systematic Review.Movement disorders : official journal of the Movement Disorder Society · 2025
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  7. Towards the Prevention of Freezing of Gait in Parkinson's Disease.The European journal of neuroscience · 2026
    Review
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  13. Applications of Artificial Intelligence in Neurological Voice Disorders.World journal of otorhinolaryngology - head and neck surgery · 2025
    Review
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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

12 authors at 2 institutions in 1 country.

Christine LoOxford Parkinson's Disease Centre (OPDC), University of Oxford, Oxford, UK.ORCID 0000-0002-5671-3881
Siddharth AroraOxford Parkinson's Disease Centre (OPDC), University of Oxford, Oxford, UK.
Fahd BaigOxford Parkinson's Disease Centre (OPDC), University of Oxford, Oxford, UK.ORCID 0000-0002-3315-2698
Michael A LawtonPopulation Health Sciences, University of Bristol, Bristol, UK.ORCID 0000-0002-3419-0354
Claire El MoudenOxford Parkinson's Disease Centre (OPDC), University of Oxford, Oxford, UK.ORCID 0000-0002-8326-8381
Thomas R BarberOxford Parkinson's Disease Centre (OPDC), University of Oxford, Oxford, UK.ORCID 0000-0003-4850-9677
Claudio RuffmannOxford Parkinson's Disease Centre (OPDC), University of Oxford, Oxford, UK.
Johannes C KleinOxford Parkinson's Disease Centre (OPDC), University of Oxford, Oxford, UK.ORCID 0000-0002-8553-2801
Peter BrownNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.ORCID 0000-0002-5201-3044
Yoav Ben-ShlomoPopulation Health Sciences, University of Bristol, Bristol, UK.ORCID 0000-0001-6648-3007
Maarten de VosInstitute of Biomedical Engineering, University of Oxford, Oxford, UK.ORCID 0000-0002-3482-5145
Michele T HuOxford Parkinson's Disease Centre (OPDC), University of Oxford, Oxford, UK.ORCID 0000-0001-6382-5841
University of Oxford · GBUniversity of Bristol · GB

Funding

Biotechnology and Biological Sciences Research CouncilMedical Research Council MC_UU_12024/1Parkinson's UK J-0901Wellcome Trust
6 · The paper itself

Abstract

objectiveWe recently demonstrated that 998 features derived from a simple 7-minute smartphone test could distinguish between controls, people with Parkinson's and people with idiopathic Rapid Eye Movement sleep behavior disorder, with mean sensitivity/specificity values of 84.6-91.9%. Here, we investigate whether the same smartphone features can be used to predict future clinically relevant outcomes in early Parkinson's.

methodsA total of 237 participants with Parkinson's (mean (SD) disease duration 3.5 (2.2) years) in the Oxford Discovery cohort performed smartphone tests in clinic and at home. Each test assessed voice, balance, gait, reaction time, dexterity, rest, and postural tremor. In addition, standard motor, cognitive and functional assessments and questionnaires were administered in clinic. Machine learning algorithms were trained to predict the onset of clinical outcomes provided at the next 18-month follow-up visit using baseline smartphone recordings alone. The accuracy of model predictions was assessed using 10-fold and subject-wise cross validation schemes.

resultsBaseline smartphone tests predicted the new onset of falls, freezing, postural instability, cognitive impairment, and functional impairment at 18 months. For all outcome predictions AUC values were greater than 0.90 for 10-fold cross validation using all smartphone features. Using only the 30 most salient features, AUC values greater than 0.75 were obtained.

interpretationWe demonstrate the ability to predict key future clinical outcomes using a simple smartphone test. This work has the potential to introduce individualized predictions to routine care, helping to target interventions to those most likely to benefit, with the aim of improving their outcome.

Indexed as

Cohort StudiesFemaleHumansMachine LearningMaleParkinson DiseasePredictive Value of TestsPrognosisReaction TimeSmartphoneSymptom Assessment

Identifiers

PMID31402628
PMCPMC6689691
OpenAlexW2965739872

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.