Evidence map›Paper›PMID 31650254›Full record

ArticleJournal of neurology2020

Clinical features of Lewy body dementia: insights into diagnosis and pathophysiology.

Elie Matar, Kaylena A Ehgoetz Martens, Glenda M Halliday, Simon J G Lewis

Abstract read
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In one paragraph

Article in Journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

  1. Orthostatic hypotension in dementia with Lewy bodies: a meta-analysis of prospective studies.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023
    Pooled it
  2. Article
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  11. A new perspective on positive symptoms: expression of damage or self-defence mechanism of the brain?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  12. Article
  13. Review
  14. International journal of molecular sciences · 2023
    Review
  15. Review
  16. Article
  17. Article
  18. Dementia with Lewy bodies: emerging drug targets and therapeutics.Expert opinion on investigational drugs · 2021
    Review
  19. Article
  20. 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

4 authors.

Elie MatarParkinson's Disease Research Clinic, L2 Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 97 Church Street, Camperdown, Sydney, NSW, 2050, Australia.ORCID http://orcid.org/0000-0002-4994-0488
Kaylena A Ehgoetz MartensParkinson's Disease Research Clinic, L2 Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 97 Church Street, Camperdown, Sydney, NSW, 2050, Australia.
Glenda M HallidayParkinson's Disease Research Clinic, L2 Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 97 Church Street, Camperdown, Sydney, NSW, 2050, Australia.
Simon J G LewisParkinson's Disease Research Clinic, L2 Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 97 Church Street, Camperdown, Sydney, NSW, 2050, Australia. simon.lewis@sydney.edu.au.

Funding

National Health and Medical Research Council 1079679National Health and Medical Research Council 1095127
6 · The paper itself

Abstract

introductionThe recent revision of the consensus diagnostic criteria for dementia with Lewy bodies (DLB) incorporates an expansive set of core and supportive clinical features. However, the relationship between all features and optimal methods for their assessment has yet to be assessed within a single cohort. This has the potential to yield novel pathological insights and streamline diagnostic algorithms.

methodsTwenty-seven prospectively recruited probable DLB patients and 25 age-matched controls were assessed and core and supportive features scored using a unique combination of established clinical and research instruments. Prevalence of all features was reported and diagnostic methods were evaluated. An exploratory factor analysis was performed to uncover latent associations.

resultsSix independent factors were identified accounting for 81% of the diagnostic variance across all core and supportive clinical features. Within these factors, pathologically plausible relationships were highlighted between hallucinations, cognitive fluctuations, and excessive daytime somnolence; between REM sleep behaviour disorder (RBD) and postural hypotension as well as between Parkinsonism and urinary disturbance. 'Prodromal' DLB symptoms were represented in the remaining three factors. The UPDRS and RBD screening questionnaire were evaluated for their suitability for detecting DLB core features and a novel DLB-Parkinsonism scale is proposed to help standardize diagnosis (AUC = 0.94; 95% CI 0.81-1.00).

conclusionsClusters of specific core and supportive DLB features are identified, which together with the evaluated screening instruments evaluated, may inform improved strategies to diagnose DLB in clinical and research settings.

Indexed as

Prodromal SymptomsAgedAged, 80 and overDisorders of Excessive SomnolenceFemaleHallucinationsHumansHypotension, OrthostaticLewy Body DiseaseMaleMiddle AgedProspective StudiesREM Sleep Behavior DisorderUrination DisordersDiagnostic criteriaLewy body dementiaParkinsonismREM sleep behaviour disorder

Identifiers

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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.