Evidence map›Paper›PMID 33146753›Full record

Observational studyJournal of neural transmission (Vienna, Austria : 1996)2021

Emotional well-being and pain could be a greater determinant of quality of life compared to motor severity in cervical dystonia.

Lisa Klingelhoefer, Maximilian Kaiser, Anna Sauerbier, Robert Untucht, Miriam Wienecke, Könül Mammadova, Björn Falkenburger, Olaf Gregor, K Ray Chaudhuri, Heinz Reichmann

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of neural transmission (Vienna, Austria : 1996), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.0field-weighted citation impact, top 19% 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

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Impact of Physiotherapy in the Treatment of Pain in Cervical Dystonia.Tremor and other hyperkinetic movements (New York, N.Y.) · 2024
    Article
  7. Review
  8. Article
  9. Article
  10. Social cognition in cervical dystonia.Clinical parkinsonism & related disorders · 2023
    Article
  11. Article
  12. Article
  13. 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

10 authors at 4 institutions in 2 countries.

Lisa KlingelhoeferDepartment of Neurology, Technische Universität Dresden, Fetscherstraße 74, Dresden, Germany. lisa.klingelhoefer@uniklinikum-dresden.de.ORCID 0000-0003-2037-6518
Maximilian KaiserDepartment of Neurology, Technische Universität Dresden, Fetscherstraße 74, Dresden, Germany.
Anna SauerbierParkinson's Foundation Centre of Excellence, King's College Hospital, Denmark Hill, London, UK.
Robert UntuchtDepartment of Neurology, Technische Universität Dresden, Fetscherstraße 74, Dresden, Germany.
Miriam WieneckeDepartment of Neurology, Technische Universität Dresden, Fetscherstraße 74, Dresden, Germany.
Könül MammadovaDepartment of Neurology, Technische Universität Dresden, Fetscherstraße 74, Dresden, Germany.
Björn FalkenburgerDepartment of Neurology, Technische Universität Dresden, Fetscherstraße 74, Dresden, Germany.
Olaf GregorDepartment of Neurology, Klinikum Chemnitz, Chemnitz, Germany.
K Ray ChaudhuriParkinson's Foundation Centre of Excellence, King's College Hospital, Denmark Hill, London, UK.
Heinz ReichmannDepartment of Neurology, Technische Universität Dresden, Fetscherstraße 74, Dresden, Germany.
Technische Universität Dresden · DEKing's College Hospital · GBKlinikum Chemnitz · DEKlinik und Poliklinik für Psychotherapie und Psychosomatik · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-motor symptoms (NMS) occur in patients with cervical dystonia (CD) but with variable frequencies and impact on health-related quality of life (HRQoL). To define non-motor and motor profiles and their respective impact on HRQoL in CD patients using the newly validated Dystonia Non-Motor Symptoms Questionnaire (DNMSQuest). In an observational prospective multicentre case-control study, we enrolled 61 patients with CD and 61 age- and sex-matched healthy controls (HC) comparing demographic data, motor and non-motor symptoms and HRQoL measurements. 95% CD patients reported at least one NMS. Mean total NMS score was significantly higher in CD patients (5.62 ± 3.33) than in HC (1.74 ± 1.52; p < 0.001). Pain, insomnia and stigma were the most prevalent NMS and HRQoL was significantly impaired in CD patients compared to HC. There was strong correlation of NMS burden with HRQoL (CDQ-24: r = 0.72, EQ-5D: r = - 0.59; p < 0.001) in CD patients. Regression analysis between HRQoL and NMS suggested that emotional well-being (standardized beta = - 0.352) and pain (standardized beta = - 0.291) had a major impact on HRQoL while, in contrast motor severity had no significant impact in this model. Most NMS with the exception of pain, stigma and ADL did not correlate with motor severity. NMS are highly prevalent in CD patients and occur independent of age, sex, disease duration, duration of botulinum neurotoxin therapy and socio-economic status. Specific NMS such as emotional well-being and pain have a major impact on HRQoL and are more relevant than motor severity.

Indexed as

Quality of LifeTorticollisCase-Control StudiesHumansPainProspective StudiesCervical dystoniaDNMSQuestDystonia Non-Motor Symptoms QuestionnaireNon-motor symptomsQuality of life

Identifiers

PMID33146753
PMCPMC7969693
OpenAlexW3097769921

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.