Evidence map›Paper›PMID 33555419›Full record

ArticleJournal of neurology2021

Objectively characterizing Huntington's disease using a novel upper limb dexterity test.

Samuel Woodgate, Philippa Morgan-Jones, Susanne Clinch, Cheney Drew, Rebecca Playle, Mohamed Bennasar, Yulia Hicks, Catherine Holt, Anne-Catherine Bachoud-Lévi, Renaud Massart and 7 more

Abstract read
In one paragraph

Article in Journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Samuel Woodgate *Cardiff School of Engineering, Cardiff University, Cardiff, United Kingdom.ORCID https://orcid.org/0000-0003-3476-6197
Philippa Morgan-Jones *Cardiff School of Engineering, Cardiff University, Cardiff, United Kingdom.ORCID https://orcid.org/0000-0003-2240-691X
Susanne ClinchBrain Repair Group, School of Biosciences, Cardiff University, Cardiff, United Kingdom.
Cheney DrewCentre for Trials Research, Cardiff University, 4th Floor, Neuadd Meirionnydd, Heath Park, Cardiff, CF14 4YS, United Kingdom.
Rebecca PlayleCentre for Trials Research, Cardiff University, 4th Floor, Neuadd Meirionnydd, Heath Park, Cardiff, CF14 4YS, United Kingdom.
Mohamed BennasarSchool of Computing and Communications, The Open University, Milton Keynes, United Kingdom.
Yulia HicksCardiff School of Engineering, Cardiff University, Cardiff, United Kingdom.
Catherine HoltCardiff School of Engineering, Cardiff University, Cardiff, United Kingdom.ORCID https://orcid.org/0000-0002-0428-8078
Anne-Catherine Bachoud-LéviAssistance Publique -Hopitaux de Paris, National Centre of Reference for Huntington's Disease, Neurology Department Henri Mondor Hospital, Creteil, France.
Renaud MassartAssistance Publique -Hopitaux de Paris, National Centre of Reference for Huntington's Disease, Neurology Department Henri Mondor Hospital, Creteil, France.
David CraufurdManchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.
Nigel KirbyCentre for Trials Research, Cardiff University, 4th Floor, Neuadd Meirionnydd, Heath Park, Cardiff, CF14 4YS, United Kingdom.
Katy HamanaSchool of Healthcare Sciences, Cardiff University, Cardiff, United Kingdom.
Robin SchubertGeorge-Huntington-Institute, Technology-Park, Muenster, Germany.
Ralf ReilmannGeorge-Huntington-Institute, Technology-Park, Muenster, Germany.
Anne RosserNMRI, School of Medicine, Cardiff University, Cardiff, United Kingdom.ORCID https://orcid.org/0000-0002-4716-4753
Monica BusseCentre for Trials Research, Cardiff University, 4th Floor, Neuadd Meirionnydd, Heath Park, Cardiff, CF14 4YS, United Kingdom. busseme@cardiff.ac.uk.ORCID http://orcid.org/0000-0002-5331-5909

Funding

Medical Research Council G0801418Medical Research Council G9810900Medical Research Council MC_PC_15043Medical Research Council MR/L010305/1
6 · The paper itself

Abstract

backgroundThe Clinch Token Transfer Test (C3t) is a bi-manual coin transfer task that incorporates cognitive tasks to add complexity. This study explored the concurrent and convergent validity of the C3t as a simple, objective assessment of impairment that is reflective of disease severity in Huntington's, that is not reliant on clinical expertise for administration.

methodsOne-hundred-and-five participants presenting with pre-manifest (n = 16) or manifest (TFC-Stage-1 n = 39; TFC-Stage-2 n = 43; TFC-Stage-3 n = 7) Huntington's disease completed the Unified Huntington's Disease Rating Scale and the C3t at baseline. Of these, thirty-three were followed up after 12 months. Regression was used to estimate baseline individual and composite clinical scores (including cognitive, motor, and functional ability) using baseline C3t scores. Correlations between C3t and clinical scores were assessed using Spearman's R and visually inspected in relation to disease severity using scatterplots. Effect size over 12 months provided an indication of longitudinal behaviour of the C3t in relation to clinical measures.

resultsBaseline C3t scores predicted baseline clinical scores to within 9-13% accuracy, being associated with individual and composite clinical scores. Changes in C3t scores over 12 months were small ([Formula: see text] ≤ 0.15) and mirrored the change in clinical scores.

conclusionThe C3t demonstrates promise as a simple, easy to administer, objective outcome measure capable of predicting impairment that is reflective of Huntington's disease severity and offers a viable solution to support remote clinical monitoring. It may also offer utility as a screening tool for recruitment to clinical trials given preliminary indications of association with the prognostic index normed for Huntington's disease.

Indexed as

Huntington DiseaseActivities of Daily LivingHumansPrognosisSeverity of Illness IndexUpper ExtremityConvergent validityHuntington’s diseaseOutcome measureRegressionUpper-limb function

Identifiers

PMID33555419
PMCPMC7868671

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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.