Evidence map›Paper›PMID 33563798›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2021

Predicting loss of independence and mortality in frontotemporal lobar degeneration syndromes.

Alexander G Murley, Matthew A Rouse, Ian T S Coyle-Gilchrist, P Simon Jones, Win Li, Julie Wiggins, Claire Lansdall, Patricia Vázquez Rodríguez, Alicia Wilcox, Karalyn Patterson and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.5field-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

33 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
  2. Article
  3. Prognostic factors of survival in corticobasal syndrome and corticobasal degeneration: A scoping review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  4. Emerging directions in tauopathy research.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Survival rates in frontotemporal dementia and Alzheimer's disease.Neurodegenerative disease management · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. GABAergic modulation of beta power enhances motor adaptation in frontotemporal lobar degeneration.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  14. Article
  15. Article
  16. Caregiver perspectives enable accurate diagnosis of neurodegenerative disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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  17. Article
  18. Review
  19. Article
  20. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Alexander G MurleyClinical Neurosciences, University of Cambridge, Cambridge, UK am2505@medschl.cam.ac.uk.ORCID 0000-0003-0813-0670
Matthew A RouseClinical Neurosciences, University of Cambridge, Cambridge, UK.
Ian T S Coyle-GilchristClinical Neurosciences, University of Cambridge, Cambridge, UK.
P Simon JonesClinical Neurosciences, University of Cambridge, Cambridge, UK.
Win LiClinical Neurosciences, University of Cambridge, Cambridge, UK.
Julie WigginsClinical Neurosciences, University of Cambridge, Cambridge, UK.
Claire LansdallClinical Neurosciences, University of Cambridge, Cambridge, UK.
Patricia Vázquez RodríguezClinical Neurosciences, University of Cambridge, Cambridge, UK.
Alicia WilcoxClinical Neurosciences, University of Cambridge, Cambridge, UK.
Karalyn PattersonClinical Neurosciences, University of Cambridge, Cambridge, UK.
James B RoweClinical Neurosciences, University of Cambridge, Cambridge, UK.ORCID 0000-0001-7216-8679
University of Cambridge · GBMRC Cognition and Brain Sciences Unit · GB

Funding

Medical Research Council MR/M009041/1Wellcome Trust 103838
6 · The paper itself

Abstract

objectiveTo test the hypothesis that in syndromes associated with frontotemporal lobar degeneration, behavioural impairment predicts loss of functional independence and motor clinical features predict mortality, irrespective of diagnostic group.

methodsWe used a transdiagnostic approach to survival in an epidemiological cohort in the UK, testing the association between clinical features, independence and survival in patients with clinical diagnoses of behavioural variant frontotemporal dementia (bvFTD n=64), non-fluent variant primary progressive aphasia (nfvPPA n=36), semantic variant primary progressive aphasia (svPPA n=25), progressive supranuclear palsy (PSP n=101) and corticobasal syndrome (CBS n=68). A principal components analysis identified six dimensions of clinical features. Using Cox proportional hazards and logistic regression, we identified the association between each of these dimensions and both functionally independent survival (time from clinical assessment to care home admission) and absolute survival (time to death). Analyses adjusted for the covariates of age, gender and diagnostic group. Secondary analysis excluded specific diagnostic groups.

resultsBehavioural disturbance, including impulsivity and apathy, was associated with reduced functionally independent survival (OR 2.46, p<0.001), even if patients with bvFTD were removed from the analysis. Motor impairments were associated with reduced absolute survival, even if patients with PSP and CBS were removed from the analysis.

conclusionOur results can assist individualised prognostication and planning of disease-modifying trials, and they support a transdiagnostic approach to symptomatic treatment trials in patients with clinical syndromes associated with frontotemporal lobar degeneration.

Indexed as

AffectAgedAged, 80 and overApathyCognitionFemaleFrontotemporal Lobar DegenerationHumansImpulsive BehaviorMaleMiddle AgedSelf CareSurvival Rate

Identifiers

PMID33563798
PMCPMC8223632
OpenAlexW3129055318

What OpenQuestion holds

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LicenceCC BY
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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.