Evidence map›Paper›PMID 33867362›Full record

ArticleJournal of neuromuscular diseases2021

A Canadian Adult Spinal Muscular Atrophy Outcome Measures Toolkit: Results of a National Consensus using a Modified Delphi Method.

Jeremy Slayter, Victoria Hodgkinson, Josh Lounsberry, Bernard Brais, Kristine Chapman, Angela Genge, Aaron Izenberg, Wendy Johnston, Hanns Lochmüller, Erin O'Ferrall and 10 more

Open access · bronzeAbstract readConsensus Statement
In one paragraph

Article in Journal of neuromuscular diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

15 citing papers in PubMed, 22 citations in OpenAlex.

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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

20 authors at 10 institutions in 1 country.

Jeremy SlayterDalhousie University, Faculty of Medicine, Halifax, NS, Canada.
Victoria HodgkinsonDepartment of Clinical Neurosciences and Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.
Josh LounsberryDepartment of Clinical Neurosciences and Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.
Bernard BraisDepartment of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montréal, QC, Canada.
Kristine ChapmanDivision of Neurology, Department of Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada.
Angela GengeDepartment of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montréal, QC, Canada.
Aaron IzenbergDivision of Neurology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Wendy JohnstonDivision of Neurology, University of Alberta, Edmonton, AB, Canada.
Hanns LochmüllerDivision of Genetics, Department of Pediatrics, Children's Hospital of Eastern Ontario Research Institute, University of Ottawa, Ottawa, ON, Canada.
Erin O'FerrallDepartment of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montréal, QC, Canada.
Gerald PfefferDepartment of Clinical Neurosciences and Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.
Stephanie PlamondonDepartment of Clinical Neurosciences and Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.
Xavier RodrigueDepartment of Medicine, Laval University, Québec City, QC, Canada.
Kerri SchellenbergDivision of Neurology, Department of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Christen ShoesmithDivision of Neurology, Clinical Neurological Sciences, London Health Sciences Centre, Western University, London, ON, Canada.
Christine StablesDivision of Neurology, Department of Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada.
Monique TaillonDalhousie University, Faculty of Medicine, Halifax, NS, Canada.
Jodi Warman-ChardonDivision of Genetics, Department of Pediatrics, Children's Hospital of Eastern Ontario Research Institute, University of Ottawa, Ottawa, ON, Canada.
Lawrence KorngutDepartment of Clinical Neurosciences and Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.
Colleen O'ConnellDalhousie University, Faculty of Medicine, Halifax, NS, Canada.
University of Calgary · CADalhousie University · CAMontreal Neurological Institute and Hospital · CAUniversity of British Columbia · CAUniversity of Ottawa · CASunnybrook Health Science Centre · CAUniversité Laval · CAUniversity of Alberta · CAUniversity of Saskatchewan · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpinal Muscular Atrophy (SMA) is a rare disease that affects 1 in 11 000 live births. Recent developments in SMA treatments have included new disease-modifying therapies that require high quality data to inform decisions around initiation and continuation of therapy. In Canada, there are no nationally agreed upon outcome measures (OM) used in adult SMA. Standardization of OM is essential to obtain high quality data that is comparable among neuromuscular clinics.

objectiveTo develop a recommended toolkit and timing of OM for assessment of adults with SMA.

methodsA modified delphi method consisting of 2 virtual voting rounds followed by a virtual conference was utilized with a panel of expert clinicians treating adult SMA across Canada.

resultsA consensus-derived toolkit of 8 OM was developed across three domains of function, with an additional 3 optional measures. Optimal assessment frequency is 12 months for most patients regardless of therapeutic access, while patients in their first year of receiving disease-modifying therapy should be assessed more frequently.

conclusionsThe implementation of the consensus-derived OM toolkit will improve monitoring and assessment of adult SMA patients, and enrich the quality of real-world evidence. Regular updates to the toolkit must be considered as new evidence becomes available.

Indexed as

Muscular Atrophy, SpinalOutcome Assessment, Health CareCanadaDelphi TechniqueHumansAdult spinal muscular atrophyconsensusdelphi methodneuromuscular diseasesoutcome measures

Identifiers

PMID33867362
PMCPMC8385500
OpenAlexW3152955017

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.