Evidence map›Paper›PMID 33993457›Full record

ReviewCNS drugs2021

Pathophysiology and Treatment of Non-motor Dysfunction in Amyotrophic Lateral Sclerosis.

Colin J Mahoney, Rebekah M Ahmed, William Huynh, Sicong Tu, Jonathan D Rohrer, Richard S Bedlack, Orla Hardiman, Matthew C Kiernan

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in CNS drugs, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 8% 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.

NCT05747937 narecruitingnot on this map

Longitudinal Assessment of Autonomic and Sensory Nervous System in ALS

TypeinterventionalSponsorIstituti Clinici Scientifici Maugeri SpARan2021 to 2026Enrolled100ConditionsAmyotrophic Lateral SclerosisArmsSkin biopsy, Cardiovascular Reflexes testing, Administration of clinical scales evaluating autonomic symptoms, pain small fiber neuropathy symptoms, Dinamic Sweat Test
NCT05748015 narecruitingnot on this map

Definition of Autonomic Nervous System Involvement in Patients With Relapsing-remitting and Primary Progressive Multiple Sclerosis

TypeinterventionalSponsorIstituti Clinici Scientifici Maugeri SpARan2021 to 2027Enrolled60ConditionsMultiple SclerosisArmsquantification of sensory and autonomic small nerve fibers by punch skin biopsy, Cardiovascular Reflexes testing, Administration of clinical scales evaluating autonomic symptoms, pain small fiber neuropathy symptoms
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  16. Amyloid, Crohn's disease, and Alzheimer's disease - are they linked?Frontiers in cellular and infection microbiology · 2024
    Review
  17. Article
  18. Article
  19. Pain in amyotrophic lateral sclerosis: a narrative review.Journal of Yeungnam medical science · 2022
    Article
  20. Review
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

8 authors at 4 institutions in 4 countries.

Colin J MahoneyBrain and Mind Centre, The University of Sydney, 94 Mallett Street, Camperdown, NSW, Australia. colin.mahoney@sydney.edu.au.ORCID http://orcid.org/0000-0002-5878-3859
Rebekah M AhmedBrain and Mind Centre, The University of Sydney, 94 Mallett Street, Camperdown, NSW, Australia.
William HuynhBrain and Mind Centre, The University of Sydney, 94 Mallett Street, Camperdown, NSW, Australia.
Sicong TuBrain and Mind Centre, The University of Sydney, 94 Mallett Street, Camperdown, NSW, Australia.
Jonathan D RohrerDementia Research Centre, Department of Neurodegenerative Disease, UCL Queen Square Institute of Neurology, London, UK.
Richard S BedlackDepartment of Neurology, Duke University Hospital, Durham, North Carolina, USA.
Orla HardimanAcademic Unit of Neurology, Trinity Biomedical Sciences Institute, Trinity College, Dublin, Ireland.
Matthew C KiernanBrain and Mind Centre, The University of Sydney, 94 Mallett Street, Camperdown, NSW, Australia.ORCID http://orcid.org/0000-0001-9054-026X
The University of Sydney · AUDuke University Hospital · USTrinity College Dublin · IEUK Dementia Research Institute · GB

Funding

Medical Research Council MR/M023664/1Medical Research Council MR/T046015/1
6 · The paper itself

Abstract

Amyotrophic lateral sclerosis is a progressive and fatal neurodegenerative disease typically presenting with bulbar or limb weakness. There is increasing evidence that amyotrophic lateral sclerosis is a multisystem disease with early and frequent impacts on cognition, behaviour, sleep, pain and fatigue. Dysfunction of normal physiological and metabolic processes also appears common. Evidence from pre-symptomatic studies and large epidemiological cohorts examining risk factors for the future development of amyotrophic lateral sclerosis have reported a high prevalence of changes in behaviour and mental health before the emergence of motor weakness. This suggests that changes beyond the motor system are underway at an early stage with dysfunction across brain networks regulating a variety of cognitive, behavioural and other homeostatic processes. The full impact of non-motor dysfunction continues to be established but there is now sufficient evidence that the presence of non-motor symptoms impacts overall survival in amyotrophic lateral sclerosis, and with up to 80% reporting non-motor symptoms, there is an urgent need to develop more robust therapeutic approaches. This review provides a contemporary overview of the pathobiology of non-motor dysfunction, offering readers a practical approach with regard to assessment and management. We review the current evidence for pharmacological and non-pharmacological treatment of non-motor dysfunction in amyotrophic lateral sclerosis and highlight the need to further integrate non-motor dysfunction as an important outcome measure for future clinical trial design.

Indexed as

Amyotrophic Lateral SclerosisCognitive DysfunctionDisease ProgressionHumansOutcome Assessment, Health CareResearch DesignRisk Factors

Identifiers

PMID33993457
OpenAlexW3162151658

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.