Evidence map›Paper›PMID 34018866›Full record

Trial reportNeurorehabilitation and neural repair2021

Domains of Health-Related Quality of Life Are Associated With Specific Deficits and Lesion Locations in Chronic Aphasia.

Elizabeth L Dvorak, Davetrina S Gadson, Elizabeth H Lacey, Andrew T DeMarco, Peter E Turkeltaub

Abstract readClinical Trial
In one paragraph

Trial report in Neurorehabilitation and neural repair, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

5 authors.

Elizabeth L DvorakCenter for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington DC, USA.ORCID https://orcid.org/0000-0002-9453-2432
Davetrina S GadsonCenter for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington DC, USA.
Elizabeth H LaceyCenter for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington DC, USA.
Andrew T DeMarcoCenter for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington DC, USA.ORCID https://orcid.org/0000-0003-1987-2012
Peter E TurkeltaubCenter for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington DC, USA.

Funding

Translational Biomedical Science Training GrantTL1TR001431 · NCATS · GEORGETOWN UNIVERSITY · PI LEE, DEXTER L, SANDBERG, KATHRYN L · 2015 to 2024
$4.8M
Contributions of spared brain structures and connections to aphasia recoveryR01DC014960 · NIDCD · GEORGETOWN UNIVERSITY · PI TURKELTAUB, PETER ETHAN · 2017 to 2021
$4.0M
Georgetown-Howard Universities Center for Clinical and Translational Science (GHUKL2TR000102 · NCATS · GEORGETOWN UNIVERSITY · PI MELLMAN, THOMAS A, VERBALIS, JOSEPH G · 2012 to 2014
$1.7M
NCATS NIH HHS KL2 TR000102NCATS NIH HHS TL1 TR001431NIDCD NIH HHS R01 DC014960
6 · The paper itself

Abstract

backgroundHealth-related quality of life (HRQL) in stroke survivors is related to numerous factors, but more research is needed to delineate factors related to HRQL in people with aphasia.

objectiveTo examine the relationship between HRQL and demographic factors, impairment-based measures, and lesion characteristics in chronic aphasia.

methodsA total of 41 left-hemisphere stroke survivors with aphasia underwent cognitive testing and magnetic resonance imaging. To address relationships with demographic and impairment-based measures, test scores were entered into a principal component analysis (PCA) and multiple linear regression was performed for overall and domain (physical, communication, psychosocial) scores of the Stroke and Aphasia Quality of Life Scale (SAQOL-39g). Independent variables included factor scores from the PCA, motricity, lesion volume, depressed mood, and demographic variables. To address relationships with lesion location, multivariate support vector regression lesion-symptom mapping (SVR-LSM) was used to localize lesions associated with SAQOL-39g scores.

resultsThe PCA yielded 3 factors, which were labeled Language Production, Nonlinguistic Cognition, and Language Comprehension. Multiple linear regression revealed that depression symptoms predicted lower SAQOL-39g average and domain scores. Lower motricity scores predicted lower SAQOL-39g average and physical scores, and lower Language Production factor scores predicted lower communication scores. SVR-LSM demonstrated that basal ganglia lesions were associated with lower physical scores, and inferior frontal lesions were associated with lower psychosocial scores.

conclusionsHRQL in chronic left-hemisphere stroke survivors with aphasia relates to lesion location, depression symptoms, and impairment-based measures. This information may help identify individuals at risk for specific aspects of low HRQL and facilitate targeted interventions to improve well-being.

Indexed as

Quality of LifeAgedAphasiaChronic DiseaseDepressionFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNeuropsychological TestsStrokeaphasiamagnetic resonance imagingquality of lifeSAQOL-39gstrokeSVR-LSM

Identifiers

PMID34018866
PMCPMC8225581

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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.