Evidence map›Paper›PMID 34573267›Full record

ReviewBrain sciences2021

Developing a Digital Solution for Remote Assessment in Multiple Sclerosis: From Concept to Software as a Medical Device.

Anneke van der Walt, Helmut Butzkueven, Robert K Shin, Luciana Midaglia, Luca Capezzuto, Michael Lindemann, Geraint Davies, Lesley M Butler, Cristina Costantino, Xavier Montalban

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Brain sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07664865 (Digitalization of Procedures for Neuropsychological Assessment for Neurocognitive Disorders), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.6field-weighted citation impact, top 6% 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.

NCT07664865 completednot on this mapstarted 2024, after this paper: background citation

Digitalization of Procedures for Neuropsychological Assessment for Neurocognitive Disorders: Standardization and Clinical Validation of the Teleneuropsychology Platform Tenèpsia®

TypeobservationalSponsorIRCCS National Neurological Institute "C. Mondino" FoundationRan2024 to 2025Enrolled250ConditionsCognitive Impairment
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
  2. Review
  3. Detecting progressing events in multiple sclerosis clinics in real-time is possible: Yes.Multiple sclerosis (Houndmills, Basingstoke, England) · 2026
    Article
  4. Article
  5. Observational
  6. Article
  7. Longitudinal Trajectories of Digital Cognitive Biomarkers for Multiple Sclerosis.Annals of clinical and translational neurology · 2025
    Observational
  8. Article
  9. Integration of the expanded disability status scale with ambulation, visual and cognitive tests.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  10. Observational
  11. A digital teleneuropsychology platform for the diagnosis of mild cognitive impairment: from concept to certification as a medical device.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  12. Article
  13. The administration of the paper and electronic versions of the Manual Ability Measure-36 (MAM-36) and Fatigue Severity Scale (FSS) is equivalent in people with multiple sclerosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

10 authors at 5 institutions in 4 countries.

Anneke van der WaltDepartment of Neuroscience, Central Clinical School, Monash University, Melbourne, VIC 3004, Australia.ORCID 0000-0002-4278-7003
Helmut ButzkuevenDepartment of Neuroscience, Central Clinical School, Monash University, Melbourne, VIC 3004, Australia.
Robert K ShinMedStar Georgetown University Hospital, Washington, DC 20007, USA.
Luciana MidagliaServei de Neurologia-Neuroimmunologia, Centre d'Esclerosi Múltiple de Catalunya (Cemcat), Institut de Recerca Vall d'Hebron (VHIR), Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain.
Luca CapezzutoF. Hoffmann-La Roche Ltd., 4070 Basel, Switzerland.ORCID 0000-0002-2186-2406
Michael LindemannF. Hoffmann-La Roche Ltd., 4070 Basel, Switzerland.ORCID 0000-0003-1010-3890
Geraint DaviesF. Hoffmann-La Roche Ltd., 4070 Basel, Switzerland.
Lesley M ButlerF. Hoffmann-La Roche Ltd., 4070 Basel, Switzerland.
Cristina CostantinoF. Hoffmann-La Roche Ltd., 4070 Basel, Switzerland.
Xavier MontalbanMultiple Sclerosis Centre of Catalonia (Cemcat), Department of Neurology/Neuroimmunology, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain.ORCID 0000-0002-0098-9918
Roche (Switzerland) · CHUniversitat Autònoma de Barcelona · ESGeorgetown University · USMonash University · AUThe Alfred Hospital · AU

Funding

F. Hoffmann-La Roche Ltd N/A
6 · The paper itself

Abstract

There is increasing interest in the development and deployment of digital solutions to improve patient care and facilitate monitoring in medical practice, e.g., by remote observation of disease symptoms in the patients' home environment. Digital health solutions today range from non-regulated wellness applications and research-grade exploratory instruments to regulated software as a medical device (SaMD). This paper discusses the considerations and complexities in developing innovative, effective, and validated SaMD for multiple sclerosis (MS). The development of SaMD requires a formalised approach (design control), inclusive of technical verification and analytical validation to ensure reliability. SaMD must be clinically evaluated, characterised for benefit and risk, and must conform to regulatory requirements associated with device classification. Cybersecurity and data privacy are also critical. Careful consideration of patient and provider needs throughout the design and testing process help developers overcome challenges of adoption in medical practice. Here, we explore the development pathway for SaMD in MS, leveraging experiences from the development of Floodlight™ MS, a continually evolving bundled solution of SaMD for remote functional assessment of MS. The development process will be charted while reflecting on common challenges in the digital space, with a view to providing insights for future developers.

Indexed as

clinical validationdigital healthdigital health solution developmentmonitoringMS appsmultiple sclerosisparticipatory healthsmartphone-based assessmentssoftware as a medical devicetechnical validation

Identifiers

PMID34573267
PMCPMC8471038
OpenAlexW3200345149

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.