Evidence map›Paper›PMID 35191144›Full record

ArticleEuropean journal of neurology2023

A diagnostic score for anti-myelin-associated-glycoprotein neuropathy or chronic inflammatory demyelinating polyradiculoneuropathy in patients with anti-myelin-associated-glycoprotein antibody.

Pietro E Doneddu, Marta Ruiz, Elisa Bianchi, Giuseppe Liberatore, Fiore Manganelli, Dario Cocito, Giuseppe Cosentino, Luana Benedetti, Girola A Marfia, Massimiliano Filosto and 3 more

Open access · hybridAbstract read
In one paragraph

Article in European journal of neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 2 countries.

Pietro E DonedduNeuromuscular and Neuroimmunology Service, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.ORCID 0000-0003-4203-6792
Marta RuizNeuromuscular and Neuroimmunology Service, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Elisa BianchiLaboratorio di Malattie Neurologiche, IRCCS-Istituto Mario Negri, Milan, Italy.
Giuseppe LiberatoreNeuromuscular and Neuroimmunology Service, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.ORCID 0000-0003-2666-1678
Fiore ManganelliDepartment of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples 'Federico II', Naples, Italy.ORCID 0000-0001-9478-3744
Dario CocitoPresidio Sanitario Major, Istituti Clinici Scientifici Maugeri, Turin, Italy.
Giuseppe CosentinoIRCCS Foundation C. Mondino National Neurological Institute, Pavia, Italy.
Luana BenedettiDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa and IRCCS AOU San Martino-IST, Genoa, Italy.ORCID 0000-0002-9540-9727
Girola A MarfiaDysimmune Neuropathies Unit, Department of Systems Medicine, Tor Vergata University of Rome, Rome, Italy.
Massimiliano FilostoDepartment of Clinical and Experimental Sciences, NeMO-Brescia Clinical Center for Neuromuscular Diseases, University of Brescia, Brescia, Italy.ORCID 0000-0002-2852-7512
Chiara BrianiNeurology Unit, Department of Neuroscience, University of Padova, Padova, Italy.ORCID 0000-0001-8035-0200
Claudia GiannottaNeuromuscular and Neuroimmunology Service, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Eduardo Nobile-OrazioNeuromuscular and Neuroimmunology Service, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.ORCID 0000-0003-2624-8138
IRCCS Humanitas Research Hospital · ITFondazione Istituto Neurologico Nazionale Casimiro Mondino · ITIstituti Clinici Scientifici Maugeri · ITMario Negri Institute for Pharmacological Research · ITOspedale Policlinico San Martino · ITUniversity of Brescia · ITUniversity of Milan · ITUniversity of Naples Federico II · ITUniversity of Padua · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeA diagnostic score was developed to discriminate anti-myelin-associated-glycoprotein (MAG) neuropathy from chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) and applied it to patients with atypical anti-MAG neuropathy.

methodsThe clinical and electrophysiological features of patients with a diagnosis of typical anti-MAG neuropathy were compared to those of patients with a diagnosis of CIDP. The association of each feature with the diagnosis was assessed in the two groups. Features showing a significant association with the diagnosis were included in a multivariable logistic regression model and adjusted odds ratios were estimated for each feature. A score ranging from 1 to 3 was applied to each feature based on the magnitude of the estimated odds ratios. The score was then applied to patients with a clinical diagnosis of CIDP who also had high anti-MAG antibody titers (CIDP-MAG).

resultsThirty-one anti-MAG neuropathy patients, 45 typical CIDP patients and 16 CIDP-MAG patients were included. Scores in anti-MAG antibody patients ranged from 1 to 5 and in CIDP patients from -7 to -1. Using the score, 4/16 CIDP-MAG patients were diagnosed to have anti-MAG neuropathy and 12/16 patients to have CIDP. Response to intravenous immunoglobulin in the CIDP-MAG patients classified as CIDP was similar to that of definite CIDP patients and higher than that of anti-MAG neuropathy patients.

conclusionsOur score allowed an accurate discrimination to be made, amongst patients with anti-MAG antibodies, of those affected by CIDP and the patients with anti-MAG neuropathy. This score may help proper treatment to be chosen for patients with anti-MAG antibodies with a CIDP-like presentation.

Indexed as

PolyradiculoneuropathyPolyradiculoneuropathy, Chronic Inflammatory DemyelinatingAutoantibodiesHumansImmunoglobulin MImmunoglobulins, IntravenousMyelin-Associated GlycoproteinAutoantibodiesImmunoglobulin MImmunoglobulins, IntravenousMyelin-Associated Glycoproteinantibodychronic inflammatory demyelinating polyradiculoneuropathyCIDPdiagnostic criteriaMAGneuropathy

Identifiers

PMID35191144
PMCPMC10078711
OpenAlexW4212908007

What OpenQuestion holds

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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.