Evidence map›Paper›PMID 35197253›Full record

SynthesisClinical medicine (London, England)2022

How should we define a 'good' outcome from encephalitis? A systematic review of the range of outcome measures used in the long-term follow-up of patients with encephalitis.

Harriet Van Den Tooren, Ava Easton, Cory Hooper, Jenny Mullin, Jessica Fish, Alan Carson, Timothy Nicholson, Tom Solomon, Benedict D Michael

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in Clinical medicine (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Clinical Outcome Assessments in Encephalitis: A Systematic ReviewNeurology(R) neuroimmunology & neuroinflammation · 2024
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Observational
  13. Patient-Reported Outcome Measures in NMDA Receptor Encephalitis.Neurology(R) neuroimmunology & neuroinflammation · 2025
    Observational
  14. Outcome and Sequelae of Autoimmune Encephalitis.Journal of clinical neurology (Seoul, Korea) · 2024
    Review
  15. Review
  16. 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

9 authors at 6 institutions in 1 country.

Harriet Van Den ToorenHull Royal Infirmary, Hull, UK.
Ava EastonEncephalitis Society, Malton, UK and honorary lecturer, University of Liverpool, Liverpool, UK.
Cory HooperThe Walton Centre NHS Foundation Trust, Liverpool, UK and National Institute for Health Research Health Protection Research Unit in Emerging and Zoonotic Infection, Liverpool, UK.
Jenny MullinThe Walton Centre NHS Foundation Trust, Liverpool, UK.
Jessica FishUniversity of Glasgow, Glasgow, UK.
Alan CarsonUniversity of Edinburgh, Edinburgh, UK.
Timothy NicholsonKing's College London, London, UK.
Tom SolomonNational Institute for Health Research Health Protection Research Unit in Emerging and Zoonotic Infection, Liverpool, UK and honorary consultant neurologist, The Walton Centre NHS Foundation Trust, Liverpool, UK.
Benedict D MichaelNational Institute for Health Research Health Protection Research Unit in Emerging and Zoonotic Infection, Liverpool, Liverpool, UK and consultant neurologist, The Walton Centre NHS Foundation Trust, Liverpool, UK benedict.michael@liverpool.ac.uk.
National Institute for Health Research · GBUniversity of Liverpool · GBHull Royal Infirmary · GBKing's College London · GBUniversity of Edinburgh · GBUniversity of Glasgow · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEncephalitis is typically caused by infection or autoimmunity. Most survivors suffer complex neurological and psychiatric sequelae. Standardised outcome measures are needed for accurate interpretation of observational studies and clinical trials. Step one in this process is understanding the strengths and weaknesses of those in use.

methodsWe performed a systematic literature review searching six databases. One reviewer screened titles and abstracts, and two reviewers determined if shortlisted full-text articles met inclusion criteria. Key data were extracted from these papers and presented as a narrative summary.

resultsThirty-seven outcome measures were used for 3,133 patients across the 35 included papers, of which, only one was developed for encephalitis. The outcome measures used in most patients were the Glasgow Outcome Score used in 1,436 (46%), Barthel Index used in 1,173 (37%), Euro-QoL-5D used in 1,107 (35%) and modified Rankin Scale used in 1,034 (33%).

conclusionMost of the 37 measures assessed a single category of sequelae using 5-8-point scales and were not validated for use in encephalitis. Research is needed to develop a composite outcome measure for use in clinical practice and a core-outcomes set for use in clinical trials. For now, the Liverpool Outcome Score offers a good choice for clinicians.

Indexed as

EncephalitisQuality of LifeFollow-Up StudiesHumansOutcome Assessment, Health Careencephalitisoutcomesystematic review

Identifiers

PMID35197253
PMCPMC8966817
OpenAlexW4213453005

What OpenQuestion holds

Textmetadata
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.