Evidence map›Paper›PMID 35445419›Full record

SynthesisMovement disorders : official journal of the Movement Disorder Society2022

The Movement Disorder Society Criteria for the Diagnosis of Multiple System Atrophy.

Gregor K Wenning, Iva Stankovic, Luca Vignatelli, Alessandra Fanciulli, Giovanna Calandra-Buonaura, Klaus Seppi, Jose-Alberto Palma, Wassilios G Meissner, Florian Krismer, Daniela Berg and 19 more

3 registry-linked trialsOpen access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Movement disorders : official journal of the Movement Disorder Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 484 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
484citing papers in PubMed, 3 pooled it
81.3field-weighted citation impact, top 1% 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.

NCT05792332 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Integrated Management of Atypical Parkinsonism: A Home-based Patient-Centered Healthcare Delivery Based on Telenursing. A Multicenter, Interventional Non-pharmacological, Randomized, Single-blind Clinical Trial. IMPACT Study

TypeinterventionalSponsorFondazione I.R.C.C.S. Istituto Neurologico Carlo BestaRan2023 to 2026Enrolled164ConditionsAtypical Parkinsonism, MSA - Multiple System Atrophy, PSP, Nurse-Patient RelationsArmsTelemonitoring, Standard-of-care
NCT06072105 narecruitingnot on this mapstarted 2023, after this paper: background citation

Medical Decision Making in Multiple System Atrophy: Developing Personalized Best Medical Care with Integrated Telemedicine and Mobile Palliative Care for Individuals with Multiple System Atrophy

TypeinterventionalSponsorMedical University InnsbruckRan2023 to 2027Enrolled92ConditionsMultiple System AtrophyArmsTelemedicine visits, Multidisciplinary, personalized symptomatic treatment
NCT06868628 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

A Phase 2a Study to Evaluate Microglial Activation, Safety, and Clinical Effects of Foralumab Nasal in Patients With Multiple System Atrophy (MSA)

TypeinterventionalSponsorTiziana Life Sciences LTDRan2025 to 2027Enrolled5ConditionsMultiple System AtrophyArmsForalumab Nasal
3 · Its place in the literature

Who cites it

484 citing papers in PubMed, 3 syntheses or guidelines pooled it, 721 citations in OpenAlex.

  1. Tremor in multiple system atrophy: a systematic literature review.Journal of neural transmission (Vienna, Austria : 1996) · 2026
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  16. Cutaneous alpha-synuclein deposition informs autonomic function in individuals with early-stage multiple system atrophy.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
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  19. Feasibility of short imaging protocols for [European journal of nuclear medicine and molecular imaging · 2026
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424 more citing papers are in PubMed but not listed here.

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

29 authors at 19 institutions in 14 countries.

Gregor K WenningDepartment of Neurology, Innsbruck Medical University, Innsbruck, Austria.
Iva StankovicNeurology Clinic, University Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.ORCID 0000-0003-1484-4717
Luca VignatelliIRCCS, Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.ORCID 0000-0002-9051-7091
Alessandra FanciulliDepartment of Neurology, Innsbruck Medical University, Innsbruck, Austria.ORCID 0000-0002-2854-4179
Giovanna Calandra-BuonauraIRCCS, Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.
Klaus SeppiDepartment of Neurology, Innsbruck Medical University, Innsbruck, Austria.ORCID 0000-0001-6503-1455
Jose-Alberto PalmaDepartment of Neurology, Dysautonomia Center, Langone Medical Center, New York University School of Medicine, New York, New York, USA.ORCID 0000-0002-1345-6774
Wassilios G MeissnerFrench Reference Center for MSA, Department of Neurology for Neurodegenerative Diseases, University Hospital Bordeaux, 33076 Bordeaux and Institute of Neurodegenerative Diseases, University Bordeaux, CNRS, Bordeaux, France.ORCID 0000-0003-2172-7527
Florian KrismerDepartment of Neurology, Innsbruck Medical University, Innsbruck, Austria.ORCID 0000-0002-4493-5073
Daniela BergDepartment of Neurodegeneration and Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
Pietro CortelliIRCCS, Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.ORCID 0000-0002-3633-8818
Roy FreemanDepartment of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Glenda HallidayBrain and Mind Centre, Faculty of Medicine and Health, School of Medical Sciences, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0003-0422-8398
Günter HöglingerDepartment of Neurology, Hanover Medical School, Hanover, Germany.ORCID 0000-0001-7587-6187
Anthony LangEdmond J. Safra Program in Parkinson's Disease, University Health Network and the Division of Neurology, University of Toronto, Toronto, Canada.
Helen LingQueen Square Brain Bank for Neurological Disorders, UCL Queen Square Institute of Neurology, London, United Kingdom.ORCID 0000-0003-1532-3526
Irene LitvanDepartment of Neurosciences, Parkinson and Other Movement Disorders Center, University of California, San Diego, California, USA.
Phillip LowDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Yasuo MikiQueen Square Brain Bank for Neurological Disorders, UCL Queen Square Institute of Neurology, London, United Kingdom.
Jalesh PanickerUCL Queen Square Institute of Neurology, London, United Kingdom.
Maria Teresa PellecchiaDepartment of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", Neuroscience Section, University of Salerno, Salerno, Italy.
Niall QuinnUCL Queen Square Institute of Neurology, London, United Kingdom.
Ryuji SakakibaraNeurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan.ORCID 0000-0002-5803-169X
Maria StamelouParkinson's Disease and Movement Disorders Department, HYGEIA Hospital, and Aiginiteion Hospital, University of Athens, Athens, Greece.ORCID 0000-0003-1668-9925
Eduardo TolosaCentro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas (CIBERNED) Hospital Clínic, IDIBAPS, Universitat de Barcelona, Catalonia, Spain.
Shoji TsujiDepartment of Molecular Neurology, The University of Tokyo, Graduate School of Medicine, Tokyo, Japan.
Tom WarnerQueen Square Brain Bank for Neurological Disorders, UCL Queen Square Institute of Neurology, London, United Kingdom.
Werner PoeweDepartment of Neurology, Innsbruck Medical University, Innsbruck, Austria.
Horacio KaufmannDepartment of Neurology, Dysautonomia Center, Langone Medical Center, New York University School of Medicine, New York, New York, USA.ORCID 0000-0002-1851-9981
Innsbruck Medical University · ATNational Hospital for Neurology and Neurosurgery · GBIstituto delle Scienze Neurologiche di Bologna · ITNYU Langone Health · USBeth Israel Deaconess Medical Center · USBiomedical Research Networking Center on Neurodegenerative Diseases · ESCentre National de la Recherche Scientifique · FRChristian-Albrechts-Universität zu Kiel · DEGerman Center for Neurodegenerative Diseases · DEHirosaki University · JPMayo Clinic · USNational and Kapodistrian University of Athens · GRThe University of Sydney · AUThe University of Tokyo · JPToho University · JPUniversity Health Network · CAUniversity of Belgrade · RSUniversity of California San Diego · USUniversity of Salerno · IT

Funding

A futility trial of sirolimus in multiple system atrophyR01NS107596 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI KAUFMANN, HORACIO, PALMA CARAZO, JOSE ALBERTO · 2018 to 2020
$2.4M
NINDS NIH HHS R01 NS107596
6 · The paper itself

Abstract

backgroundThe second consensus criteria for the diagnosis of multiple system atrophy (MSA) are widely recognized as the reference standard for clinical research, but lack sensitivity to diagnose the disease at early stages.

objectiveTo develop novel Movement Disorder Society (MDS) criteria for MSA diagnosis using an evidence-based and consensus-based methodology.

methodsWe identified shortcomings of the second consensus criteria for MSA diagnosis and conducted a systematic literature review to answer predefined questions on clinical presentation and diagnostic tools relevant for MSA diagnosis. The criteria were developed and later optimized using two Delphi rounds within the MSA Criteria Revision Task Force, a survey for MDS membership, and a virtual Consensus Conference.

resultsThe criteria for neuropathologically established MSA remain unchanged. For a clinical MSA diagnosis a new category of clinically established MSA is introduced, aiming for maximum specificity with acceptable sensitivity. A category of clinically probable MSA is defined to enhance sensitivity while maintaining specificity. A research category of possible prodromal MSA is designed to capture patients in the earliest stages when symptoms and signs are present, but do not meet the threshold for clinically established or clinically probable MSA. Brain magnetic resonance imaging markers suggestive of MSA are required for the diagnosis of clinically established MSA. The number of research biomarkers that support all clinical diagnostic categories will likely grow.

conclusionsThis set of MDS MSA diagnostic criteria aims at improving the diagnostic accuracy, particularly in early disease stages. It requires validation in a prospective clinical and a clinicopathological study. © 2022 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Indexed as

Multiple System AtrophyBrainConsensusHumansMagnetic Resonance ImagingProspective Studiesdiagnosisdiagnostic criteriamultiple system atrophy

Identifiers

PMID35445419
PMCPMC9321158
OpenAlexW4224213495

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.