Evidence map›Paper›PMID 35906250›Full record

ArticleNPJ Parkinson's disease2022

Evaluation of the PREDIGT score's performance in identifying newly diagnosed Parkinson's patients without motor examination.

Juan Li, Tiago A Mestre, Brit Mollenhauer, Mark Frasier, Julianna J Tomlinson, Claudia Trenkwalder, Tim Ramsay, Douglas Manuel, Michael G Schlossmacher

Abstract read
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Article in NPJ Parkinson's disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Juan LiNeuroscience Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Tiago A MestreNeuroscience Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Brit MollenhauerElena-Paracelsus Klinik, University of Goettingen, Kassel, Germany.
Mark FrasierMichael J. Fox Foundation for Parkinson's Research, New York, USA.
Julianna J TomlinsonNeuroscience Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Claudia TrenkwalderElena-Paracelsus Klinik, University of Goettingen, Kassel, Germany.
Tim RamsayClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Douglas ManuelClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada. dmanuel@toh.ca.
Michael G SchlossmacherNeuroscience Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada. mschlossmacher@toh.ca.ORCID http://orcid.org/0000-0002-0394-0300

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several recent publications described algorithms to identify subjects with Parkinson's disease (PD). In creating the "PREDIGT Score", we previously developed a hypothesis-driven, simple-to-use formula to potentially calculate the incidence of PD. Here, we tested its performance in the 'De Novo Parkinson Study' (DeNoPa) and 'Parkinson's Progression Marker Initiative' (PPMI); the latter included participants from the 'FOllow Up persons with Neurologic Disease' (FOUND) cohort. Baseline data from 563 newly diagnosed PD patients and 306 healthy control subjects were evaluated. Based on 13 variables, the original PREDIGT Score identified recently diagnosed PD patients in the DeNoPa, PPMI + FOUND and the pooled cohorts with area-under-the-curve (AUC) values of 0.88 (95% CI 0.83-0.92), 0.79 (95% CI 0.72-0.85), and 0.84 (95% CI 0.8-0.88), respectively. A simplified version (8 variables) generated AUC values of 0.92 (95% CI 0.89-0.95), 0.84 (95% CI 0.81-0.87), and 0.87 (0.84-0.89) in the DeNoPa, PPMI, and the pooled cohorts, respectively. In a two-step, screening-type approach, self-reported answers to a questionnaire (step 1) distinguished PD patients from controls with an AUC of 0.81 (95% CI 0.75-0.86). Adding a single, objective test (Step 2) further improved classification. Among seven biological markers explored, hyposmia was the most informative. The composite AUC value measured 0.9 (95% CI 0.88-0.91) in DeNoPa and 0.89 (95% CI 0.84-0.94) in PPMI. These results reveal a robust performance of the original PREDIGT Score to distinguish newly diagnosed PD patients from controls in two established cohorts. We also demonstrate the formula's potential applicability to enriching for PD subjects in a population screening-type approach.

Identifiers

PMID35906250
PMCPMC9338052

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