Evidence map›Paper›PMID 36522775›Full record

ArticleNeurological research and practice2022

ALSFRS-R-SE: an adapted, annotated, and self-explanatory version of the revised amyotrophic lateral sclerosis functional rating scale.

André Maier, Matthias Boentert, Peter Reilich, Simon Witzel, Susanne Petri, Julian Großkreutz, Moritz Metelmann, Paul Lingor, Isabell Cordts, Johannes Dorst and 9 more

Open access · diamondAbstract read
In one paragraph

Article in Neurological research and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.5field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 39 citations in OpenAlex.

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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

19 authors at 11 institutions in 1 country.

André MaierDepartment of Neurology, Center for ALS and Other Motor Neuron Disorders, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany. andre.maier@charite.de.ORCID http://orcid.org/0000-0003-2473-4116
Matthias BoentertDepartment of Neurology, Universitätsklinikum Münster, Münster, Germany.
Peter ReilichFriedrich-Baur-Institut und Neurologische Klinik und Poliklinik, LMU Klinikum, Ludwig-Maximilians-Universität München, Munich, Germany.
Simon WitzelKlinik für Neurologie, Universitätsklinikum Ulm, Ulm, Germany.
Susanne PetriHannover Medical School, Department of Neurology, Hannover, Germany.
Julian GroßkreutzDepartment of Neurology, Campus Lübeck, Universitätsmedizin Schleswig-Holstein, Lübeck, Germany.
Moritz MetelmannDepartment of Neurology, Universitätsklinikum Leipzig, Leipzig, Germany.
Paul LingorDepartment of Neurology, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Isabell CordtsDepartment of Neurology, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Johannes DorstKlinik für Neurologie, Universitätsklinikum Ulm, Ulm, Germany.
Daniel ZellerDepartment of Neurology, Universitätsklinikum Würzburg, Würzburg, Germany.
René GüntherDepartment of Neurology, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Tim HagenackerKlinik für Neurologie und Center for Translational Neuro- and Behavioral Science, Universitätsmedizin Essen, Essen, Germany.
Torsten GrehlDepartment of Neurology, Centre for ALS and Other Motor Neuron Disorders, Alfried Krupp Krankenhaus, Essen, Germany.
Susanne SpittelAmbulanzpartner Soziotechnologie APST GmbH, Berlin, Germany.
Joachim SchusterKlinik für Neurologie, Universitätsklinikum Ulm, Ulm, Germany.
Albert LudolphKlinik für Neurologie, Universitätsklinikum Ulm, Ulm, Germany.
Thomas MeyerDepartment of Neurology, Center for ALS and Other Motor Neuron Disorders, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
MND-NET consensus group
German Center for Neurodegenerative Diseases · DEHumboldt-Universität zu Berlin · DETUM Klinikum · DEUniversity Hospital Ulm · DEAlfried Krupp Hospital · DELMU Klinikum · DEMedizinische Hochschule Hannover · DEUniversitätsklinikum Würzburg · DEUniversity Hospital Leipzig · DEUniversity Hospital Münster · DEUniversity of Lübeck · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe ALS Functional Rating Scale in its revised version (ALSFRS-R) is a disease-specific severity score that reflects motor impairment and functional deterioration in people with amyotrophic lateral sclerosis (ALS). It has been widely applied in both clinical practice and ALS research. However, in Germany, several variants of the scale, each differing slightly from the others, have developed over time and are currently in circulation. This lack of uniformity potentially hampers data interpretation and may decrease item validity. Furthermore, shortcomings within the standard ALSFRS-R questions and answer options can limit the quality and conclusiveness of collected data.

methodsIn a multistage consensus-building process, 18 clinical ALS experts from the German ALS/MND network analyzed the ALSFRS-R in its current form and created an adapted, annotated, and revised scale that closely adheres to the well-established standardized English version.

resultsTen German-language variants of the ALSFRS-R were collected, three of which contained instructions for self-assessment. All of these variants were compiled and a comprehensive linguistic revision was undertaken. A short introduction was added to the resulting scale, comprising general instructions for use and explanations for each of the five reply options per item. This adapted version of the scale, named ALSFRS-R-SE (with the "SE" referring to "self-explanatory"), was carefully reviewed for language and comprehensibility, in both German and English.

conclusionAn adapted and annotated version of the ALSFRS-R scale was developed through a multistage consensus process. The decision to include brief explanations of specific scale items and reply options was intended to facilitate ALSFRS-R-SE assessments by both healthcare professionals and patients. Further studies are required to investigate the accuracy and utility of the ALSFRS-R-SE in controlled trials and clinical real-world settings.

Indexed as

ALSFRS-RAmyotrophic lateral sclerosisDigital medicinePatient reported outcomes

Identifiers

PMID36522775
PMCPMC9753252
OpenAlexW4311821730

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.