Evidence map›Paper›PMID 36912421›Full record

ArticleEuropean journal of neurology2023

Clinical symptoms in mild cognitive impairment with Lewy bodies: Frequency, time of onset, and discriminant ability.

Paul C Donaghy, Calum Hamilton, Rory Durcan, Sarah Lawley, Sally Barker, Joanna Ciafone, Nicola Barnett, Kirsty Olsen, Michael Firbank, Gemma Roberts and 7 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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Intrinsic capacity in Lewy body dementia: a review.The Journal of frailty & aging · 2025
    Review
  3. Article
  4. Article
  5. Visual dysfunction in dementia with Lewy bodies.Current neurology and neuroscience reports · 2024
    Review
  6. Review
  7. Review
  8. Article
  9. 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

17 authors at 4 institutions in 1 country.

Paul C DonaghyTranslational and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.ORCID 0000-0001-7195-4846
Calum HamiltonTranslational and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.
Rory DurcanTranslational and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.
Sarah LawleyTranslational and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.
Sally BarkerTranslational and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.
Joanna CiafoneTranslational and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.
Nicola BarnettTranslational and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.
Kirsty OlsenTranslational and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.
Michael FirbankTranslational and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.ORCID 0000-0002-9536-0185
Gemma RobertsTranslational and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.
Jim LloydNuclear Medicine Department, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.
Louise M AllanCentre for Research in Ageing and Cognitive Health, University of Exeter, Exeter, UK.
Ranjan SahaTranslational and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.
Ian G McKeithTranslational and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.
John T O'BrienDepartment of Psychiatry, School of Clinical Medicine, University of Cambridge, Cambridge, UK.
John-Paul TaylorTranslational and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.
Alan J ThomasTranslational and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.
Newcastle University · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBUniversity of Cambridge · GBUniversity of Exeter · GB

Funding

Medical Research Council MR/W000229/1
6 · The paper itself

Abstract

background and purposeMild cognitive impairment with Lewy bodies (MCI-LB) is associated with a range of cognitive, motor, neuropsychiatric, sleep, autonomic, and visual symptoms. We investigated the cumulative frequency of symptoms in a longitudinal cohort of MCI-LB compared with MCI due to Alzheimer disease (MCI-AD) and analysed the ability of a previously described 10-point symptom scale to differentiate MCI-LB and MCI-AD, in an independent cohort.

methodsParticipants with probable MCI-LB (n = 70), MCI-AD (n = 51), and controls (n = 34) had a detailed clinical assessment and annual follow-up (mean duration = 1.7 years). The presence of a range of symptoms was ascertained using a modified version of the Lewy Body Disease Association Comprehensive LBD Symptom Checklist at baseline assessment and then annually.

resultsMCI-LB participants experienced a greater mean number of symptoms (24.2, SD = 7.6) compared with MCI-AD (11.3, SD = 7.4) and controls (4.2, SD = 3.1; p < 0.001 for all comparisons). A range of cognitive, parkinsonian, neuropsychiatric, sleep, and autonomic symptoms were significantly more common in MCI-LB than MCI-AD, although when present, the time of onset was similar between the two groups. A previously defined 10-point symptom scale demonstrated very good discrimination between MCI-LB and MCI-AD (area under the receiver operating characteristic curve = 0.91, 95% confidence interval = 0.84-0.98), replicating our previous finding in a new cohort.

conclusionsMCI-LB is associated with the frequent presence of a particular profile of symptoms compared to MCI-AD. Clinicians should look for evidence of these symptoms in MCI and be aware of the potential for treatment. The presence of these symptoms may help to discriminate MCI-LB from MCI-AD.

Indexed as

Alzheimer DiseaseCognitive DysfunctionLewy Body DiseaseHumansLewy BodiesROC CurveAlzheimer diseasedementiadementia with Lewy bodiesdiagnosismild cognitive impairment

Identifiers

PMID36912421
PMCPMC10946617
OpenAlexW4324017656

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.