Evidence map›Paper›PMID 37163423›Full record

ArticleAging and disease2023

Age and Sex Affect Essential Tremor (ET) Plus: Clinical Heterogeneity in ET Based on the National Survey in China.

Qiying Sun, Runcheng He, Hongyan Huang, Hongmei Cao, Xuejing Wang, Hong Liu, Chunyu Wang, Lifang Lei, Puqing Wang, Guiyun Cui and 24 more

Open access · goldAbstract read
In one paragraph

Article in Aging and disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.1field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
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  5. Article
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  7. Article
  8. Medication Adherence in Chinese Patients with Essential Tremor: A Real World Study.Tremor and other hyperkinetic movements (New York, N.Y.) · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Six Myths and Misconceptions about Essential Tremor.Tremor and other hyperkinetic movements (New York, N.Y.) · 2024
    Review
  15. 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

34 authors at 18 institutions in 1 country.

Qiying SunDepartment of Neurology, Department of Geriatric Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Runcheng HeDepartment of Neurology, Department of Geriatric Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Hongyan HuangDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Hongmei CaoDepartment of Neurology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Xuejing WangDepartment of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Hong LiuDepartment of Neurology, Heping Hospital Affiliated to Changzhi Medical College, Changzhi, Shangxi, China.
Chunyu WangDepartment of Neurology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Lifang LeiDepartment of Neurology, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Puqing WangDepartment of Neurology, Xiang Yang No. 1 People's Hospital Affiliated to Hubei University of Medicine, Xiangyang, Hubei, China.
Guiyun CuiDepartment of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Jianjun MaDepartment of Neurology, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Ping GuDepartment of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, China.
Di AnDepartment of Neurology, Affiliated Hospital of Hebei University, Baoding, Hebei, China.
Min JiaDepartment of Neurology, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, Hubei, China.
Zhanfang SunDepartment of Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
Heng WuDepartment of Neurology, The First Affiliated Hospital of University of South China, Hengyang, Hunan, China.
Jinsheng LinDepartment of Neurology, Xiangtan Central Hospital, Xiangtan, Hunan, China.
Jiayu TangDepartment of Neurology, Hunan Provincial Brain Hospital, Changsha, Hunan, China.
Xun ZhouDepartment of Neurology, Department of Geriatric Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Mingqiang LiDepartment of Neurology, The First Affiliated Hospital of University of South China, Hengyang, Hunan, China.
Sheng ZengDepartment of Geriatric Neurology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Yase ChenDepartment of Neurology, Department of Geriatric Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Xinxiang YanDepartment of Neurology, Department of Geriatric Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Jifeng GuoDepartment of Neurology, Department of Geriatric Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Qian XuDepartment of Neurology, Department of Geriatric Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Zhenhua LiuDepartment of Neurology, Department of Geriatric Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Lu ShenDepartment of Neurology, Department of Geriatric Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Hong JiangDepartment of Neurology, Department of Geriatric Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Xinyin WuDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Qin XiaoDepartment of Neurology and Institute of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Haibo ChenDepartment of Neurology, Beijing Hospital, National Center of Gerontology, Beijing, China.
Yanming XuDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Beisha TangDepartment of Neurology, Department of Geriatric Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
China Essential Tremor Alliance
Central South University · CNHubei University of Medicine · CNXiangya Hospital Central South University · CNFirst Affiliated Hospital of University of South China · CNWest China Hospital of Sichuan University · CNAffiliated Hospital of Hebei University · CNBeijing Hospital · CNChangzhi Medical College · CNFirst Affiliated Hospital of Hebei Medical University · CNFirst Affiliated Hospital of Xi'an Jiaotong University · CNFirst Affiliated Hospital of Zhengzhou University · CNHenan Provincial People's Hospital · CNRuijin Hospital · CNSecond Xiangya Hospital of Central South University · CNShandong Provincial Hospital · CNThe Central Hospital of Enshi Tujia and Miao Autonomous Prefecture · CNXiangyang Central Hospital · CNXuzhou Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The new term essential tremor (ET) plus was proposed in the 2018 tremor consensus criteria. The National Survey of Essential Tremor Plus in China, a large multicenter registry study, aimed to evaluate the clinical features of pure ET and ET plus and explore possible factors related to ET plus. All patients with ET underwent neurological examination and neuropsychological assessment at 17 clinical sites. The diagnosis was made according to the 2018 consensus criteria. Clinicodemographic characteristics were analyzed. A total of 1160 patients were included, including 546 patients with pure ET and 614 patients with ET plus. The proportion of females was significantly higher in the ET plus than that in the pure ET (P = 0.001). The age at onset (AAO) of pure ET showed a bimodal distribution, with peaks in the 2nd and 5th decades. However, the AAO of the ET plus group demonstrated a skewed distribution, with a single peak in the 6th decade. Female sex (OR=1.645, P<0.001), older age (OR=1.023, P<0.001), lower educational level (OR=0.934, P<0.001), head tremor (OR=1.457, P<0.001), and higher the Tremor Research Group Essential Tremor Rating Assessment Scale (TETRAS)-II scores (OR=1.134, P<0.001) were significantly associated with ET plus. Old age and female sex may contribute to ET plus development. Pure ET showed a bimodal distribution for AAO, whereas ET plus showed a unimodal distribution. It remains unclear whether pure ET and ET plus are merely different stages of a single disease or represent distinct disease entities.

Identifiers

PMID37163423
PMCPMC10389817
OpenAlexW4360597920

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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.