Evidence map›Paper›PMID 37316950›Full record

ArticleNeurological research and practice2023

Guideline "Motor neuron diseases" of the German Society of Neurology (Deutsche Gesellschaft für Neurologie).

Susanne Petri, Torsten Grehl, Julian Grosskreutz, Martin Hecht, Andreas Hermann, Sarah Jesse, Paul Lingor, Wolfgang Löscher, André Maier, Benedikt Schoser and 2 more

Abstract read
In one paragraph

Article in Neurological research and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  5. Review
  6. Article
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  9. Observational
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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

12 authors.

Susanne PetriKlinik für Neurologie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. petri.susanne@mh-hannover.de.ORCID http://orcid.org/0000-0002-9783-8584
Torsten GrehlNeurologie, Alfried-Krupp-Krankenhaus, Essen, Germany.
Julian GrosskreutzNeurologie, Universitätsklinikum Lübeck, Lübeck, Germany.
Martin HechtNeurologie, Bezirkskrankenhaus Kaufbeuren, Kaufbeuren, Germany.
Andreas HermannNeurologie, Universitätsmedizin Rostock, Rostock, Germany.
Sarah JesseNeurologie, Universität Ulm, Ulm, Germany.
Paul LingorNeurologie, TU München, Munich, Germany.
Wolfgang LöscherNeurologie, Medizinische Universität Innsbruck, Innsbruck, Austria.
André MaierNeurologie, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Benedikt SchoserNeurologie, LMU Klinikum München, Munich, Germany.
Marcus WeberMuskelzentrum, Kantonspital St. Gallen, St. Gallen, Switzerland.
Albert C LudolphNeurologie, Universität Ulm, Ulm, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn 2021, the Deutsche Gesellschaft für Neurology published a new guideline on diagnosis and therapy of motor neuron disorders. Motor neuron disorders affect upper motor neurons in the primary motor cortex and/or lower motor neurons in the brain stem and spinal cord. The most frequent motor neuron disease amyotrophic lateral sclerosis (ALS) is a rapidly progressive disease with an average life expectancy of 2-4 years with a yearly incidence of 3.1/100,000 in Central Europe (Rosenbohm et al. in J Neurol 264(4):749-757, 2017. https://doi.org/10.1007/s00415-017-8413-3 ). It is considered a rare disease mainly due to its low prevalence as a consequence of short disease duration. RECOMMENDATIONS: These guidelines comprise recommendations regarding differential diagnosis, neuroprotective therapies and multidisciplinary palliative care including management of respiration and nutrition as well as provision of assistive devices and end-of-life situations.

conclusionDiagnostic and therapeutic guidelines are necessary due the comparatively high number of cases and the aggressive disease course. Given the low prevalence and the severe impairment of patients, it is often impossible to generate evidence-based data so that ALS guidelines are partially dependent on expert opinion.

Indexed as

Amyotrophic lateral sclerosis (ALS)GeneticsInterdisciplinary careMotor neuron disordersNeuroprotectionSymptomatic treatment

Identifiers

PMID37316950
PMCPMC10268388

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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.