Evidence map›Paper›PMID 37682315›Full record

ReviewJournal of neurology2023

Pitfalls and biases in neuroepidemiological studies of COVID-19 and the nervous system: a critical appraisal of the current evidence and future directions.

Ettore Beghi, Andrei Ivashynka, Giancarlo Logroscino, Fabricio Ferreira de Oliveira, Jori E Fleisher, Oana M Dumitrascu, Roshni Patel, Rodolfo Savica, Yun Jin Kim

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Single-arm clinical trials: design, ethics, principles.BMJ supportive & palliative care · 2024
    Review
  2. Intracranial complications of sinogenic and otogenic infections in children: an ESPN survey on their occurrence in the pre-COVID and post-COVID era.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    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

9 authors at 8 institutions in 4 countries.

Ettore BeghiDepartment of Neuroscience, Istituto di Ricerch Farmacologiche Mario Negri IRCCS, Milan, Italy.
Andrei IvashynkaDepartment of Parkinson's Disease, Movement Disorders and Brain Injury Rehabilitation, "Moriggia-Pelascini" Hospital, Gravedona ed Uniti, Italy.
Giancarlo LogroscinoCenter for Neurodegenerative Diseases and the Aging Brain, Department of Clinical Research in Neurology, University of Bari "Aldo Moro" at "Pia Fondazione Card. G. Panico" Hospital Tricase, Lecce, Italy.
Fabricio Ferreira de OliveiraFederal University of São Paulo, São Paulo, Brazil.
Jori E FleisherDepartment of Neurological Sciences, Rush University Medical Center, Chicago, IL, USA.
Oana M DumitrascuDepartments of Neurology and Ophthalmology, Mayo Clinic, Scottsdale, AZ, USA.
Roshni PatelDepartment of Neurological Sciences, Rush University Medical Center, Chicago, IL, USA.
Rodolfo SavicaDepartment of Neurology and Health Science Research, Mayo Clinic, Rochester, MN, USA.
Yun Jin KimSchool of Traditional Chinese Medicine, Xiamen University Malaysia, Jalan Sunsuria, Bandar Sunsuria, 43900, Sepang, Selangor, Malaysia. yjkim@xmu.edu.my.ORCID http://orcid.org/0000-0001-8853-6587
Rush University Medical Center · USMario Negri Institute for Pharmacological Research · ITMayo Clinic in Arizona · USMayo Clinic in Florida · USMoriggia Pelascini Hospital · ITUniversidade Federal de São Paulo · BRUniversity of Bari Aldo Moro · ITXiamen University Malaysia · MY

Funding

Research Management Centre, Xiamen University Malaysia XMUMRF/2020-C6/ITCM/0004
6 · The paper itself

Abstract

backgroundNeurological manifestations frequently occur in individuals with COVID-19, manifesting during the acute phase, persisting beyond the resolution of acute symptoms, and appearing days or weeks after the initial onset of COVID-19 symptoms. However, predicting the incidence, course, and outcome of these neurological manifestations at the individual patient level remains challenging. Biases in study design and limitations in data collection may contribute to the inconsistency and limited validity of the reported findings. Herein, we focused on critically appraising pitfalls and biases of prior reports and provide guidance for improving the quality and standardization of future research. Patients with COVID-19 exhibit diverse demographic features, sociocultural backgrounds, lifestyle habits, and comorbidities, all of which can influence the severity and progression of the infection and its impact on other organ systems. Overlooked or undocumented comorbidities and related treatments may contribute to neurological sequelae, which may not solely be attributable to COVID-19. It is crucial to consider the potential side effects of vaccines in relation to neurological manifestations.

conclusionTo investigate neurological manifestations of COVID-19, it is essential to employ valid and reliable diagnostic criteria and standard definitions of the factors of interest. Although population-based studies are lacking, well-defined inception cohorts, including hospitalized individuals, outpatients, and community residents, can serve as valuable compromises. These cohorts should be evaluated for the presence of common comorbidities, alongside documenting the primary non-neurological manifestations of the infectious disease. Lastly, patients with COVID-19 should be followed beyond the acute phase to assess the persistence, duration, and severity of neurological symptoms, signs, or diseases.

Indexed as

COVID-19Nervous System DiseasesBiasDisease ProgressionHumansCOVID-19Nervous systemReview

Identifiers

PMID37682315
OpenAlexW4386530681

What OpenQuestion holds

Textmetadata
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.