Evidence map›Paper›PMID 37782554›Full record

Observational studyAnnals of neurology2024

Improving Early Recognition of Treatment-Responsive Causes of Rapidly Progressive Dementia: The STAM

Nihal Satyadev, Philip W Tipton, Yuka Martens, S Richard Dunham, Michael D Geschwind, John C Morris, Matthew R Brier, Neill R Graff-Radford, Gregory S Day

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Annals of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
2.3field-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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Observational
  5. Article
  6. Article
  7. Neuroglial markers of damage in autoimmune neurology.Therapeutic advances in neurological disorders · 2026
    Review
  8. Article
  9. Article
  10. 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 4 institutions in 1 country.

Nihal SatyadevDepartment of Neurology, Mayo Clinic Florida, Jacksonville, Florida, USA.ORCID 0000-0001-7302-2348
Philip W TiptonDepartment of Neurology, Mayo Clinic Florida, Jacksonville, Florida, USA.ORCID 0000-0003-4084-2248
Yuka MartensDepartment of Neuroscience, Mayo Clinic Florida, Jacksonville, Florida, USA.
S Richard DunhamDepartment of Neurology, Washington University School of Medicine, Saint Louis, Missouri, USA.ORCID 0000-0003-2840-3955
Michael D GeschwindUniversity of California San Francisco, Department of Neurology, Memory and Aging Center, San Francisco, California, USA.
John C MorrisDepartment of Neurology, Washington University School of Medicine, Saint Louis, Missouri, USA.
Matthew R BrierDepartment of Neurology, Washington University School of Medicine, Saint Louis, Missouri, USA.ORCID 0000-0001-5987-8705
Neill R Graff-RadfordDepartment of Neurology, Mayo Clinic Florida, Jacksonville, Florida, USA.
Gregory S DayDepartment of Neurology, Mayo Clinic Florida, Jacksonville, Florida, USA.ORCID 0000-0001-5133-5538
Jacksonville College · USWashington University in St. Louis · USGeorgia Institute of Technology · USUniversity of California, San Francisco · US

Funding

Smartphone-Based "Burst" Cognitive AssessmentsP01AG003991 · NIA · WASHINGTON UNIVERSITY · PI Carlos Cruchaga · 1985 to 2026
$69.5M
The natural history of AB accumulation in preclinical ADP01AG026276 · NIA · WASHINGTON UNIVERSITY · PI MORRIS, JOHN · 2005 to 2025
$49.5M
Research Education ComponentP30AG066444 · NIA · WASHINGTON UNIVERSITY · PI DAVID M. HOLTZMAN · 2020 to 2026
$28.7M
PET and MRI Evaluation of Cerebral Inflammation and Metabolic Stress in Relapsing Multiple SclerosisK23NS128325 · NINDS · WASHINGTON UNIVERSITY · PI Matthew Ryan Brier · 2023 to 2026
$931k
Rapidly Progressive Dementia: Moving Beyond CJDK23AG064029 · NIA · WASHINGTON UNIVERSITY · PI DAY, GREGORY SCOTT · 2019 to 2023
$811k
NIA NIH HHS K23 AG064029NIA NIH HHS P01 AG003991NIA NIH HHS P01 AG026276NIA NIH HHS P30 AG066444NIH HHS K23AG064029NINDS NIH HHS K23 NS128325
6 · The paper itself

Abstract

objectiveTo improve the timely recognition of patients with treatment-responsive causes of rapidly progressive dementia (RPD).

methodsA total of 226 adult patients with suspected RPD were enrolled in a prospective observational study and followed for up to 2 years. Diseases associated with RPD were characterized as potentially treatment-responsive or non-responsive, referencing clinical literature. Disease progression was measured using Clinical Dementia Rating® Sum-of-Box scores. Clinical and paraclinical features associated with treatment responsiveness were assessed using multivariable logistic regression. Findings informed the development of a clinical criterion optimized to recognize patients with potentially treatment-responsive causes of RPD early in the diagnostic evaluation.

resultsA total of 155 patients met defined RPD criteria, of whom 86 patients (55.5%) had potentially treatment-responsive causes. The median (range) age-at-symptom onset in patients with RPD was 68.9 years (range 22.0-90.7 years), with a similar number of men and women. Seizures, tumor (disease-associated), magnetic resonance imaging suggestive of autoimmune encephalitis, mania, movement abnormalities, and pleocytosis (≥10 cells/mm

interpretationSelected features at presentation reliably identified patients with potentially treatment-responsive causes of RPD. Adaptation of the STAM

Indexed as

DementiaEncephalitisAdultAgedAged, 80 and overDisease ProgressionFemaleHumansMagnetic Resonance ImagingMaleMental Status and Dementia TestsMiddle AgedYoung Adult

Identifiers

PMID37782554
PMCPMC10841446
OpenAlexW4387268269

What OpenQuestion holds

Textmetadata
LicenceTDM
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.