Evidence map›Paper›PMID 38291840›Full record

ArticleMovement disorders clinical practice2024

Estimation of Ambulation and Survival in Neurodegeneration with Brain Iron Accumulation Disorders.

Elahe Amini, Mohammad Rohani, Anthony E Lang, Zahra Azad, Seyed Amir Hassan Habibi, Afagh Alavi, Gholamali Shahidi, Maziar Emamikhah, Ahmad Chitsaz

Open access · greenAbstract read
In one paragraph

Article in Movement disorders clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. RareBrain communications · 2025
    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 2 countries.

Elahe AminiSkull Base Research Center, The Five Senses Health Institute, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-7223-2391
Mohammad RohaniDepartment of Neurology, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-5409-1804
Anthony E LangMorton and Gloria Shulman Movement Disorders Centre, Toronto Western Hospital and Edmond J. Safra Program in Parkinson Disease, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-1229-3667
Zahra AzadSkull Base Research Center, The Five Senses Health Institute, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-2643-0354
Seyed Amir Hassan HabibiDepartment of Neurology, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-6896-4779
Afagh AlaviGenetics Research Center, The University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.ORCID 0000-0003-0390-2475
Gholamali ShahidiDepartment of Neurology, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-3889-4973
Maziar EmamikhahDepartment of Neurology, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-8375-5262
Ahmad ChitsazDepartment of Neurology, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID 0000-0001-7983-2122
Iran University of Medical Sciences · IRIsfahan University of Medical Sciences · IRUniversity of Social Welfare and Rehabilitation Sciences · IRUniversity of Toronto · CA

Funding

National Institute for Medical Research Development 4001387
6 · The paper itself

Abstract

backgroundNeurodegeneration with Brain Iron Accumulation (NBIA) disorder is a group of ultra-orphan hereditary diseases with very limited data on its course.

objectivesTo estimate the probability of preserving ambulatory ability and survival in NBIA.

methodsIn this study, the electronic records of the demographic data and clinical assessments of NBIA patients from 2012 to 2023 were reviewed. The objectives of the study and factors impacting them were investigated by Kaplan-Meier and Cox regression methods.

resultsOne hundred and twenty-two genetically-confirmed NBIA patients consisting of nine subtypes were enrolled. Twenty-four and twenty-five cases were deceased and wheelchair-bound, with a mean disease duration of 11 ± 6.65 and 9.32 ± 5 years. The probability of preserving ambulation and survival was 42.9% in 9 years and 28.2% in 15 years for classical Pantothenate Kinase-Associated Neurodegeneration (PKAN, n = 18), 89.4% in 7 years and 84.7% in 9 years for atypical PKAN (n = 39), 23% in 18 years and 67.8% in 14 years for Mitochondrial Membrane Protein-Associated Neurodegeneration (MPAN, n = 23), 75% in 20 years and 36.5% in 33 years for Kufor Rakeb Syndrome (KRS, n = 17), respectively. The frequencies of rigidity, spasticity, and female gender were significantly higher in deceased cases compared to surviving patients. Spasticity was the only factor associated with death (P value = 0.03).

conclusionsKRS had the best survival with the most extended ambulation period. The classical PKAN and MPAN cases had similar progression patterns to loss of ambulation ability, while MPAN patients had a slower progression to death. Spasticity was revealed to be the most determining factor for death.

Indexed as

HemochromatosisIron Metabolism DisordersNeurodegenerative DiseasesPantothenate Kinase-Associated NeurodegenerationParkinsonian DisordersBrainFemaleHumansIronMuscle SpasticityWalkingIronambulationironmuscle spasticityNBIAsurvival

Identifiers

PMID38291840
PMCPMC10828622
OpenAlexW4388845745

What OpenQuestion holds

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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.