Evidence map›Paper›PMID 39073531›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2024

Prognostic communication in amyotrophic lateral sclerosis: findings from a Nationwide Italian survey.

Cristina Moglia, Francesca Palumbo, Rossana Botto, Barbara Iazzolino, Nicola Ticozzi, Andrea Calvo, Paolo Leombruni, MND Study Group of the Italian Society of Neurology

Abstract read
PubMed Publisher
In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

8 authors.

Cristina Moglia *Neuroscience Department, University of Turin, 10126, Turin, Italy.ORCID http://orcid.org/0000-0001-7377-7222
Francesca Palumbo *Neuroscience Department, University of Turin, 10126, Turin, Italy. francesca.palumbo@unito.it.ORCID http://orcid.org/0000-0002-7070-2409
Rossana BottoNeuroscience Department, University of Turin, 10126, Turin, Italy.ORCID http://orcid.org/0000-0003-1251-6955
Barbara IazzolinoNeuroscience Department, University of Turin, 10126, Turin, Italy.ORCID http://orcid.org/0000-0001-5748-9175
Nicola TicozziDepartment of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan, Italy.ORCID http://orcid.org/0000-0001-5963-7426
Andrea Calvo *Neuroscience Department, University of Turin, 10126, Turin, Italy.ORCID http://orcid.org/0000-0002-5122-7243
Paolo Leombruni *Neuroscience Department, University of Turin, 10126, Turin, Italy.ORCID http://orcid.org/0000-0002-5436-2811
MND Study Group of the Italian Society of Neurology

Funding

Ministero della Salute 23C306Ministero della Salute RF-2016-02362405Ministero dell'Istruzione, dell'Università e della Ricerca 101017598Ministero dell'Istruzione, dell'Università e della Ricerca 2017SNW5MBSeventh Framework Programme 259867
6 · The paper itself

Abstract

backgroundAmyotrophic Lateral Sclerosis (ALS) is a fatal motor neuron disease with a highly variable prognosis. Among the proposed prognostic models, the European Network for the cure of ALS (ENCALS) survival model has demonstrated good predictive performance. However, few studies have examined prognostic communication and the diffusion of prognostic algorithms in ALS care.

objectiveTo investigate neurologists' attitudes toward prognostic communication and their knowledge and utilization of the ENCALS survival model in clinical practice.

methodsA web-based survey was administered between May 2021 and March 2022 to the 40 Italian ALS Centers members of the Motor Neuron Disease Study Group of the Italian Society of Neurology.

resultsTwenty-two out of 40 (55.0%) Italian ALS Centers responded to the survey, totaling 37 responses. The model was known by 27 (73.0%) respondents. However, it was predominantly utilized for research (81.1%) rather than for clinical prognostic communication (7.4%). Major obstacles to prognostic communication included the unpredictability of disease course, fear of a negative impact on patients or caregivers, dysfunctional reaction to diagnosis, and cognitive impairment. Nonetheless, the model was viewed as potentially useful for improving clinical management, increasing disease awareness, and facilitating care planning, especially end-of-life planning.

conclusionsDespite the widespread recognition and positive perceptions of the ENCALS survival model among Italian neurologists with expertise in ALS, its implementation in clinical practice remains limited. Addressing this disparity may require systematic investigations and targeted training to integrate tailored prognostic communication into ALS care protocols, aligning with the growing availability of prognostic tools for ALS.

Indexed as

Amyotrophic Lateral SclerosisAttitude of Health PersonnelNeurologistsCommunicationFemaleHumansItalyMalePrognosisSurveys and QuestionnairesAmyotrophic Lateral SclerosisMotor neuron diseasePrognostic communicationPrognostic prediction models

Identifiers

PMID39073531

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.