Evidence map›Paper›PMID 39137312›Full record

ArticleAging2024

Disease progression in Parkinson's disease patients with mild cognitive impairment: 5-year longitudinal study from the early Parkinson's disease longitudinal Singapore (PALS) cohort.

Xiao Deng, Seyed Ehsan Saffari, Bin Xiao, Samuel Yong Ern Ng, Nicole Chia, Xinyi Choi, Dede Liana Heng, Zheyu Xu, Kay-Yaw Tay, Wing-Lok Au and 2 more

Abstract read
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Article in Aging, 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
–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

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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.

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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.

Xiao DengNational Neuroscience Institute, Singapore, Singapore.
Seyed Ehsan SaffariNational Neuroscience Institute, Singapore, Singapore.
Bin XiaoNational Neuroscience Institute, Singapore, Singapore.
Samuel Yong Ern NgNational Neuroscience Institute, Singapore, Singapore.
Nicole ChiaNational Neuroscience Institute, Singapore, Singapore.
Xinyi ChoiNational Neuroscience Institute, Singapore, Singapore.
Dede Liana HengNational Neuroscience Institute, Singapore, Singapore.
Zheyu XuNational Neuroscience Institute, Singapore, Singapore.
Kay-Yaw TayNational Neuroscience Institute, Singapore, Singapore.
Wing-Lok AuNational Neuroscience Institute, Singapore, Singapore.
Eng-King TanNational Neuroscience Institute, Singapore, Singapore.
Louis Cs TanNational Neuroscience Institute, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate motor, non-motor and cognitive progression in early Parkinson's disease (PD) patients with Mild Cognitive Impairment (MCI).

methodsPD patients were recruited within 1 year of diagnosis and were classified into PD-MCI group and PD with normal cognition (PD-NC) group. H&Y staging scale, MDS-UPDRS part III were used to assess disease severity and motor progression. Non-motor symptom scale (NMSS) was used to evaluate the NMS progression. Cognitive progression was assessed from 5 cognitive domains. Annual progression changes in the longitudinal outcomes were examined via linear mixed model with random intercept effect. False discovery rate (FDR) method was performed to control for multiple testing comparison and q-value was calculated. We set the threshold of q-values as 0.1.

resultA total of 205 PD patients, including 107 PD-MCI and 98 PD-NC patients were assessed prospectively over a 5-year period. PD-MCI patients, compared to PD-NC group, had a significantly higher progression rate in H&Y score (0.11 vs. 0.06, p=0.03, q=0.08), MDS-UPDRS motor score (3.11 vs. 1.90 p<0.001, q=0.06) and postural instability gait difficulty (PIGD) score (0.40 vs. 0.20, p=0.02, q=0.07). PD-MCI group also exhibited significantly faster deterioration in NMSS perceptual domain (PD-MCI vs. PD-NC: 0.38 vs. -0.04, p=0.01, q=0.06) and cognitive visuospatial domain (PD-MCI vs. PD-NC: 0.13 vs. -0.06, p=0.048, q=0.09) after adjustment for confounders and multiple comparisons.

conclusionsPD-MCI patients had faster decline in motor functions, visuo-perceptual and visuospatial performance. These findings provide a more comprehensive prognosis of PD-MCI, which could be helpful for clinician to manage PD-MCI patients.

Indexed as

Cognitive DysfunctionDisease ProgressionParkinson DiseaseAgedFemaleHumansLongitudinal StudiesMaleMiddle AgedSeverity of Illness IndexSingaporedisease progressionmild cognitive impairmentParkinson’s disease

Identifiers

PMID39137312
PMCPMC11346777

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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.