Evidence map›Paper›PMID 39236307›Full record

ArticleEuropean journal of neurology2024

Comparison of the diagnostic accuracy of the 2010 European Federation of Neurological Societies/Peripheral Nerve Society and American Association of Electrodiagnostic Medicine diagnostic criteria for multifocal motor neuropathy.

Pietro Emiliano Doneddu, Chiara Gallo, Luca Gentile, Dario Cocito, Yuri Falzone, Vincenzo Di Stefano, Maurizio Inghilleri, Giuseppe Cosentino, Sabrina Matà, Anna Mazzeo and 10 more

Abstract readComparative Study
In one paragraph

Article in European journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 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

20 authors.

Pietro Emiliano DonedduNeuromuscular and Neuroimmunology Unit, IRCCS Humanitas Research Hospital, Milan, Italy.
Chiara GalloNeuromuscular and Neuroimmunology Unit, IRCCS Humanitas Research Hospital, Milan, Italy.
Luca GentileUnit of Neurology, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Dario CocitoDipartimento Scienze Cliniche e Biologiche, Università di Torino, Turin, Italy.ORCID https://orcid.org/0000-0002-6964-618X
Yuri FalzoneDivision of Neuroscience, Department of Neurology, Institute of Experimental Neurology, San Raffaele Scientific Institute, Milan, Italy.
Vincenzo Di StefanoAzienda Ospedaliera Universitaria Policlinico Paolo Giaccone, Palermo, Italy.ORCID https://orcid.org/0000-0001-9805-1655
Maurizio InghilleriDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
Giuseppe CosentinoDepartment of Brain and Behavioral Sciences, IRCCS Mondino Foundation, University of Pavia, Pavia, Italy.
Sabrina MatàNeurology Unit, Dipartimento Neuromuscoloscheletrico e degli organi di Senso, Careggi University Hospital, Florence, Italy.
Anna MazzeoUnit of Neurology, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Massimiliano FilostoNeMO-Brescia Clinical Center for Neuromuscular Diseases, ERN Euro-NMD Center ASST Spedali Civili, Brescia, Italy.ORCID https://orcid.org/0000-0002-2852-7512
Erdita PeciPresidio Sanitario Major, Istituti Clinici Scientifici Maugeri, Turin, Italy.
Benedetta SorrentiDivision of Neuroscience, Department of Neurology, Institute of Experimental Neurology, San Raffaele Scientific Institute, Milan, Italy.
Filippo BrighinaAzienda Ospedaliera Universitaria Policlinico Paolo Giaccone, Palermo, Italy.
Federica MoretDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
Elisa VegezziDepartment of Brain and Behavioral Sciences, IRCCS Mondino Foundation, University of Pavia, Pavia, Italy.ORCID https://orcid.org/0000-0001-8776-6831
Martina SpertiNeurology Unit, Dipartimento Neuromuscoloscheletrico e degli organi di Senso, Careggi University Hospital, Florence, Italy.
Barbara RisiNeMO-Brescia Clinical Center for Neuromuscular Diseases, Brescia, Italy.
Eduardo Nobile-OrazioNeuromuscular and Neuroimmunology Unit, IRCCS Humanitas Research Hospital, Milan, Italy.ORCID https://orcid.org/0000-0003-2624-8138
on the behalf of the Italian MMN Database Study Group

Funding

Fondazione Humanitas per la RicercaTakeda Italia SPA IIR-ITA-BXLT-001955/ IISR-2017-104226
6 · The paper itself

Abstract

background and purposeThis study was undertaken to compare the sensitivity and specificity of the 2010 European Federation of Neurological Societies/Peripheral Nerve Society (EFNS/PNS) diagnostic criteria for multifocal motor neuropathy (MMN) with those of the American Association of Electrodiagnostic Medicine (AAEM).

methodsSensitivity and specificity of the two sets of criteria were retrospectively evaluated in 53 patients with MMN and 280 controls with axonal peripheral neuropathy, inflammatory demyelinating polyneuropathy, or amyotrophic lateral sclerosis. Comparison of the utility of nerve conduction studies with different numbers of nerves examined was also assessed.

resultsThe 2010 EFNS/PNS criteria had a sensitivity of 47% for definite MMN and 57% for probable/definite MMN, whereas the AAEM criteria had a sensitivity of 28% for definite MMN and 53% for probable/definite MMN. The sensitivity of the AAEM criteria was higher when utilizing area compared to amplitude reduction to define conduction block. Using supportive criteria, the sensitivity of the 2010 EFNS/PNS criteria for probable/definite MMN increased to 64%, and an additional 36% patients fulfilled the criteria (possible MMN). Specificity values for definite and probable/definite MMN were slightly higher with the AAEM criteria (100%) compared to the EFNS/PNS criteria (98.5% and 97%). Extended nerve conduction studies yielded slightly increased diagnostic sensitivity for both sets of criteria without significantly affecting specificity.

conclusionsIn our patient populations, the 2010 EFNS/PNS criteria demonstrated higher sensitivity but slightly lower specificity compared to the AAEM criteria. Extended nerve conduction studies are advised to achieve slightly higher sensitivity while maintaining very high specificity.

Indexed as

ElectrodiagnosisNeural ConductionPolyneuropathiesSensitivity and SpecificitySocieties, MedicalAdultAgedAmyotrophic Lateral SclerosisEuropeFemaleHumansMaleMiddle AgedMotor Neuron DiseaseRetrospective StudiesUnited Statesdiagnosisdiagnostic criteriaguidelinesMMNmultifocal motor neuropathy

Identifiers

PMID39236307
PMCPMC11554852

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