Evidence map›Paper›PMID 39387467›Full record

ArticleEuropean journal of neurology2024

Autonomic nervous system education in Europe: EAN/EFAS/INUS survey on curricula and skills in autonomic medicine of European neurology residents and consultants.

Diogo Reis-Carneiro, Magdalena Krbot Skoric, Mario Habek, Ivan Adamec, Giovanna Calandra-Buonaura, Pietro Cortelli, J Gert van Dijk, Cristian Falup-Pecurariu, Pietro Guaraldi, Max J Hilz and 14 more

Abstract read
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 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

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.

  1. Multiple system atrophy: cure and care.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  2. Setting up an autonomic unit within the neurological department: a position statement of the European Federation of Autonomic Societies.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  3. Article
  4. 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

24 authors.

Diogo Reis-CarneiroDepartment of Neurology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.ORCID 0000-0001-8912-4736
Magdalena Krbot SkoricDepartment of Neurology, University Hospital Centre, Zagreb, Croatia.
Mario HabekDepartment of Neurology, University Hospital Centre, Zagreb, Croatia.
Ivan AdamecDepartment of Neurology, University Hospital Centre, Zagreb, Croatia.
Giovanna Calandra-BuonauraIRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.
Pietro CortelliIRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.ORCID 0000-0002-3633-8818
J Gert van DijkDepartment of Neurology, Leiden University Medical Centre, Leiden, The Netherlands.
Cristian Falup-PecurariuFaculty of Medicine, Transilvania University of Braşov, Romania.
Pietro GuaraldiIRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.
Max J HilzDepartment of Neurology, University of Erlangen-Nuremberg, Erlangen, Germany.ORCID 0000-0002-6802-1751
Valeria IodiceDepartment of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, London, UK.
Jens JordanInstitute of Aerospace Medicine, German Aerospace Center (DLR), Cologne, Germany.
Isabel RochaCardiovascular Autonomic Function Lab, Institute of Physiology, CCUL, Faculty of Medicine of University of Lisbon, Lisbon, Portugal.
Walter StruhalKarl Landsteiner University of Health Sciences, Department of Neurology, University Hospital Tulln, Tulln, Austria.ORCID 0000-0001-7360-7784
Astrid Juhl TerkelsenDepartment of Clinical Medicine, Danish Pain Research Center, Aarhus University, Aarhus, Denmark.
Roland ThijsBiomedical and Neuromotor Sciences-DIBINEM, University of Bologna, Bologna, Italy.ORCID 0000-0003-1435-8970
Beatriz TijeroNeurodegenerative Diseases Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
Thomas BergerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Irena RektorovaFirst Department of Neurology, Faculty of Medicine, Masaryk University and St. Anne's University Hospital Brno, Brno, Czech Republic.ORCID 0000-0002-5455-4573
Elena MoroDivision of Neurology, Grenoble Institute of Neuroscience, Grenoble Alpes University, CHU of Grenoble, Grenoble, France.ORCID 0000-0002-7968-5908
Anne Pavy-Le TraonDepartment of Neurology, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.ORCID 0000-0002-9375-1553
Gregor WenningDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Jalesh N PanickerDepartment of Uro-Neurology, National Hospital for Neurology and Neurosurgery, London, UK.
Alessandra FanciulliDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0002-2854-4179

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeCenters for training in autonomic nervous system (ANS) disorders are not widely available and the recent coronavirus 2019 pandemic temporarily reduced training opportunities in autonomic medicine across European countries. Here we evaluated the current state of education, clinical skills and postgraduate educational preferences on ANS disorders of European neurology residents and consultants.

methodsA 23-item questionnaire was developed and distributed online amongst European neurology residents and consultants via mailing lists of the European Academy of Neurology. The questions assessed demographics, current training opportunities and learning preferences in ANS disorders. Six multiple-choice questions were used to self-evaluate knowledge of ANS disorders.

resultsIn all, 285 individuals answered the survey (60% female, mostly 25-34 years of age). All respondents considered clinical autonomic skills necessary for good clinical neurological practice, and 92% would like to increase their ANS knowledge. Female respondents and those who trained in Southern/Eastern/Greater Europe more frequently judged ANS skills important for clinical practice than male respondents (p = 0.012) and respondents from Northern/Western Europe (p = 0.011). Female and younger respondents felt less confident in managing ANS disorders (p = 0.001 and p < 0.001, respectively). Respondents below 45 years of age (p < 0.001) and those with lower confidence in managing ANS disorders (p = 0.004) were more likely to recommend that ANS education is embedded in the residency curriculum.

conclusionsMost European neurology residents and consultants reported a need for more autonomic education, with additional gender, age and regional differences. These findings underscore the importance of increasing the educational content on autonomic medicine in European medical and postgraduate curricula.

Indexed as

Clinical CompetenceCurriculumInternship and ResidencyNeurologyAdultAutonomic Nervous SystemAutonomic Nervous System DiseasesConsultantsEuropeFemaleHumansMaleMiddle AgedSurveys and Questionnairesautonomic nervous system disordersclinical neurologymedical educationresidency program

Identifiers

PMID39387467
PMCPMC11555144

What OpenQuestion holds

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LicenceCC BY-NC
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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.