Evidence map›Paper›PMID 39762226›Full record

ArticleNature communications2025

A 15-Item modification of the PSP rating scale to improve clinical meaningfulness and statistical performance.

Tien Dam, Lili Yang, Colin Gillis, Yumeng Li, John O'Gorman, Barbara Kolb, Adam L Boxer, Lawrence Golbe, Samantha Budd Haeberlein, AL-108-231, PROSPERA, and 4RTNI investigators

Abstract read
In one paragraph

Article in Nature communications, 2025. 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. Review
  2. Article
  3. Review
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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

10 authors.

Tien DamBiogen Inc, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-7786-5825
Lili YangBiogen Inc, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-6975-3145
Colin GillisBiogen Inc, Cambridge, MA, USA.
Yumeng LiBiogen Inc, Cambridge, MA, USA.
John O'GormanBiogen Inc, Cambridge, MA, USA. john.ogorman@biogen.com.ORCID http://orcid.org/0000-0001-6549-4038
Barbara KolbBiogen Inc, Cambridge, MA, USA.
Adam L BoxerMemory and Aging Center, Department of Neurology, University of California, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-1215-5064
Lawrence GolbeRutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Samantha Budd HaeberleinBiogen Inc, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-4824-646X
AL-108-231, PROSPERA, and 4RTNI investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Progressive supranuclear palsy (PSP) is a rare neurodegenerative disorder characterized by physical, cognitive, and behavioral impairments. The PSP Rating Scale (PSPRS) is a widely used and validated, clinical scale to monitor disease progression. Here we show the modification of PSPRS to improve clinical meaningfulness and sensitivity. A conceptual framework was used to select meaningful items. Datasets were analyzed to improve the psychometric properties, understand factor structure, and develop a scoring algorithm. Fifteen items of the PSPRS were selected based on whether the items reflect concepts specific to the disease and those responsive to change over 12 months. Some items were rescored to reflect meaningful changes and to improve discrimination and reliability. The rescored 15-item PSPRS was more interpretable and sensitive to disease progression over 12 months. The approach to develop the 15-item PSPRS provides an example of how to modify an existing clinical outcome assessment for use as a primary endpoint in a clinical trial of a progressive neurological disorder.

Indexed as

Disease ProgressionPsychometricsSupranuclear Palsy, ProgressiveAgedAged, 80 and overAlgorithmsFemaleHumansMaleMiddle AgedReproducibility of ResultsSeverity of Illness Index

Identifiers

PMID39762226
PMCPMC11704054

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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.