Evidence map›Paper›PMID 40542589›Full record

ArticleAnnals of clinical and translational neurology2025

Cognitive and Patient-Reported Outcome Measures in LGI-1-IgG Autoimmune Encephalitis.

Tatchaporn Ongphichetmetha, Carol Swetlik, Nicolas Thompson, Albert Aboseif, Vineet Punia, Brittany Lapin, Jeffrey A Cohen, Rachel Galioto, Amy Kunchok

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Observational
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

9 authors.

Tatchaporn OngphichetmethaMellen Center, Cleveland Clinic, Cleveland, Ohio, USA.ORCID 0000-0002-9063-2575
Carol SwetlikMellen Center, Cleveland Clinic, Cleveland, Ohio, USA.
Nicolas ThompsonLerner Research Institute Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, Ohio, USA.
Albert AboseifCenter for Multiple Sclerosis & Autoimmune Neurology, Department of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.ORCID 0000-0001-5053-8544
Vineet PuniaEpilepsy Center, Cleveland Clinic, Cleveland, Ohio, USA.ORCID 0000-0002-0552-6736
Brittany LapinLerner Research Institute Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, Ohio, USA.
Jeffrey A CohenMellen Center, Cleveland Clinic, Cleveland, Ohio, USA.
Rachel GaliotoMellen Center, Cleveland Clinic, Cleveland, Ohio, USA.
Amy KunchokMellen Center, Cleveland Clinic, Cleveland, Ohio, USA.ORCID 0000-0002-8387-6491

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveClinical outcome measures for autoimmune encephalitis (AE) are not yet well defined. Cognitive outcome measures (CogOs) and patient-reported outcomes (PROs) may capture the symptoms of AE, beyond clinician-reported outcomes (ClinROs) (the Modified Rankin Scale [mRS] and Clinical Assessment Scale in Autoimmune Encephalitis [CASE]).

methodsThis retrospective cohort study examined LGI-1-IgG AE patients at Cleveland Clinic. CogOs included the Rey Auditory Verbal Learning Test (RAVLT) and Brief Visuospatial Memory Test (BVMT). PROs included Neuro-QoL, PROMIS Global Physical (GPH) and Mental Health (GMH). Abnormal RAVLT, BVMT (≤ -1.5 SD), Neuro-QoL, and PROMIS (≥ 10 T-scores) proportions were analyzed. CogOs and PROs were correlated with ClinROs using Spearman's rank correlation.

resultsForty-four patients (64% male, mean age 68 [SD = 11], median follow-up 19 months) were included. ClinROs improved, with median mRS decreasing from 2.5 (IQR = 2-3) to 2 (IQR = 1-2), and CASE from 5 (IQR = 3-6) to 3 (IQR = 2-3) (all p < 0.05). RAVLT (n = 15), BVMT (n = 16), Neuro-QoL (n = 21), and PROMIS (n = 34) were available. At > 12 months from diagnosis, cognition was impaired on BVMT (56%) and RAVLT (20%). PROs showed impairments in Neuro-QoL lower (38%) and upper (27%) extremity function, cognition (31%), and PROMIS-GPH (25%). RAVLT correlated with Neuro-QoL cognition, depression, and stigma, while BVMT correlated with PROMIS-GMH (all unadjusted p < 0.05). Neither RAVLT nor BVMT correlated with ClinROs. ClinROs correlated with Neuro-QoL lower extremity function, cognition, and social roles (all p < 0.05).

interpretationLGI-1-IgG AE patients have long-term impairments in cognition, physical health, and social roles, which can be objectively measured using CogOs and PROs and are not captured by ClinROs.

Indexed as

Autoimmune Diseases of the Nervous SystemCognitive DysfunctionEncephalitisHashimoto DiseasePatient Reported Outcome MeasuresAgedAutoantibodiesFemaleHumansImmunoglobulin GIntracellular Signaling Peptides and ProteinsMaleMiddle AgedNeuropsychological TestsQuality of LifeRetrospective StudiesAutoantibodiesImmunoglobulin GIntracellular Signaling Peptides and ProteinsLGI1 protein, humanautoimmunecognitionencephalitisLGI1patient‐reported outcomesquality of lifeseizures

Identifiers

PMID40542589
PMCPMC12343301

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.