Evidence map›Paper›PMID 40682316›Full record

ReviewMovement disorders : official journal of the Movement Disorder Society2025

Unravelling the Global Tapestry of Genetic Ataxias: Epidemiology and Genetic Testing Approaches.

Malco Rossi, Christopher D Stephen, Joana Damásio, José Luiz Pedroso, Sheng-Han Kuo, Chi-Ying R Lin, Oluwadamilola Ojo, Shaimaa El-Jaafary, Woong-Woo Lee, Harutyun Madoev and 4 more

Abstract readReview
In one paragraph

Review in Movement disorders : official journal of the Movement Disorder Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Spectrum of Hereditary Ataxia in Omani Children.Journal of clinical medicine · 2026
    Article
  6. CGG Repeat Expansion in GIPC1 is Associated with Childhood-Onset Hereditary Ataxia.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  7. Article
  8. Article
  9. Review
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

14 authors.

Malco RossiSección de Movimientos Anormales, Departamento de Neurología, Fleni, Buenos Aires, Argentina.ORCID 0000-0003-3383-8566
Christopher D StephenAtaxia Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-4727-192X
Joana DamásioNeurology Department, Centro Hospitalar Universitário de Santo António, Porto, Portugal.ORCID 0000-0002-6539-6398
José Luiz PedrosoDepartment of Neurology, Ataxia Unit, Universidade Federal de São Paulo, São Paulo, Brazil.ORCID 0000-0002-1672-8894
Sheng-Han KuoDepartment of Neurology, Columbia University Medical Center, New York, New York, USA.
Chi-Ying R LinAlzheimer's Disease and Parkinson's Disease Centers, Department of Neurology, Baylor College of Medicine, Houston, Texas, USA.
Oluwadamilola OjoCollege of Medicine, University of Lagos, Lagos, Nigeria.ORCID 0000-0001-6461-2653
Shaimaa El-JaafaryNeurology Department, Kasr Al-Ainy School of Medicine, Cairo University, Cairo, Egypt.
Woong-Woo LeeDepartment of Neurology, Nowon Eulji Medical Center, Eulji University, Seoul, Korea.
Harutyun MadoevInstitute of Neurogenetics, University of Lübeck, Lübeck, Germany.
Orlando G P BarsottiniDepartment of Neurology, Ataxia Unit, Universidade Federal de São Paulo, São Paulo, Brazil.
Achal Kumar SrivastavaDepartment of Neurology, All India Institute of Medical Sciences, New Delhi, India.ORCID 0000-0002-4590-7947
Christine KleinInstitute of Neurogenetics, University of Lübeck, Lübeck, Germany.
Bart P van de WarrenburgDepartment of Neurology, Radboud University Medical Center, Nijmegen, The Netherlands.

Funding

Clinical Trial Readiness In X-Linked Dystonia Parkinsonism: Assessment of Sensor-Based And Blood Biomarkers for Early Detection and Monitoring Disease ProgressionK23NS118045 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI STEPHEN, CHRISTOPHER D · 2021 to 2025
$1.1M
NINDS NIH HHS K23 NS118045
6 · The paper itself

Abstract

The landscape of genetic ataxias is influenced by migration, population genetics, consanguinity, and founder effects, resulting in significant regional variation. Within the expanding domain of genetic ataxias, knowledge of regional epidemiology is scarce, particularly outside of North America and Europe. Understanding the epidemiology of genetic ataxias, together with deep phenotyping and knowledge of the appropriate ancillary studies, is crucial for the development and deployment of diagnostic testing strategies. This review offers a comprehensive, data-driven overview of 2932 articles with regional epidemiological estimates and the occurrence and prevalence of 548 genes associated with ataxia across 122 countries. Regional differences in epidemiology and phenotypic spectra are highlighted, driving an approach that incorporates complementary diagnostic test results and how these may inform cost-effective, region-specific genetic testing. All data are also publicly available as an online database, the MDSGene Global Genetic Ataxia Resource, accessible at https://www.mdsgene.org/ataxia.html. A phenotype-guided, tailored, and sequential testing approach is proposed, based on regional prevalence, to assist clinicians worldwide in diagnosing individuals with presumed genetic ataxia, of which at least 45 causes are treatable. This approach is particularly important in underserved regions, but also in developed countries where health systems limit access to genetic testing, improving the cost-effectiveness and feasibility of genetic testing in these areas. Future screening studies in high-income settings should adopt a more comprehensive approach, integrating broader genetic testing that covers the full range of genetic ataxias. Capacity building for genetic screening in underserved regions, particularly in Africa, South America, and the Middle East, should be prioritized. © 2025 International Parkinson and Movement Disorder Society.

Indexed as

AtaxiaGenetic TestingHumansalgorithmepidemiologygenetic ataxiagenetic testingprevalence

Identifiers

PMID40682316
PMCPMC12291621

What OpenQuestion holds

Textmetadata
LicenceTDM
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.