Evidence map›Paper›PMID 41346098›Full record

ArticleMovement disorders : official journal of the Movement Disorder Society2026

Delayed Disease Onset Report in UK Biobank: Implications for Prodromal Studies in Parkinson's Disease.

Sheida Zolfaghari, Trycia Kouchache, Aline Delva, Sarah Bouhadoun, Mirja Kuhlencord, Amélie Pelletier, Alastair J Noyce, Sheena Waters, Daniel Belete, Tim Wilkinson and 6 more

Abstract read
In one paragraph

Article in Movement disorders : official journal of the Movement Disorder Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Wearable Movement-Tracking for Prodromal Parkinson's Disease Detection: A Cross-Country Validation Study.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  2. Risk Factors for the Diagnosis of Progressive Supranuclear Palsy in the UK Biobank.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  3. 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

16 authors.

Sheida ZolfaghariIntegrated Program in Neuroscience, McGill University, Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0002-2269-7473
Trycia KouchacheIntegrated Program in Neuroscience, McGill University, Montreal, Quebec, Canada.ORCID https://orcid.org/0009-0009-6970-806X
Aline DelvaResearch Institute of the McGill University Health Centre, Montreal, Quebec, Canada.
Sarah BouhadounIntegrated Program in Neuroscience, McGill University, Montreal, Quebec, Canada.
Mirja KuhlencordDepartment of Neurology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Amélie PelletierResearch Institute of the McGill University Health Centre, Montreal, Quebec, Canada.
Alastair J NoyceCentre for Preventive Neurology, Wolfson Institute of Population Health, Queen Mary University of London, London, United Kingdom.ORCID https://orcid.org/0000-0003-3027-5497
Sheena WatersCentre for Preventive Neurology, Wolfson Institute of Population Health, Queen Mary University of London, London, United Kingdom.
Daniel BeleteCentre for Preventive Neurology, Wolfson Institute of Population Health, Queen Mary University of London, London, United Kingdom.ORCID https://orcid.org/0000-0002-0026-962X
Tim WilkinsonCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.ORCID https://orcid.org/0000-0001-8952-0982
Kathryn BushPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Filip MorysThe Neuro, Department of Neurology and Neurosurgery, McGill University, Montreal, Quebec, Canada.
Andrew VoThe Neuro, Department of Neurology and Neurosurgery, McGill University, Montreal, Quebec, Canada.
Kristiina RannikmaeCentre for Medical Informatics, Usher Institute, University of Edinburgh, Edinburgh, United Kingdom.
Alain DagherResearch Institute of the McGill University Health Centre, Montreal, Quebec, Canada.
Ronald B PostumaResearch Institute of the McGill University Health Centre, Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0002-6468-4734

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUK Biobank (UKBB) provides extensive genetic, imaging, and health data for ~500,000 participants, enabling studies of prodromal phases of diseases like Parkinson's disease (PD). However, during analysis, we became concerned about the accuracy of diagnosis timing.

objectiveTo evaluate the accuracy of PD diagnosis timing in UKBB.

methodsWe examined PD diagnosis timing using hospital, primary care, death records, and self-reported data. We assessed discrepancies between sources and identified co-occurring diagnoses recorded on the same date as PD.

resultsAmong 3979 PD cases, 97% of the 786 participants with both self-reported and electronic health records (EHRs) reported their diagnosis earlier than recorded in the EHR, with a typical delay of 5 to 7 years. Multiple codiagnoses were often logged on the same date, suggesting retrospective or batch data entry.

conclusionsSubstantial delays in PD documentation may misclassify already diagnosed individuals as prodromal. This introduces significant bias into studies of early disease markers and distorts the timing between risk factors and clinical onset. © 2025 The Author(s). Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Indexed as

Biological Specimen BanksDelayed DiagnosisParkinson DiseaseProdromal SymptomsAgedElectronic Health RecordsFemaleHumansMaleMiddle AgedSelf ReportUK BiobankUnited Kingdomdocumentation delaymisclassification biasParkinson's diseaseprodromal phaseUK Biobank

Identifiers

PMID41346098
PMCPMC13022580

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.