Evidence map›Paper›PMID 42710846›Full record

Observational studyArquivos de neuro-psiquiatria2026

Evaluation of a self-administered version of the Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R).

Thais Alves Cunha, Laura Carvalheira Dourado, Glauciane Costa Santana, Mário Teruo Yanagiura, Leonardo Judson Galvão-Lima, Sancha Helena de Lima Vale, José Brandão-Neto, Mário Emílio Teixeira Dourado-Junior, Lucia Leite-Lais

Abstract readObservational StudyEvaluation Study
In one paragraph

Observational study in Arquivos de neuro-psiquiatria, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Thais Alves CunhaUniversidade Federal do Rio Grande do Norte, Programa de Pós-graduação em Ciências da Saúde, Natal RN, Brazil.ORCID 0000-0002-9932-2338
Laura Carvalheira DouradoUniversidade Federal do Rio Grande do Norte, Programa de Pós-graduação em Nutrição, Natal RN, Brazil.ORCID 0000-0001-9509-3681
Glauciane Costa SantanaUniversidade Federal do Rio Grande do Norte, Hospital Universitário Onofre Lopes, Natal RN, Brazil.ORCID 0000-0002-3527-2618
Mário Teruo YanagiuraUniversidade Federal do Rio Grande do Norte, Hospital Universitário Onofre Lopes, Natal RN, Brazil.ORCID 0000-0003-3031-1574
Leonardo Judson Galvão-LimaUniversidade Federal do Rio Grande do Norte, Laboratório de Inovação Tecnológica em Saúde, Natal RN, Brazil.ORCID 0000-0002-4860-9734
Sancha Helena de Lima ValeUniversidade Federal do Rio Grande do Norte, Programa de Pós-graduação em Ciências da Saúde, Natal RN, Brazil.ORCID 0000-0002-0972-1678
José Brandão-NetoUniversidade Federal do Rio Grande do Norte, Programa de Pós-graduação em Ciências da Saúde, Natal RN, Brazil.ORCID 0000-0003-3414-5171
Mário Emílio Teixeira Dourado-JuniorUniversidade Federal do Rio Grande do Norte, Departamento de Medicina Integrada, Natal RN, Brazil.ORCID 0000-0002-9462-2294
Lucia Leite-LaisUniversidade Federal do Rio Grande do Norte, Departamento de Nutrição, Natal RN, Brazil.ORCID 0000-0002-8061-7048

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) 88887.824483/2023-00
6 · The paper itself

Abstract

Background: The Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R) is a standard tool for evaluating functional decline in patients with ALS. Despite its clinical value, administration by healthcare professionals can be time-consuming and resource intensive. Objective: To assess the reliability and feasibility of a self-administration version of the ALSFRS-R as an alternative for use in clinical and research settings. Methods: The present was an observational, analytical, prospective, single-center study involving ALS patients followed at the Neurology Outpatient Clinic of the Hospital Universitário Onofre Lopes (HUOL). Three independent assessments of the ALSFRS-R were conducted: one self-administered version and two interviewer-administered versions performed by different researchers during face-to-face consultations. Interrater reliability was assessed using intraclass correlation coefficients (ICCs), and agreement among the three versions was analyzed using Bland-Altman plots. Results: A total of 43 participants were included in the study, with a mean age of 57 ± 11.67 years. The ICCs indicated high reliability for both the total ALSFRS-R score and its functional domains. Linear regression analyses demonstrated strong agreement between the two researchers (R Conclusion: The self-administered version of the ALSFRS-R demonstrated high reliability and strong agreement with the researcher-administered versions, supporting its potential use for remote monitoring of ALS patients. Nonetheless, it should not replace professional assessments in clinical trial settings. Further research is warranted to validate its applicability in broader clinical contexts and diverse patient populations.

Indexed as

Amyotrophic Lateral SclerosisDisability EvaluationAdultAgedFeasibility StudiesFemaleHumansMaleMiddle AgedObserver VariationProspective StudiesReproducibility of ResultsSeverity of Illness IndexSurveys and Questionnaires

Identifiers

PMID42710846
PMCPMC13553132

What OpenQuestion holds

Textmetadata
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.