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Tytuł:
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Milano-Torino Staging and Long-Term Survival in Chinese Patients with Amyotrophic Lateral Sclerosis.
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Autorzy:
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He R; Guangdong Provincial Key Laboratory of Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Department of Neurology, The First Affiliated Hospital, Sun Yat-sen University, No. 58 Zhongshan Road 2, Guangzhou 510080, China.
Zheng M; Guangdong Provincial Key Laboratory of Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Department of Neurology, The First Affiliated Hospital, Sun Yat-sen University, No. 58 Zhongshan Road 2, Guangzhou 510080, China.
Lian L; Guangdong Provincial Key Laboratory of Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Department of Neurology, The First Affiliated Hospital, Sun Yat-sen University, No. 58 Zhongshan Road 2, Guangzhou 510080, China.
Yao X; Guangdong Provincial Key Laboratory of Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Department of Neurology, The First Affiliated Hospital, Sun Yat-sen University, No. 58 Zhongshan Road 2, Guangzhou 510080, China.
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Źródło:
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Cells [Cells] 2021 May 17; Vol. 10 (5). Date of Electronic Publication: 2021 May 17.
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Typ publikacji:
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Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: Basel, Switzerland : MDPI
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MeSH Terms:
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Disability Evaluation*
Health Status Indicators*
Amyotrophic Lateral Sclerosis/*diagnosis
Adult ; Aged ; Amyotrophic Lateral Sclerosis/mortality ; Amyotrophic Lateral Sclerosis/physiopathology ; Amyotrophic Lateral Sclerosis/psychology ; China ; Communication ; Deglutition ; Disease Progression ; Female ; Health Status ; Humans ; Longitudinal Studies ; Male ; Mental Health ; Middle Aged ; Neuropsychological Tests ; Predictive Value of Tests ; Prognosis ; Reproducibility of Results ; Respiration ; Self Care ; Severity of Illness Index ; Time Factors ; Walking
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References:
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Grant Information:
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82001332 the Young Scientist Fund of National Natural Science Foundation of China; 2017YFC0907703 the National Key Research and Development Program of China; N/A Guangdong Provincial Engineering Center For Major Neurological Disease Treatment; N/A Guangdong Provincial Translational Medicine Innovation Platform for Diagnosis and Treatment of Major Neurological Disease; N/A Guangdong Provincial Clinical Research Center for Neurological Diseases; 2015B050501003 the Southern China International Cooperation Base for Early Intervention and Functional Rehabilitation of Neurological Diseases
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Contributed Indexing:
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Keywords: Milano–Torino staging; amyotrophic lateral sclerosis; long-term survival; neuropsychiatric factors
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Entry Date(s):
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Date Created: 20210602 Date Completed: 20211026 Latest Revision: 20211026
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Update Code:
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20240104
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PubMed Central ID:
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PMC8156970
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DOI:
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10.3390/cells10051220
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PMID:
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34067647
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(1) Background: The aim of this longitudinal study was to evaluate the association between disease progression according to the Milano-Torino staging (MITOS) system and long-term survival in Chinese patients with amyotrophic lateral sclerosis (ALS). We also examined factors affecting MITOS progression. (2) Methods: Patients were enrolled and underwent follow-up at 6, 12, 18, and 24 months, and their demographic and clinical data, including the Milano-Torino stage, Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) score and neuropsychiatric data, were evaluated. The sensitivity and specificity of predicting survival outcomes based on MITOS progression and ALSFRS-R score decline from baseline to 6 months were compared. The associations between MITOS progression from baseline to 6 months and survival outcome at 12, 18 and 24 months were examined, and factors associated with disease progression were evaluated with subgroup analyses. (3) Results: Among the 100 patients included, 74% were in stage 0 at baseline, and approximately 95% progressed to a higher stage of the MITOS system at 24 months. MITOS progression from baseline to 6 months and ALSFRS-R decline showed comparable value for predicting survival at 12, 18, and 24 months. MITOS progression from baseline to 6 months is strongly associated with death outcomes. Older age at onset and increased depression and anxiety scores may be related to disease progression. (4) Conclusions: MITOS progression during the early disease course could serve as a prognostic marker of long-term survival and may have utility in clinical trials. Age at onset and diagnosis and neuropsychiatric factors might be associated with disease progression.