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Development of a simplified smell test to identify Parkinson’s disease using multiple cohorts, machine learning and item response theory
Juan Li, Kelsey F. Grimes, Joseph Saade, Julianna J. Tomlinson, Tiago Mestre, Sebastian Schade, Sandrina Weber, Mohammed Dakna et al.. npj Parkinson s Disease, 2025-04-23
Topic: Brain proteins, microglia and lab models
To develop a simplified smell test for identifying patients with Parkinson's disease (PD), we reevaluated the Sniffin'-Sticks-Identification-Test (SST-ID) and University-of-Pennsylvania-Smell-Identification-Test (UPSIT), using three case-control studies. These included 301 patients with PD or dementia with Lewy bodies (DLB), 68 subjects with multiple-system atrophy (MSA) or progressive supranuclear palsy (PSP), and 281 healthy controls (HC). Scents were ranked by area-under-the-curve values for group classification and results leveraged by 8 published studies with 5853 individuals. PD/DLB patients showed markedly worse olfaction than controls, whereas scores for MSA/PSP subjects were intermediate. We identified and validated a subset of 7 shared odorants that performed similarly to the traditional 16-scent SST-ID and 40-scent UPSIT tests in distinguishing PD/DLB from HC. There, the identification of 4 or fewer scents out of 7 served as an effective cut-off between the two groups. We also identified a critical role for distractors (from correct answers) and age on olfaction performance.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Li, J., Grimes, K. F., Saade, J., Tomlinson, J. J., Mestre, T., Schade, S., et al. (2025). Development of a simplified smell test to identify Parkinson’s disease using multiple cohorts, machine learning and item response theory. npj Parkinson s Disease. https://doi.org/10.1038/s41531-025-00904-5
Vancouver
Li J, Grimes KF, Saade J, Tomlinson JJ, Mestre T, Schade S, et al. Development of a simplified smell test to identify Parkinson’s disease using multiple cohorts, machine learning and item response theory. npj Parkinson s Disease. 2025. doi:10.1038/s41531-025-00904-5. PMID: 40268961.
BibTeX
@article{li2025-40268961,
author = {Li, Juan and Grimes, Kelsey F. and Saade, Joseph and Tomlinson, Julianna J. and Mestre, Tiago and Schade, Sebastian and Weber, Sandrina and Dakna, Mohammed and others},
title = {{Development of a simplified smell test to identify Parkinson’s disease using multiple cohorts, machine learning and item response theory}},
journal = {npj Parkinson s Disease},
year = {2025},
doi = {10.1038/s41531-025-00904-5},
pmid = {40268961},
url = {https://doi.org/10.1038/s41531-025-00904-5}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
Key findings
- Scents were ranked by area-under-the-curve values for group classification and results leveraged by 8 published studies with 5853 individuals.
Why it matters
This study developed a simplified 7-odorant smell test that performed similarly to longer tests in distinguishing Parkinson's disease and dementia with Lewy bodies from healthy controls. It is a diagnostic aid for these conditions, not a treatment, cure or prevention for Alzheimer's disease.
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Study details
- Study designcase-control study
- Participants301
- Evidence strengthModerate
How this study scored 54/100
Published in a peer-reviewed journal, and it is a case-control study. Scored zero for effect reported and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (npj Parkinson s Disease) |
| Journal's citation record | 1 / 4 | Npj Parkinson s Disease: journal h-index 87 (OpenAlex, 2026-10-29) |
| Study design | 6 / 12 | A case-control study |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 2 / 4 | 301 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 2 / 7 | Cited 8 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 2.7 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 3 / 6 | Cited 4.7× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 8 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Michael G. Schlossmacher: h-index 55 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | University of Göttingen: institution h-index 934 (OpenAlex) |
| Multicenter collaboration | 3 / 3 | OpenAlex lists 11 institution(s) in 3 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40268961) |
| Free to read | 2 / 2 | Free to read |
| Total | 54 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1038/s41531-025-00904-5
- PubMed: 40268961
- Original source →
- Free full text: npj Parkinson s Disease →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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