1. Multistep modeling applied to a Malaysian ALS registry.
- Author
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Capelle, David Paul, Sabirin, Wafa, Zulhairy-Liong, Nurul Angelyn, Edgar, Suzanna, Goh, Khean-Jin, Ahmad-Annuar, Azlina, and Shahrizaila, Nortina
- Subjects
AMYOTROPHIC lateral sclerosis ,AGE groups ,LEAST squares ,AGE of onset ,REGRESSION analysis - Abstract
Objective: To apply the multistep model of pathogenesis in amyotrophic lateral sclerosis (ALS) to data from a multiethnic Malaysian registry. Methods: Clinical data, including age at symptom onset, was collected from 289 patients who presented to our multidisciplinary clinic from 2016 until 2024. A least squares linear regression model was constructed from the logarithm of approximated incidence and the logarithm of age. Population incidence was approximated by adjusting the absolute numbers of patients in 5 year groups by the size of the general population in the respective age group. Results: A linear relationship between log of incidence versus log of age was observed, with a slope of 4.57 (95% CI, 3.3–5.8) and an r
2 value of 0.93, suggesting a 6-step process. Conclusion: Progression toward symptom onset in Malaysian ALS patients appears consistent with a multistep model of disease as observed in other cohorts. [ABSTRACT FROM AUTHOR]- Published
- 2025
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