Evidence map›Paper›PMID 19381772›Full record

ReviewNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2008

The rationale for improved integration between home care and neurology hospital services in patients with advanced Parkinson's disease.

Angelo Antonini, Luisa Mirò, Carlo Castiglioni, Gianni Pezzoli

Abstract readReview
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In one paragraph

Review in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Clinical problems in the hospitalized Parkinson's disease patient: systematic review.Movement disorders : official journal of the Movement Disorder Society · 2011
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. 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

4 authors.

Angelo AntoniniParkinson Institute Milan, Istituti Clinici di Perfezionamento, Via Bignami 1, Milan, Italy. angelo3000@yahoo.com
Luisa Mirò
Carlo Castiglioni
Gianni Pezzoli

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Management of patients with advanced Parkinson's disease (PD) should benefit from improved integration between in-hospital services and home care. In Italy the number of PD hospital admissions is large but there are no guidelines of appropriateness to address queries of health authorities on resource allocation. Reasons for hospitalisation are often linked primarily to the occurrence of falls or infections leading to admission in internal medicine wards rather than neurology. This could be reduced if severe patients were provided with regular nursing and rehabilitation services at their homes and neurologists were actively involved in this process. Moreover, the application of infusion therapies (apomorphine or duodenal levodopa infusion) or deep brain stimulation would require integration with home care services after patient discharge. Here we propose a management algorithm that we believe would facilitate care and eventually lead to an optimisation of resource allocations for advanced PD patients. This would reduce unnecessary internal medicine hospitalisations and further highlight the role of neurologists as a key health care figure.

Indexed as

NeurologyAntiparkinson AgentsDeep Brain StimulationHome Care Services, Hospital-BasedHospital DepartmentsHumansParkinson DiseaseAntiparkinson Agents

Identifiers

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.