Evidence map›Paper›PMID 19515253›Full record

Trial reportBMC neurology2009

Dopamine Agonists and their risk to induce psychotic episodes in Parkinson's disease: a case-control study.

Daniel Ecker, Alexander Unrath, Jan Kassubek, Michael Sabolek

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC neurology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
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

23 citing papers in PubMed, 79 citations in OpenAlex.

  1. Gray Matter Volume Loss in Parkinson's Disease Psychosis and Cannabinoid Receptor Gene Expression in the Brain.Movement disorders : official journal of the Movement Disorder Society · 2026
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  12. Levodopa/carbidopa intestinal gel (LCIG) infusion as mono- or combination therapy.Journal of neural transmission (Vienna, Austria : 1996) · 2017
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  20. The effect of dopamine agonists on adaptive and aberrant salience in Parkinson's disease.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2012
    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 at 2 institutions in 1 country.

Daniel EckerDepartment of Neurology, University of Ulm, Ulm 89081, Germany. daniel.ecker@focus-cdd.de
Alexander Unrath
Jan Kassubek
Michael Sabolek
Universität Ulm · DEUniversitätsmedizin Greifswald · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsychosis is rare in untreated patients with Parkinson's disease (PD) but the prevalence rises to 40% during dopaminergic treatment. So far, no systematic comparison of the psychogenic potential of different dopaminergic drugs had been performed.

methodsEighty PD patients with psychotic episodes were compared to an age-matched control group of PD patients without psychotic episodes (n = 120) in a cross-sectional retrospective study.

resultsWe found a positive correlation between psychotic episodes and dementia, number of concomitant medication, and pergolide intake. Odds ratio calculation confirmed the association with dementia. With respect to dopaminergic treatment, pergolide showed the highest odds ratio, levodopa the lowest. An adjusted logistic regression model confirmed the strong association with psychotic episodes and pergolide and no association with levodopa (adjusted odds ratio 2.01 and 0.11, respectively).

conclusionThe analysis indicates that dementia and concomitant medication are factors in PD associated with psychotic symptoms. Furthermore, different dopaminergic drugs showed markedly different associations with psychotic symptoms.

Indexed as

AgedCase-Control StudiesCross-Sectional StudiesDopamine AgonistsFemaleHumansLogistic ModelsMaleMental DisordersOdds RatioParkinson DiseaseRetrospective StudiesDopamine Agonists

Identifiers

PMID19515253
PMCPMC2704166
OpenAlexW2059614355

What OpenQuestion holds

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Registered trials

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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.