Evidence map›Paper›PMID 28065487›Full record

Trial reportBrain stimulation

The effect of unilateral subthalamic nucleus deep brain stimulation on depression in Parkinson's disease.

Elizabeth L Birchall, Harrison C Walker, Gary Cutter, Stephanie Guthrie, Allen Joop, Raima A Memon, Ray L Watts, David G Standaert, Amy W Amara

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Brain stimulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

20 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Deep brain stimulation and pallidotomy in primary Meige syndrome: a prospective cohort study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  5. Review
  6. Article
  7. Deep brain stimulation for post-stroke rehabilitation in Pakistan.Annals of medicine and surgery (2012) · 2024
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Observational
  18. Treatment of Sleep Dysfunction in Parkinson's Disease.Current treatment options in neurology · 2017
    Review
  19. Article
  20. 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

9 authors at 2 institutions in 1 country.

Elizabeth L BirchallSchool of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.
Harrison C WalkerDivision of Movement Disorders, Department of Neurology, University of Alabama at Birmingham, Birmingham, AL, United States; Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, AL, United States.
Gary CutterDepartment of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, United States.
Stephanie GuthrieDivision of Movement Disorders, Department of Neurology, University of Alabama at Birmingham, Birmingham, AL, United States.
Allen JoopDivision of Movement Disorders, Department of Neurology, University of Alabama at Birmingham, Birmingham, AL, United States.
Raima A MemonDivision of Movement Disorders, Department of Neurology, University of Alabama at Birmingham, Birmingham, AL, United States.
Ray L WattsDivision of Movement Disorders, Department of Neurology, University of Alabama at Birmingham, Birmingham, AL, United States.
David G StandaertDivision of Movement Disorders, Department of Neurology, University of Alabama at Birmingham, Birmingham, AL, United States.
Amy W AmaraDivision of Movement Disorders, Department of Neurology, University of Alabama at Birmingham, Birmingham, AL, United States. Electronic address: amyamara@uab.edu.
University of Alabama at Birmingham · USUniversity of Alabama at Birmingham Hospital · US

Funding

UAB Center for Clinical and Translational Science (CCTS)UL1TR001417 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KIMBERLY, ROBERT P. · 2015 to 2018
$31.4M
NRSA Training CoreTL1TR001864 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$9.9M
Noninvasive Biomarkers to Advance Emerging DBS Electrode Technologies in Parkinson's DiseaseUH3NS100553 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WALKER, HARRISON CARROLL · 2016 to 2021
$7.3M
The Effect of Low Frequency STN DBS on Sleep and Vigilance in PD PatientsK23NS080912 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AMARA, AMY WILLIS · 2012 to 2016
$934k
Clinical and neurophysiological study of subthalamic brain stimulation in PDK23NS067053 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WALKER, HARRISON CARROLL · 2010 to 2014
$877k
Yale University Clinical and Translational Science Award ProgramTL1TR000141 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$720k
NCATS NIH HHS TL1 TR000141NCATS NIH HHS TL1 TR001864NCATS NIH HHS UL1 TR001417NINDS NIH HHS K23 NS067053NINDS NIH HHS K23 NS080912NINDS NIH HHS UH3 NS100553
6 · The paper itself

Abstract

backgroundDepression is common in Parkinson's disease (PD) and adversely affects quality of life. Both unilateral and bilateral subthalamic (STN) deep brain stimulation (DBS) effectively treat the motor symptoms of PD, but questions remain regarding the impact of unilateral STN DBS on non-motor symptoms, such as depression.

methodsWe report changes in depression, as measured by the Hamilton Depression Rating Scale (HAMD-17), in 50 consecutive PD patients who underwent unilateral STN DBS. Participants were also evaluated with UPDRS part III, Parkinson's Disease Questionnaire-39, and Pittsburgh Sleep Quality Index. The primary outcome was change in HAMD-17 at 6 months versus pre-operative baseline, using repeated measures analysis of variance (ANOVA). Secondary outcomes included the change in HAMD-17 at 3, 12, 18, and 24 months post-operatively and correlations amongst outcome variables using Pearson correlation coefficients. As a control, we also evaluated changes in HAMD-17 in 25 advanced PD patients who did not undergo DBS.

resultsParticipants with unilateral STN DBS experienced significant improvement in depression 6 months post-operatively (4.94 ± 4.02) compared to preoperative baseline (7.90 ± 4.44) (mean ± SD) (p = <0.0001). HAMD-17 scores did not correlate with UPDRS part III at any time-point. Interestingly, the HAMD-17 was significantly correlated with sleep quality and quality of life at baseline, 3 months, and 6 months post-operatively. Participants without DBS experienced no significant change in HAMD-17 over the same interval.

conclusionUnilateral STN DBS improves depression 6 months post-operatively in patients with PD. Improvement in depression is maintained over time and correlates with improvement in sleep quality and quality of life.

Indexed as

AdultAgedDeep Brain StimulationDepressionFemaleHumansMaleMiddle AgedParkinson DiseaseQuality of LifeSubthalamic NucleusDeep brain stimulationDepressionNon-motor symptomsParkinson's diseaseSleepSubthalamic nucleus

Identifiers

PMID28065487
PMCPMC5410399
OpenAlexW2563422927

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.