Evidence map›Paper›PMID 28638698›Full record

ArticleBrain and behavior2017

Atypical antipsychotic therapy in Parkinson's disease psychosis: A retrospective study.

Mei Yuan, Laura Sperry, Norika Malhado-Chang, Alexandra Duffy, Vicki Wheelock, Sarah Farias, Kevin O'Connor, John Olichney, Kiarash Shahlaie, Lin Zhang

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  3. Review
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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

10 authors at 1 institution in 2 countries.

Mei YuanDepartment of Neurology The Second Affiliated Hospital University Of South China Hengyang Hunan China.
Laura SperryDepartment of Neurology UC Davis Medical Center Sacramento CA USA.
Norika Malhado-ChangDepartment of Neurology UC Davis Medical Center Sacramento CA USA.
Alexandra DuffyDepartment of Neurology UC Davis Medical Center Sacramento CA USA.
Vicki WheelockDepartment of Neurology UC Davis Medical Center Sacramento CA USA.
Sarah FariasDepartment of Neurology UC Davis Medical Center Sacramento CA USA.
Kevin O'ConnorCenter for Neuroscience and Department of Neurobiology, Physiology and Behavior UC Davis Medical Center UC Davis Sacramento CA USA.
John OlichneyCenter for Neuroscience and Department of Neurobiology, Physiology and Behavior UC Davis Medical Center UC Davis Sacramento CA USA.
Kiarash ShahlaieDepartment of Neurologic Surgery UC Davis Medical Center Sacramento CA USA.
Lin ZhangDepartment of Neurology UC Davis Medical Center Sacramento CA USA.
University of California Davis Medical Center · US

Funding

UC Davis Alzheimer's Disease Core CenterP30AG010129 · NIA · UNIVERSITY OF CALIFORNIA DAVIS · PI DECARLI, CHARLES · 1991 to 2020
$28.3M
NIA NIH HHS P30 AG010129
6 · The paper itself

Abstract

objectiveParkinson's disease psychosis (PDP) is a frequent complication of idiopathic Parkinson's disease (iPD) with significant impact on quality of life and association with poorer outcomes. Atypical antipsychotic drugs (APDs) are often used for the treatment of PDP; however, their use is often complicated by adverse drug reactions (ADRs). In this study, we present patients with PDP who were treated with the most commonly used atypical antipsychotic agents and review their respective ADRs.

methodsA retrospective study was carried out to include a total of 45 patients with iPD who visited a movement disorders clinic between 2006 and 2015. All PDP patients treated with atypical APDs were included in the analysis for their specific ADRs.

resultsForty-five iPD patients (mean age of onset: 62.67 ± 9.86 years) were included, of those 10 patients had psychosis (mean age of onset: 76.80 ± 4.61 years). Of the 45 patients, 22.2% were found to have psychotic symptoms, of whom 70% had hallucinations, 20% had delusions, and 10% illusions. Seventy percent of psychotic symptoms occurred after ten or more years from diagnosis of iPD. PDP patients were treated with quetiapine, olanzapine, and risperidone separately or in combination, all of which were found to have certain ADRs. LIMITATIONS: This study was limited by its retrospective study design and small sample size and with likely selection bias.

conclusionsThe prevalence of PDP is relatively high in older patients with iPD. The uses of the currently available atypical APDs in this patient population are often complicated by ADRs. The selective 5-HT

Indexed as

BenzodiazepinesDrug-Related Side Effects and Adverse ReactionsParkinson DiseasePiperidinesQuality of LifeAgedAntipsychotic AgentsFemaleHumansMaleMiddle AgedOlanzapineOutcome and Process Assessment, Health CarePsychological TechniquesPsychotic DisordersRetrospective StudiesAntipsychotic AgentsBenzodiazepinesOlanzapinepimavanserinPiperidinesUreaadverse drug reactionsantipsychoticsParkinson's diseaseParkinson's disease psychosis

Identifiers

PMID28638698
PMCPMC5474696
OpenAlexW2607035188

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.