Evidence map›Paper›PMID 28702850›Full record

ReviewJournal of neural transmission (Vienna, Austria : 1996)2017

Nonmotor fluctuations: phenotypes, pathophysiology, management, and open issues.

Joseph Classen, Jiri Koschel, Christian Oehlwein, Klaus Seppi, Peter Urban, Christian Winkler, Ullrich Wüllner, Alexander Storch

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of neural transmission (Vienna, Austria : 1996), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
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

17 citing papers in PubMed, 29 citations in OpenAlex.

  1. Prevalence and state-dependent patterns of non-motor fluctuations in Parkinson's disease.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Article
  2. Article
  3. Non-motor fluctuations in Parkinson's disease: frequency and clinical correlate.Journal of neural transmission (Vienna, Austria : 1996) · 2026
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  10. Human VInternational journal of reproductive biomedicine · 2023
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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

8 authors at 6 institutions in 2 countries.

Joseph ClassenDepartment of Neurology, University of Leipzig, 04103, Leipzig, Germany. joseph.classen@medizin.uni-leipzig.de.
Jiri KoschelParkinson-Klinik Ortenau, 77709, Wolfach, Germany.
Christian Oehlwein, Lasurstr. 27, 07551, Gera, Germany.
Klaus SeppiDepartment of Neurology, Medical University Innsbruck and Neuroimaging Research Core Facility, Medical University Innsbruck, Innsbruck, Austria.
Peter UrbanDepartment of Neurology, Asklepios Klinik Barmbek, 22291, Hamburg, Germany.
Christian WinklerDepartment of Neurology, Lindenbrunn Hospital, 31863, Coppenbrügge, Germany.
Ullrich WüllnerDepartment of Neurology, University of Bonn, 53127, Bonn, Germany.
Alexander StorchDepartment of Neurology, University of Rostock, 18147, Rostock, Germany.
German Center for Neurodegenerative Diseases · DEAsklepios Klinik Barmbek · DEInnsbruck Medical University · ATKrankenhaus Lindenbrunn · DELeipzig University · DEParkinson-Klinik Ortenau · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Parkinson's disease (PD) is a neurodegenerative multisystem disorder characterized by progressive motor symptoms such as bradykinesia, tremor and muscle rigidity. Over the course of the disease, numerous non-motor symptoms, sometimes preceding the onset of motor symptoms, significantly impair patients' quality of life. The significance of non-motor symptoms may outweigh the burden through progressive motor incapacity, especially in later stages of the disease. The advanced stage of the disease is characterized by motor complications such as fluctuations and dyskinesias induced by the long-term application of levodopa therapy. In recent years, it became evident that various non-motor symptoms such as psychiatric symptoms, fatigue and pain also show fluctuations after chronic levodopa therapy (named non-motor fluctuations or NMFs). Although NMFs have moved into the focus of interest, current national guidelines on the treatment of PD may refer to non-motor symptoms and their management, but do not mention NMF, and do not contain recommendations on their management. The present article summarizes major issues related to NMF including clinical phenomenology and pathophysiology, and outlines a number of open issues and topics for future research.

Indexed as

Disease ManagementHumansParkinson DiseasePhenotypeNon-motor assessmentNon-motor fluctuationsNon-motor symptomsParkinson’s diseasePathophysiology

Identifiers

PMID28702850
OpenAlexW2734372514

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.