Evidence map›Paper›PMID 29260038›Full record

RevieweNeurologicalSci2017

Can suitable candidates for levodopa/carbidopa intestinal gel therapy be identified using current evidence?

Maria José Catalán, Angelo Antonini, Matilde Calopa, Ovidiu Băjenaru, Oriol de Fábregues, Adolfo Mínguez-Castellanos, Per Odin, José Manuel García-Moreno, Stephen W Pedersen, Zvezdan Pirtošek and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in eNeurologicalSci, 2017. 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
1.2field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Intrajejunal Infusion of Levodopa/Carbidopa for Advanced Parkinson's Disease: A Systematic Review.Movement disorders : official journal of the Movement Disorder Society · 2021
    Pooled it
  2. Trial
  3. Review
  4. Review
  5. Observational
  6. Review
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

11 authors at 9 institutions in 6 countries.

Maria José CatalánParkinson and Movement Disorders Unit, Hospital Clínico San Carlos, Madrid, Spain.
Angelo AntoniniParkinson and Movement Disorders Unit, Department of Neurosciences, IRCCS Hospital San Camillo, Venice, Italy.
Matilde CalopaHospital Universitari de Bellvitge, Barcelona, Spain.
Ovidiu BăjenaruUniversity of Medicine and Pharmacy "Carol Davila" Bucharest - University Emergency Hospital, Department of Neurology, Bucharest, Romania.
Oriol de FábreguesVall d'Hebron University Hospital, Neurology Service, Movement Disorders Unit, Autonomous University of Barcelona, Neurodegenerative Diseases Research Group, Vall d'Hebron Research Institute, Barcelona, Spain.
Adolfo Mínguez-CastellanosComplejo Hospitalario Universitario de Granada, Instituto de Investigación Biosanitaria "ibs. Granada,", Granada, Spain.
Per OdinSkåne University Hospital, Lund University, Lund, Sweden.
José Manuel García-MorenoHospital Universitario Virgen Macarena, Seville, Spain.
Stephen W PedersenUniversity of Copenhagen, Rigshospitalet Glostrup, Glostrup, Denmark.
Zvezdan PirtošekUniversity Medical Centre, Ljubljana, Slovenia.
Jaime KulisevskyHospital Santa Creu i Sant Pau, Ciberned, Universitat Autònoma de Barcelona, Universitat Oberta de Catalunya, Barcelona, Spain.
Universitat Autònoma de Barcelona · ESBellvitge University Hospital · ESHospital Clínico San Carlos · ESHospital Universitario Virgen Macarena · ESInstituto de Investigación Biosanitaria de Granada · ESIRCCS San Camillo Hospital · ITLjubljana University Medical Centre · SILund University · SEUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advanced Parkinson's disease (APD) is characterized by increased functional disability, caused by motor complications, the presence of axial symptoms, and emergent disease- and drug-related non-motor symptoms. One of the advanced therapies available is intrajejunal infusion of levodopa/carbidopa intestinal gel (LCIG); however, patient selection for this treatment is sometimes difficult, particularly because of overlapping indications with other alternatives. In recent years, strong evidence has supported the use of LCIG in treating motor fluctuations associated with APD, and several clinical studies provide emerging evidence for additional benefits of LCIG treatment in certain patients. This article provides an overview of the published literature on the benefits, limitations, and drawbacks of LCIG in relation to PD symptoms, the psychosocial impact of the disease, and the quality of life of patients, with the aim of determining candidates for whom treatment with LCIG would be beneficial. According to current evidence, patients with APD (defined as inability to achieve optimal control of the disease with conventional oral treatment), a relatively well-preserved cognitive-behavioral status, and good family/caregiver would count as suitable candidates for LCIG treatment. Contraindications in the opinion of the authors are severe dementia and active psychosis.

Indexed as

APD, Advanced Parkinson's diseaseDBS, Deep brain stimulationDuodopaICD, Impulse control disordersIntrajejunal infusion of levodopa/carbidopa intestinal gelLCIG, Levodopa-carbidopa intestinal gelMotor symptomsNMS, Non-motor symptomsNMSS, Non-motor symptoms scaleNon-motor symptomsParkinson's diseasePD, Parkinson's diseasePDSS, Parkinson's disease sleep scalePEG, Percutaneous endoscopic gastrostomyQoL, Quality of lifeQuality of life

Identifiers

PMID29260038
PMCPMC5730910
OpenAlexW2725512920

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.