Evidence map›Paper›PMID 29516169›Full record

Observational studyJournal of neurology2018

Caregiver burden and its related factors in advanced Parkinson's disease: data from the PREDICT study.

Alessandro Tessitore, Pietro Marano, Nicola Modugno, Francesco E Pontieri, Nicola Tambasco, Margherita Canesi, Anna Latorre, Leonardo Lopiano, Mariachiara Sensi, Rocco Quatrale and 7 more

Erratum issuedOpen access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 47 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 9 pooled it
5.4field-weighted citation impact, top 4% 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

47 citing papers in PubMed, 9 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Risk factors and intervention of caregiver burden in Parkinson's disease: a systematic review and meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Pooled it
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  8. 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
  9. Pooled it
  10. Article
  11. What's in a name? reframing advanced Parkinson's disease as a multidimensional state.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  12. Article
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  14. Article
  15. Caregiver burden in Parkinson's disease: a nationwide observational survey.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 10 institutions in 2 countries.

Alessandro TessitoreFirst Division of Neurology, University of Campania, "Luigi Vanvitelli", Napoli, Italy.
Pietro MaranoNuova Casa di Cura D'Anna, Palermo, Italy.
Nicola ModugnoNeurology Unit, IRCCS Neuromed, Pozzilli, IS, Italy.
Francesco E PontieriDepartment NESMOS, "Sapienza" University, Sant'Andrea Hospital, Rome, Italy.
Nicola TambascoPerugia General Hospital and University of Perugia, Perugia, Italy.
Margherita CanesiCentro Specialistico Ortopedico Traumatologico G. Pini-CTO Milano, Milan, Italy.
Anna LatorreSapienza University, Rome, Italy.
Leonardo LopianoDepartment of Neuroscience, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, Turin, Italy.
Mariachiara SensiNeurology Unit, Hospital Sant'Anna Ferrara, Ferrara, Italy.
Rocco QuatraleNeurology Unit, Hospital dell'Angelo, Mestre, VE, Italy.
Paolo SollaNeurology Unit, Policlinico Universitario Monserrato, Cagliari, Italy.
Giovanni DefazioNeurology Unit, Policlinico Universitario Monserrato, Cagliari, Italy.
Gabriella MelziAbbVie Srl, SR 148 Pontina, 04011, Campoverde, LT, Italy. gabriella.melzi@abbvie.com.ORCID http://orcid.org/0000-0001-9944-3810
Anna Maria CostanzoAbbVie Srl, SR 148 Pontina, 04011, Campoverde, LT, Italy.
Giuliana GualbertiAbbVie Srl, SR 148 Pontina, 04011, Campoverde, LT, Italy.
Umberto di Luzio PaparattiAbbVie Srl, SR 148 Pontina, 04011, Campoverde, LT, Italy.
Angelo AntoniniParkinson and Movement Disorders Unit, Department of Neuroscience, University of Padua, Padua, Italy.
AbbVie (United States) · USAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITAzienda Ospedaliera Sant'Andrea · ITIstituto Neurologico Mediterraneo · ITIstituto Ortopedico Gaetano Pini · ITOspedale dell' Angelo · ITSapienza University of Rome · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Padua · ITUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCaring for a person with Parkinson's disease (PD) is associated with an increased risk of psychiatric morbidity and persistent distress. The objective of this study was to describe the burden and the related factors of caregivers of advanced PD (APD) patients either treated with continuous dopaminergic delivery systems or standard therapy.

methodsThis cross-sectional, epidemiologic study conducted in 13 Italian sites enrolled PD patients treated with continuous dopaminergic delivering systems [either levodopa/carbidopa intestinal gel (LCIG) infusion or continuous subcutaneous apomorphine infusion (CSAI)] or continuation of standard of care (SOC) with a caregiver. Patient quality of life (QoL) and caregiver burden were assessed using the Parkinson's Disease Questionnaire (PDQ-8) and Zarit Burden Inventory (ZBI), respectively.

results126 patients (mean age 69.3 ± 8 years) and their caregivers (mean age 57.9 ± 12.9) were enrolled. Most caregivers were spouses. Fifty-three patients were treated with LCIG, 19 with CSAI, and 54 with SOC. Mean ZBI scores were 29.6 ± 14.4 for LCIG, 35.8 ± 20.2 for CSAI, and 31.4 ± 16.0 for SOC. Caregivers of LCIG, CSAI, and SOC patients showed no burden or mild/moderate burden in 74, 53, and 63% of the cases, respectively. Mean PDQ-8 scores were 11.25 ± 5.67, 11.26 ± 5.55, and 14.22 ± 6.51 in LCIG, CSAI, and SOC patients. Neurologists considered patients "very much or much improved" in 89, 58, and 13% of the LCIG, CSAI, and SOC groups using the Clinical Global Impression-Global Improvement Scale. Predictors significantly associated with caregiver burden were patients and caregivers' judgment of QoL and caregivers' need to change work.

conclusionsCaregiver burden showed a tendency to be lower when patients are treated with LCIG than with CSAI or SOC.

Indexed as

CaregiversCost of IllnessAgedAged, 80 and overAntiparkinson AgentsApomorphineCarbidopaCross-Sectional StudiesDrug CombinationsFamilyFemaleHumansItalyLevodopaMaleMiddle AgedAntiparkinson AgentsApomorphineCarbidopacarbidopa, levodopa drug combinationDrug CombinationsLevodopaAdvanced Parkinson’s diseaseCaregiver burdenIntestinal infusionLevodopa/carbidopaQuality of life

Identifiers

PMID29516169
PMCPMC5937896
OpenAlexW2794401784

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.