Evidence map›Paper›PMID 30754730›Full record

ArticleCells2019

Dynamics of Parkinson's Disease Multimodal Complex Treatment in Germany from 2010⁻2016: Patient Characteristics, Access to Treatment, and Formation of Regional Centers.

Daniel Richter, Dirk Bartig, Siegfried Muhlack, Elke Hartelt, Raphael Scherbaum, Aristeides H Katsanos, Thomas Müller, Wolfgang Jost, Georg Ebersbach, Ralf Gold and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cells, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 7% 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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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

12 authors at 5 institutions in 2 countries.

Daniel RichterDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, 44801 Bochum, Germany. daniel.richter-c34@rub.de.
Dirk BartigDRG MARKET, D-49069 Osnabrück, Germany. dirk.bartig@drg-market.de.
Siegfried MuhlackDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, 44801 Bochum, Germany. siegfried.muhlack@rub.de.
Elke HarteltDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, 44801 Bochum, Germany. elke.hartelt@rub.de.
Raphael ScherbaumDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, 44801 Bochum, Germany. raphael.scherbaum@rub.de.
Aristeides H KatsanosDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, 44801 Bochum, Germany. ar.katsanos@gmail.com.
Thomas MüllerDepartment of Neurology, St. Joseph Krankenhaus Berlin-Weißensee, 13088 Berlin, Germany. Th.Mueller@alexianer.de.
Wolfgang JostCenter for Movement Disorders, Parkinson-Klinik Ortenau, 77709 Wolfach, Germany. w.jost@parkinson-klinik.de.
Georg EbersbachNeurologisches Fachkrankenhauses für Bewegungsstörungen/Parkinson, Kliniken Beelitz, 14547 Beelitz, Germany. Ebersbach@kliniken-beelitz.de.
Ralf GoldDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, 44801 Bochum, Germany. ralf.gold@rub.de.
Christos KrogiasDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, 44801 Bochum, Germany. christos.krogias@rub.de.
Lars TöngesDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, 44801 Bochum, Germany. lars.toenges@rub.de.
St. Josef-Hospital · DENational and Kapodistrian University of Athens · GRNeurologisches Fachkrankenhaus für Bewegungsstörungen/Parkinson · DESt. Joseph-Krankenhaus · DEUniversity Medical Center Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Parkinson's disease (PD) is currently the world's fastest-growing neurological disorder. It is characterized by motor and non-motor symptoms which progressively lead to significant clinical impairment, causing a high burden of disease. In addition to pharmacological therapies, various non-pharmacological treatment options are available. A well established and frequently used multiprofessional inpatient treatment concept in Germany is "Parkinson's disease multimodal complex treatment" (PD-MCT) which involves physiotherapists, occupational therapists, speech therapists, and other specializations for the optimization of treatment in PD (ICD G20) and other Parkinsonian syndromes (ICD G21 and G23). In this study we analyze the PD-MCT characteristics of 55,141 PD inpatients who have been integrated into this therapy concept in Germany in the years 2010⁻2016. We demonstrate that PD-MCT is increasingly applied over this time period. Predominately, PD patients with advanced disease stage and motor fluctuations in age groups between 45 and 69 years were hospitalized. In terms of gender, more male than female patients were treated. PD-MCT is provided primarily in specialized hospitals with high patient numbers but a minor part of all therapies is performed in a rather large number of hospitals with each one treating only a few patients. Access to PD-MCT differs widely across regions, leading to significant migration of patients from underserved areas to PD-MCT centers ⁻ a development that should be considered when implementing such therapies in other countries. Furthermore, our data imply that despite the overall increase in PD-MCT treatments during the observational period, the restricted treatment accessibility may not adequately satisfy current patient´s need.

Indexed as

Health Services AccessibilityAgedCombined Modality TherapyFemaleGeographyGermanyHospitalsHumansInpatientsMaleOdds RatioParkinson Diseaseinpatient treatmentmultimodal complex treatmentmultiprofessional therapyParkinson disease

Identifiers

PMID30754730
PMCPMC6406830
OpenAlexW2914174438

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.