Evidence map›Paper›PMID 32152689›Full record

Observational studyJournal of neurology2020

Beneficial effect of 24-month bilateral subthalamic stimulation on quality of sleep in Parkinson's disease.

Haidar S Dafsari, K Ray-Chaudhuri, Keyoumars Ashkan, Lena Sachse, Picabo Mahlstedt, Monty Silverdale, Alexandra Rizos, Marian Strack, Stefanie T Jost, Paul Reker and 7 more

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 10% 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, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Review
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  7. Article
  8. Observational
  9. The effects of deep brain stimulation on sleep: a systematic review and meta-analysis.Sleep advances : a journal of the Sleep Research Society · 2024
    Review
  10. Article
  11. Article
  12. Article
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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

17 authors at 6 institutions in 4 countries.

Haidar S DafsariDepartment of Neurology, University Hospital Cologne, Kerpenerstr. 62, 50937, Cologne, Germany. haidar.dafsari@uk-koeln.de.ORCID http://orcid.org/0000-0001-8849-4233
K Ray-ChaudhuriNational Parkinson Foundation International Centre of Excellence, King's College Hospital, London, UK.
Keyoumars AshkanNational Parkinson Foundation International Centre of Excellence, King's College Hospital, London, UK.
Lena SachseDepartment of Neurology, University Hospital Cologne, Kerpenerstr. 62, 50937, Cologne, Germany.
Picabo MahlstedtDepartment of Neurology, University Hospital Cologne, Kerpenerstr. 62, 50937, Cologne, Germany.
Monty SilverdaleDepartment of Neurology and Neurosurgery, Salford Royal NHS Foundation Trust, Manchester Academic Health Science Centre, University of Manchester, Greater Manchester, UK.
Alexandra RizosNational Parkinson Foundation International Centre of Excellence, King's College Hospital, London, UK.
Marian StrackDepartment of Neurology, University Hospital Cologne, Kerpenerstr. 62, 50937, Cologne, Germany.
Stefanie T JostDepartment of Neurology, University Hospital Cologne, Kerpenerstr. 62, 50937, Cologne, Germany.
Paul RekerDepartment of Neurology, University Hospital Cologne, Kerpenerstr. 62, 50937, Cologne, Germany.
Michael SamuelNational Parkinson Foundation International Centre of Excellence, King's College Hospital, London, UK.
Veerle Visser-VandewalleDepartment of Stereotaxy and Functional Neurosurgery, University Hospital Cologne, Cologne, Germany.
Julian EvansDepartment of Neurology and Neurosurgery, Salford Royal NHS Foundation Trust, Manchester Academic Health Science Centre, University of Manchester, Greater Manchester, UK.
Angelo AntoniniParkinson and Movement Disorders Unit, IRCCS Hospital San Camillo, Venice, Italy.
Pablo Martinez-MartinNational Center of Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid, Spain.
Lars TimmermannDepartment of Neurology, University Hospital Cologne, Kerpenerstr. 62, 50937, Cologne, Germany.
EUROPAR, the IPMDS Non Motor P.D. Study Group
King's College Hospital NHS Foundation Trust · GBManchester Academic Health Science Centre · GBUniversity Hospital Cologne · DEUniversitätsklinikum Gießen und Marburg · DEKing's College London · GBUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubthalamic nucleus (STN) deep brain stimulation (DBS) improves quality of life (QoL), motor, and sleep symptoms in Parkinson's disease (PD). However, the long-term effects of STN-DBS on sleep and its relationship with QoL outcome are unclear.

methodsIn this prospective, observational, multicenter study including 73 PD patients undergoing bilateral STN-DBS, we examined PDSleep Scale (PDSS), PDQuestionnaire-8 (PDQ-8), Scales for Outcomes in PD-motor examination, -activities of daily living, and -complications (SCOPA-A, -B, -C), and levodopa-equivalent daily dose (LEDD) preoperatively, at 5 and 24 months follow-up. Longitudinal changes were analyzed with Friedman-tests or repeated-measures ANOVA, when parametric tests were applicable, and Bonferroni-correction for multiple comparisons. Post-hoc, visits were compared with Wilcoxon signed-rank/t-tests. The magnitude of clinical responses was investigated using effect size.

resultsSignificant beneficial effects of STN-DBS were observed for PDSS, PDQ-8, SCOPA-A, -B, and -C. All outcomes improved significantly at 5 months with subsequent decrements in gains at 24 months follow-up which were significant for PDSS, PDQ-8, and SCOPA-B. Comparing baseline and 24 months follow-up, we observed significant improvements of PDSS (small effect), SCOPA-A (moderate effect), -C, and LEDD (large effects). PDSS and PDQ-8 improvements correlated significantly at 5 and 24 months follow-up.

conclusionsIn this multicenter study with a 24 months follow-up, we report significant sustained improvements after bilateral STN-DBS using a PD-specific sleep scale and a significant relationship between sleep and QoL improvements. This highlights the importance of sleep in holistic assessments of DBS outcomes.

Indexed as

Deep Brain StimulationOutcome Assessment, Health CareSubthalamic NucleusAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedParkinson DiseaseProspective StudiesQuality of LifeSleep Wake DisordersDeep brain stimulationNon-motor symptomsParkinson’s disease sleep scaleQuality of lifeSubthalamic nucleus

Identifiers

PMID32152689
PMCPMC7293679
OpenAlexW3009365880

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.