Evidence map›Paper›PMID 32464101›Full record

ReviewThe Lancet. Neurology2020

Integrated and patient-centred management of Parkinson's disease: a network model for reshaping chronic neurological care.

Bastiaan R Bloem, Emily J Henderson, E Ray Dorsey, Michael S Okun, Njideka Okubadejo, Piu Chan, John Andrejack, Sirwan K L Darweesh, Marten Munneke

3 registry-linked trialsOpen access · bronzeAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in The Lancet. Neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 138 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
138citing papers in PubMed, 6 pooled it
10.3field-weighted citation impact, top 1% 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.

NCT05164783 naactive not recruitingnot on this mapstarted 2021, after this paper: background citation

Multicenter Implementation of E-monitoring in Parkinson's Disease

TypeinterventionalSponsorZuyderland Medisch CentrumRan2021 to 2025Enrolled258ConditionsParkinson DiseaseArmsSanacoach Parkinson (SCP)
NCT05273957 naunknown statusnot on this mapstarted 2021, after this paper: background citation

A Model of Hospital-territory Management Coordinated by a Case Manager to Improve the Care of Patients With Parkinsonism. A Multicenter, Randomized, Double-blind Study. The PROUD Study

TypeinterventionalSponsorFondazione I.R.C.C.S. Istituto Neurologico Carlo BestaRan2021 to 2025Enrolled121ConditionsParkinson Disease, Atypical Parkinsonism, Secondary Parkinsonism, Nurse-Patient RelationsArmsCase Manager, Standard-of-care
NCT06072105 narecruitingnot on this mapstarted 2023, after this paper: background citation

Medical Decision Making in Multiple System Atrophy: Developing Personalized Best Medical Care with Integrated Telemedicine and Mobile Palliative Care for Individuals with Multiple System Atrophy

TypeinterventionalSponsorMedical University InnsbruckRan2023 to 2027Enrolled92ConditionsMultiple System AtrophyArmsTelemedicine visits, Multidisciplinary, personalized symptomatic treatment
3 · Its place in the literature

Who cites it

138 citing papers in PubMed, 6 syntheses or guidelines pooled it, 226 citations in OpenAlex.

  1. Guideline
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  7. Trial
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  10. Lifestyle medicine for neuroprotection: evidence and implementation in Asian contexts.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  11. Physical Activity and Exercise for People with Parkinson's Disease: The Past, Present, and Future.Movement disorders : official journal of the Movement Disorder Society · 2026
    Review
  12. What's in a name? reframing advanced Parkinson's disease as a multidimensional state.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. The Ecology of Care in Parkinson's Disease.Movement disorders clinical practice · 2026
    Article
  19. Article
  20. Instrumental assessment of Sit-to-Stand in Parkinson's disease: a scoping review.Journal of neuroengineering and rehabilitation · 2026
    Article

78 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 5 countries.

Bastiaan R BloemDonders Institute for Brain, Cognition and Behaviour and Department of Neurology, Centre of Expertise for Parkinson and Movement Disorders, Radboud University Medical Centre, Nijmegen, Netherlands. Electronic address: bas.bloem@radboudumc.nl.
Emily J HendersonOlder People's Unit, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK; Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
E Ray DorseyCentre for Health and Technology, Department of Neurology, University of Rochester Medical Centre, Rochester, NY, USA.
Michael S OkunNorman Fixel Institute for Neurological Diseases, Department of Neurology, University of Florida, Gainesville, FL, USA.
Njideka OkubadejoNeurology Unit, Department of Medicine, College of Medicine, University of Lagos, Lagos, Nigeria.
Piu ChanDepartment of Neurobiology, Neurology and Geriatrics, National Clinical Research Centre for Geriatric Disorders, Xuanwu Hospital of Capital Medical University, Beijing, China.
John AndrejackQueens College, City University of New York, NY, USA.
Sirwan K L DarweeshDonders Institute for Brain, Cognition and Behaviour and Department of Neurology, Centre of Expertise for Parkinson and Movement Disorders, Radboud University Medical Centre, Nijmegen, Netherlands.
Marten MunnekeDonders Institute for Brain, Cognition and Behaviour and Department of Neurology, Centre of Expertise for Parkinson and Movement Disorders, Radboud University Medical Centre, Nijmegen, Netherlands.
Radboud University Medical Center · NLCapital Medical University · CNQueens College, CUNY · USRoyal United Hospital Bath NHS Trust · GBUniversity of Florida · USUniversity of Lagos · NGUniversity of Rochester Medical Center · US

Funding

Mobile Decision Support System for Nurse Management of Neuromodulation TherapyR01NR014852 · NINR · UNIVERSITY OF UTAH · PI BUTSON, CHRISTOPHER R, OKUN, MICHAEL S · 2015 to 2019
$2.9M
THE HUMAN THALAMOCORTICAL NETWORK IN TOURETTE SYNDROMER01NS096008 · NINDS · UNIVERSITY OF FLORIDA · PI GUNDUZ, AYSEGUL, OKUN, MICHAEL S · 2016 to 2020
$1.8M
NINDS NIH HHS R01 NS096008NINR NIH HHS R01 NR014852
6 · The paper itself

Abstract

Chronic neurological diseases are the leading cause of disability globally. Yet, our health-care systems are not designed to meet the needs of many patients with chronic neurological conditions. Care is fragmented with poor interdisciplinary collaboration and lack of timely access to services and therapies. Furthermore, care is typically reactive, and complex problems are managed inadequately because of a scarcity of disease-specific expertise and insufficient use of non-pharmacological interventions. Treatment plans tend to focus on the disease rather than the individual living with it, and patients are often not involved in clinical decision making. By use of Parkinson's disease as a model condition, we show an integrated care concept with a patient-centred perspective that includes evidence-based solutions to improve health-care delivery for people with chronic neurological conditions. We anticipate that this integrated care model will improve the quality of life for patients, create a positive working environment for health-care professionals, and be affordable.

Indexed as

Delivery of Health Care, IntegratedHumansNeurologyParkinson DiseasePatient-Centered Care

Identifiers

PMID32464101
PMCPMC9671491
OpenAlexW3027973551

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.