Evidence map›Paper›PMID 32657208›Full record

SynthesisExpert review of gastroenterology & hepatology2020

A comprehensive review of the diagnosis and treatment of Parkinson's disease dysphagia and aspiration.

Bhavana Patel, Joseph Legacy, Karen W Hegland, Michael S Okun, Nicole E Herndon

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Expert review of gastroenterology & hepatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
7.9field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. On-demand therapies-emergency medication or daily routine?Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
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  13. Observational
  14. Article
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  17. Pharyngeal adaptation to bolus properties in patients with Parkinson's disease.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    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

5 authors at 1 institution in 1 country.

Bhavana PatelDepartment of Neurology, University of Florida College of Medicine , Gainesville, FL.ORCID https://orcid.org/0000-0001-6419-0139
Joseph LegacyDepartment of Neurology, University of Florida College of Medicine , Gainesville, FL.ORCID https://orcid.org/0000-0002-5199-3845
Karen W HeglandNorman Fixel Institute for Neurological Diseases , Gainesville, FL.ORCID https://orcid.org/0000-0001-9539-2876
Michael S OkunDepartment of Neurology, University of Florida College of Medicine , Gainesville, FL.ORCID https://orcid.org/0000-0002-6247-9358
Nicole E HerndonNorman Fixel Institute for Neurological Diseases , Gainesville, FL.ORCID https://orcid.org/0000-0002-2245-5132
University of Florida · 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
Mechanisms of airway protection dysfunction in Parkinson's diseaseR01HD091658 · NICHD · UNIVERSITY OF FLORIDA · PI HEGLAND, KAREN W · 2017 to 2021
$1.5M
University of Florida R25 Early Research Program for Neurology and Neurosurgery ResidentsR25NS108939 · NINDS · UNIVERSITY OF FLORIDA · PI HOH, BRIAN LIM, HOH, BRIAN LIM · 2019 to 2024
$537k
NICHD NIH HHS R01 HD091658NINDS NIH HHS R01 NS096008NINDS NIH HHS R25 NS108939NINR NIH HHS R01 NR014852
6 · The paper itself

Abstract

introductionBulbar dysfunction is common in Parkinson's disease (PD) with more than 80% of affected individuals developing dysphagia during the course of the disease. Symptoms can begin in the preclinical stage and individuals may remain clinically asymptomatic for years. Furthermore, patients may be unaware of swallowing changes, which contributes to the difference between the prevalence of self-reported dysphagia and deficits identified during instrumental evaluations. Dysphagia is underrecognized and contributes to the development of aspiration pneumonia which is the leading cause of death in PD. Dysphagia in PD is complex and not completely understood. Both dopaminergic and nondopaminergic pathways likely underpin dysphagia. AREAS COVERED: This comprehensive review will cover the epidemiology, pathophysiology, clinical evaluation, and expert management of dysphagia and aspiration in patients with PD. EXPERT OPINION: A multidisciplinary team approach is important to properly identify and manage PD dysphagia. Regular clinical screenings with objective instrumental assessments are necessary for early detection of dysphagia. Studies are needed to better understand the mechanism(s) involved in PD dysphagia, establish markers for early detection and progression, and develop evidence-based treatment options.

Indexed as

DeglutitionDeglutition DisordersDisease ProgressionHumansParkinson DiseasePneumonia, AspirationRespiratory AspirationRisk FactorsSelf ReportAspirationdysphagiaevaluationmanagementParkinson’s diseasepathophysiologyswallowingtreatment

Identifiers

PMID32657208
PMCPMC10405619
OpenAlexW3040720871

What OpenQuestion holds

Textmetadata
LicenceTDM
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.