Evidence map›Paper›PMID 32775513›Full record

ArticleMovement disorders clinical practice2020

Deep Brain Stimulation Impact on Social and Occupational Functioning in Parkinson's Disease with Early Motor Complications.

Valerie Stoker, Paul Krack, Lisa Tonder, Gillian Barnett, Isabelle Durand-Zaleski, Alfons Schnitzler, Jean-Luc Houeto, Lars Timmermann, Joern Rau, Carmen Schade-Brittinger and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Movement disorders clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.4field-weighted citation impact, top 32% 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

10 citing papers in PubMed, 12 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

13 authors at 9 institutions in 4 countries.

Valerie StokerMedtronic Minneapolis Minnesota USA.
Paul KrackDepartment of Neurology University Hospital Bern and University of Bern Bern Switzerland.
Lisa TonderMedtronic Minneapolis Minnesota USA.
Gillian BarnettMedtronic Minneapolis Minnesota USA.
Isabelle Durand-ZaleskiUniversity of Paris Paris France.
Alfons SchnitzlerInstitute of Clinical Neuroscience and Medical Psychology, and Department of Neurology Heinrich-Heine University Duesseldorf Duesseldorf Germany.
Jean-Luc HouetoDepartment of Neurology, Clinical Investigational Centers-Institut National de la Sante et de la Recherche Medicale 1402, Centre Hospitalier Universitaire of Poitiers University of Poitiers Poitiers France.
Lars TimmermannUniversitätsklinikum Giessen und Marburg Marburg Germany.
Joern RauThe Coordinating Center for Clinical Trials Philipps University Marburg Germany.
Carmen Schade-BrittingerThe Coordinating Center for Clinical Trials Philipps University Marburg Germany.
Marie VidailhetSorbonne Université, Insitut du Cerveau et de la Moelle Epinere UMR1127, Insitut National de la Sante et de la Recherche Medicale &1127, Centre National de la Recherche Scientifique 7225, Department of Neurology Salpêtriere University Hospital Assistance Publique - Hôpitaux de Paris Paris France.
Günther DeuschlDepartment of Neurology, Universitätsklinikum Schleswig-Holstein Kiel Campus Christian-Albrechts-University Kiel Germany.ORCID https://orcid.org/0000-0002-4176-9196
EARLYSTIM Study Group
Medtronic (United States) · USPhilipps University of Marburg · DEChristian-Albrechts-Universität zu Kiel · DEHeinrich Heine University Düsseldorf · DEInserm · FRSorbonne Université · FRUniversitätsklinikum Gießen und Marburg · DEUniversité Paris Cité · FRUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeep brain stimulation (DBS) improves motor symptoms and quality of life in patients with Parkinson's disease (PD) and early motor complications, suggesting that DBS could be prescribed to the working-age PD population.

objectivesTo investigate the effect of DBS compared with best medical therapy (BMT) on social, psychosocial, and occupational functioning in patients with PD ≤60 years of age with early motor complications, its correlates, and possible underlying rationale.

methodsMethods included analyses of the Social and Occupational Functioning Assessment Scale, Scales for Outcomes for Parkinson's-Psychosocial, Professional Fitness, Starkstein Apathy Scale, and Schwab and England Activities of Daily Living Scale from the EARLYSTIM study.

resultsCompared with BMT, DBS resulted in significantly greater improvements from baseline through 24 months in social,occupational, and psychosocial functioning. Yet, work status in the 2 groups did not differ at baseline and 24 months. Physicians reported a significantly higher percentage of patients in the BMT group unable to work at 24 months relative to baseline compared with the DBS group. Apathy was significantly worse in patients for whom physicians overrated ability to work when compared with patients' own ratings than in the group of patients who physicians' ability to work ratings were comparable to, or worse than, patients' self-ratings of ability to work.

conclusionsFor patients aged ≤60 years with PD and early motor complications, DBS provided significant improvements in social, occupational, and psychosocial function, but not in the actual work engagement compared with BMT at 2 years. Apathy may impact ability to work.

Indexed as

deep brain stimulation, Parkinson's disease, productivity, occupational, psychosocial.

Identifiers

PMID32775513
PMCPMC7396868
OpenAlexW3038045914

What OpenQuestion holds

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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.