Evidence map›Paper›PMID 33441571›Full record

ArticleScientific reports2021

Cognitive impairment and levodopa induced dyskinesia in Parkinson's disease: a longitudinal study from the PACOS cohort.

Antonina Luca, Roberto Monastero, Roberta Baschi, Calogero Edoardo Cicero, Giovanni Mostile, Marco Davì, Vincenzo Restivo, Mario Zappia, Alessandra Nicoletti

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Pre-operative cognitive burden as predictor of motor outcome following bilateral subthalamic nucleus deep brain stimulation in Parkinson's disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  10. Article
  11. Article
  12. Review
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

9 authors.

Antonina LucaDepartment of Medical, Surgical Sciences and Advanced Technologies, GF Ingrassia, Neurologic Unit, AOU "Policlinico-Vittorio Emanuele", University of Catania, Via Santa Sofia n.78, 95100, Catania, Sicily, Italy.
Roberto MonasteroDepartment of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, Via G. La Loggia n.1, Palermo, Sicily, Italy. roberto.monastero@unipa.it.ORCID 0000-0002-2829-523X
Roberta BaschiDepartment of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, Via G. La Loggia n.1, Palermo, Sicily, Italy.
Calogero Edoardo CiceroDepartment of Medical, Surgical Sciences and Advanced Technologies, GF Ingrassia, Neurologic Unit, AOU "Policlinico-Vittorio Emanuele", University of Catania, Via Santa Sofia n.78, 95100, Catania, Sicily, Italy.
Giovanni MostileDepartment of Medical, Surgical Sciences and Advanced Technologies, GF Ingrassia, Neurologic Unit, AOU "Policlinico-Vittorio Emanuele", University of Catania, Via Santa Sofia n.78, 95100, Catania, Sicily, Italy.
Marco DavìDepartment of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, Via G. La Loggia n.1, Palermo, Sicily, Italy.
Vincenzo RestivoDepartment of Sciences for Health Promotion and Mother-Child Care, University of Palermo, Palermo, Italy.
Mario ZappiaDepartment of Medical, Surgical Sciences and Advanced Technologies, GF Ingrassia, Neurologic Unit, AOU "Policlinico-Vittorio Emanuele", University of Catania, Via Santa Sofia n.78, 95100, Catania, Sicily, Italy.
Alessandra NicolettiDepartment of Medical, Surgical Sciences and Advanced Technologies, GF Ingrassia, Neurologic Unit, AOU "Policlinico-Vittorio Emanuele", University of Catania, Via Santa Sofia n.78, 95100, Catania, Sicily, Italy. anicolet@unict.it.ORCID 0000-0001-6757-340X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim of the study was to evaluate possible associations between cognitive dysfunctions and development of Levodopa Induced Dyskinesia (LID). PD patients from the Parkinson's disease Cognitive impairment Study cohort who underwent a baseline and follow-up neuropsychological evaluations were enrolled. Mild Cognitive Impairment (PD-MCI) was diagnosed according to MDS level II criteria. The following cognitive domains were evaluated: episodic memory, attention, executive function, visuo-spatial function and language. A domain was considered as impaired when the subject scored 2 standard deviation below normality cut-off values in at least one test for each domain. Levodopa equivalent dose, UPDRS-ME and LID were recorded at baseline and follow-up. To identify possible neuropsychological predictors associated with the probability of LID development at follow-up, Cox proportional-hazards regression model was used. Out of 139 PD patients enrolled (87 men, mean age 65.7 ± 9.4), 18 (12.9%) were dyskinetic at baseline. Out of 121 patients non-dyskinetic at baseline, 22 (18.1%) developed LID at follow-up. The impairment of the attention and executive domains strongly predicted the development of LID (HR 4.45;95%CI 1.49-13.23 and HR 3.46; 95%CI 1.26-9.48 respectively). Impairment of the attention and executive domains increased the risk of dyskinesia reflecting the alteration of common cortical network.

Indexed as

AgedAttentionCognitive DysfunctionCohort StudiesDyskinesia, Drug-InducedExecutive FunctionFemaleHumansLevodopaLongitudinal StudiesMaleMiddle AgedNeuropsychological TestsParkinson DiseaseProportional Hazards ModelsSeverity of Illness IndexLevodopa

Identifiers

PMID33441571
PMCPMC7806828

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.