Evidence map›Paper›PMID 34103534›Full record

ArticleNPJ Parkinson's disease2021

Non-motor predictors of 36-month quality of life after subthalamic stimulation in Parkinson disease.

Stefanie T Jost, Veerle Visser-Vandewalle, Alexandra Rizos, Philipp A Loehrer, Monty Silverdale, Julian Evans, Michael Samuel, Jan Niklas Petry-Schmelzer, Anna Sauerbier, Alexandra Gronostay and 9 more

Open access · goldAbstract read
In one paragraph

Article in NPJ Parkinson's disease, 2021. 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
3.5field-weighted citation impact, top 6% 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, 42 citations in OpenAlex.

  1. Pooled it
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  11. Advanced therapies in Parkinson's disease: an individualized approach to their indication.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
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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

19 authors at 20 institutions in 17 countries.

Stefanie T JostUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Neurology, Cologne, Germany. stefanie.jost@uk-koeln.de.
Veerle Visser-VandewalleUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Stereotaxy and Functional Neurosurgery, Cologne, Germany.
Alexandra RizosParkinson Foundation International Centre of Excellence, King's College Hospital, London, UK.
Philipp A LoehrerDepartment of Neurology, University Hospital Giessen and Marburg, Campus Marburg, Marburg, Germany.ORCID http://orcid.org/0000-0002-5279-2156
Monty SilverdaleDepartment of Neurology and Neurosurgery, Salford Royal NHS Foundation Trust, Manchester Academic Health Science Centre, University of Manchester, Greater Manchester, UK.
Julian EvansDepartment of Neurology and Neurosurgery, Salford Royal NHS Foundation Trust, Manchester Academic Health Science Centre, University of Manchester, Greater Manchester, UK.
Michael SamuelParkinson Foundation International Centre of Excellence, King's College Hospital, London, UK.
Jan Niklas Petry-SchmelzerUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Neurology, Cologne, Germany.
Anna SauerbierUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Neurology, Cologne, Germany.
Alexandra GronostayUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Neurology, Cologne, Germany.
Michael T BarbeUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Neurology, Cologne, Germany.
Gereon R FinkUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Neurology, Cologne, Germany.ORCID http://orcid.org/0000-0002-8230-1856
Keyoumars AshkanParkinson Foundation International Centre of Excellence, King's College Hospital, London, UK.
Angelo AntoniniDepartment of Neurosciences (DNS), Padova University, Padova, Italy.
Pablo Martinez-MartinCenter for Networked Biomedical Research in Neurodegenerative Diseases (CIBERNED), Carlos III Institute of Health, Madrid, Spain.
K Ray ChaudhuriParkinson Foundation International Centre of Excellence, King's College Hospital, London, UK.ORCID http://orcid.org/0000-0003-2815-0505
Lars TimmermannDepartment of Neurology, University Hospital Giessen and Marburg, Campus Marburg, Marburg, Germany.
Haidar S DafsariUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Neurology, Cologne, Germany. haidar.dafsari@uk-koeln.de.ORCID http://orcid.org/0000-0001-8849-4233
EUROPAR and the International Parkinson and Movement Disorders Society Non-Motor Parkinson’s Disease Study Group
University of Cologne · DEKing's College London · GBKing's College Hospital NHS Foundation Trust · GBVeterans Health Administration · USBirmingham City Hospital · GBGerman Center for Neurodegenerative Diseases · DEHarvard University · USHospital de Sant Pau · ESJohn Hunter Hospital · AULund University · SEManchester Academic Health Science Centre · GBNorth Tyneside General Hospital · GBNorthwestern University · USSeoul National University · KRSunnybrook Health Science Centre · CAThai Red Cross Society · THThe University of Sydney · AUUniversitätsklinikum Gießen und Marburg · DEUniversity of Helsinki · FIUniversity of Salerno · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To identify predictors of 36-month follow-up quality of life (QoL) outcome after bilateral subthalamic nucleus deep brain stimulation (STN-DBS) in Parkinson's disease (PD). In this ongoing, prospective, multicenter international study (Cologne, Manchester, London) including 73 patients undergoing STN-DBS, we assessed the following scales preoperatively and at 6-month and 36-month follow-up: PD Questionnaire-8 (PDQ-8), NMSScale (NMSS), Scales for Outcomes in PD (SCOPA)-motor examination, -activities of daily living, and -complications, and levodopa equivalent daily dose (LEDD). We analyzed factors associated with QoL improvement at 36-month follow-up based on (1) correlations between baseline test scores and QoL improvement, (2) step-wise linear regressions with baseline test scores as independent and QoL improvement as dependent variables, (3) logistic regressions and receiver operating characteristic curves using a dichotomized variable "QoL responders"/"non-responders". At both follow-ups, NMSS total score, SCOPA-motor examination, and -complications improved and LEDD was reduced significantly. PDQ-8 improved at 6-month follow-up with subsequent decrements in gains at 36-month follow-up when 61.6% of patients were categorized as "QoL non-responders". Correlations, linear, and logistic regression analyses found greater PDQ-8 improvements in patients with younger age, worse PDQ-8, and worse specific NMS at baseline, such as 'difficulties experiencing pleasure' and 'problems sustaining concentration'. Baseline SCOPA scores were not associated with PDQ-8 changes. Our results provide evidence that 36-month QoL changes depend on baseline neuropsychological and neuropsychiatric non-motor symptoms burden. These findings highlight the need for an assessment of a wide range of non-motor and motor symptoms when advising and selecting individuals for DBS therapy.

Identifiers

PMID34103534
PMCPMC8187358
OpenAlexW3168093494

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Registered trials

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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.