Evidence map›Paper›PMID 34374959›Full record

ArticleClinical drug investigation2021

The Impact of Non-dopaminergic Medication on Quality of Life in Parkinson's Disease.

Nicol G M Oonk, Kris L L Movig, Job van der Palen, Henk-Willem Nijmeijer, Mirjam E van Kesteren, Lucille D A Dorresteijn

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Clinical drug investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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

6 authors at 3 institutions in 1 country.

Nicol G M OonkDepartment of Neurology, Medisch Spectrum Twente, Enschede, The Netherlands. n.oonk@mst.nl.ORCID http://orcid.org/0000-0002-7960-8195
Kris L L MovigDepartment of Clinical Pharmacy, Medisch Spectrum Twente, Enschede, The Netherlands.
Job van der PalenDepartment of Epidemiology, Medisch Spectrum Twente, Enschede, The Netherlands.
Henk-Willem NijmeijerDepartment of Neurology, Ziekenhuis Groep Twente, Almelo, The Netherlands.
Mirjam E van KesterenDepartment of Neurology, Isala, Zwolle, The Netherlands.
Lucille D A DorresteijnDepartment of Neurology, Medisch Spectrum Twente, Enschede, The Netherlands.
Medisch Spectrum Twente · NLIsala · NLZiekenhuis Groep Twente · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesQuality of life (QoL) in Parkinson's disease (PD) depends on multiple factors. Due to PD treatment and accompanying, age-related or independent comorbidities, pill burden is often high. The relation of QoL and pharmacotherapy for comorbidities in PD has not been widely studied. This study investigated if and to what extent non-dopaminergic drugs are related to QoL in PD. Second, the impact of demographics and non-motor symptoms were evaluated. A better understanding of the impact of different non-dopaminergic drugs and polypharmacy on QoL will have added value in selecting appropriate (medication) interventions.

methodsIn a cross-sectional analysis, medication prescription data of 209 PD patients were analyzed and grouped according to the Rx-Risk comorbidity index. QoL was measured using the PDQ-39 questionnaire. Non-motor symptoms were analyzed with the Non-Motor Symptoms questionnaire. Independent factors associated with a reduced QoL were identified with a multivariate linear regression analysis.

resultsNon-dopaminergic drugs, subdivided into Rx-Risk comorbidity categories, were not associated with reduced QoL, except for the use of anti-epileptic drugs. However, using more daily non-dopaminergic drugs was also negatively associated with QoL, as well as female sex, increased PD severity, and more non-motor symptoms. Contraindicated non-dopaminergic medication was barely prescribed (0.4%).

conclusionNon-dopaminergic drugs are frequently prescribed, and higher numbers are associated with impaired QoL in PD. However, when divided in drug types, only anti-epileptic drugs were negatively associated with QoL. In these patients, physicians might improve QoL by further optimizing the condition it was prescribed for (e.g., pain or anxiety), or managing of side effects.

trial registrationNetherlands Trial Register; NL4360.

Indexed as

Parkinson DiseaseQuality of LifeCross-Sectional StudiesFemaleHumansPainSurveys and Questionnaires

Identifiers

PMID34374959
OpenAlexW3189739367

What OpenQuestion holds

Textmetadata
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.