Evidence map›Paper›PMID 34761055›Full record

ArticleMovement disorders clinical practice2021

Continuous Subcutaneous Apomorphine Infusion before Subthalamic Deep Brain Stimulation: A Prospective, Comparative Study in 20 Patients.

Gustavo Fernández-Pajarín, Ángel Sesar, Begoña Ares, Isabel Jiménez-Martín, Miguel Gelabert, Eduardo Arán-Echabe, José Luis Relova, Alfonso Castro

Open access · bronzeAbstract read
In one paragraph

Article in Movement disorders clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. The effects of deep brain stimulation on sleep: a systematic review and meta-analysis.Sleep advances : a journal of the Sleep Research Society · 2024
    Review
  6. Article
  7. Review
  8. Review
  9. 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

8 authors at 1 institution in 1 country.

Gustavo Fernández-PajarínDepartment of Neurology Hospital Clínico Universitario de Santiago Santiago Spain.ORCID https://orcid.org/0000-0002-9211-9927
Ángel SesarDepartment of Neurology Hospital Clínico Universitario de Santiago Santiago Spain.
Begoña AresDepartment of Neurology Hospital Clínico Universitario de Santiago Santiago Spain.
Isabel Jiménez-MartínDepartment of Neurology Hospital Clínico Universitario de Santiago Santiago Spain.
Miguel GelabertDepartment of Neurosurgery Hospital Clínico Universitario de Santiago Santiago Spain.
Eduardo Arán-EchabeGrupo Clínico de Trastornos del Movimiento Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS) Santiago Spain.
José Luis RelovaDepartment of Clinical Neurophysiology Hospital Clínico Universitario de Santiago Santiago Spain.
Alfonso CastroDepartment of Neurology Hospital Clínico Universitario de Santiago Santiago Spain.
Complejo Hospitalario Universitario de Santiago · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies comparing the clinical efficacy of apomorphine infusion (APO) with subsequent subthalamic deep brain stimulation (STN-DBS) in advanced Parkinson's disease (aPD) are currently lacking. Retrospective data have shown that patients treated with APO are usually older, have a more prolonged disease, and a more severe phenotype.

objectiveTo compare the benefit of APO with that of STN-DBS on motor, non-motor, cognitive, and quality of life in the same patient when given sequentially.

methodsWe prospectively analyzed 20 aPD patients over 3 different treatment phases: baseline (optimized medical treatment), during APO treatment, and during subsequent STN-DBS treatment. The APO and STN-DBS phases were stable for 6 months, and evaluation of the different treatments was separated by 6 months.

resultsCompared to baseline, APO, and STN-DBS reduced mean daily

conclusionsBoth APO and STN-DBS improved motor and non-motor symptoms and quality of life compared to optimized medical treatment in aPD. Overall, STN-DBS was the most effective treatment, but APO showed a pronounced benefit on motor symptoms. Effective treatment for aPD should not be delayed, even when waiting for surgery.

Indexed as

apomorphinedevice‐aided therapiesParkinson's diseasesubthalamic deep brain stimulation

Identifiers

PMID34761055
PMCPMC8564815
OpenAlexW3193605996

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.