Evidence map›Paper›PMID 34942868›Full record

ArticleBrain sciences2021

Advanced Parkinson's Disease Treatment Simplification and Long-Term Outcomes with Levodopa Carbidopa Intestinal Gel: COSMOS Romanian Subanalysis.

Mihaela Adriana Simu, Dragoș Cătălin Jianu, Adriana Octaviana Dulamea, Viorelia Adelina Constantin, Diana Popescu, Juan Carlos Parra, József Attila Szász

Open access · goldAbstract read
In one paragraph

Article in Brain sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

8 citing papers in PubMed, 7 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

7 authors at 6 institutions in 2 countries.

Mihaela Adriana SimuDepartment of Neurology, "Victor Babeș" University of Medicine and Pharmacy, 300041 Timișoara, Romania.ORCID 0000-0001-9676-1282
Dragoș Cătălin JianuDepartment of Neurology, "Victor Babeș" University of Medicine and Pharmacy, 300041 Timișoara, Romania.ORCID 0000-0002-7827-818X
Adriana Octaviana DulameaNeurology Clinic, Fundeni Clinical Institute, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Viorelia Adelina ConstantinDepartment of Neurology, Emergency Clinical County Hospital Târgu Mureș, 540136 Târgu-Mureș, Romania.ORCID 0000-0002-1242-3751
Diana PopescuAbbVie Society with Limited Responsibilities, 020276 Bucharest, Romania.
Juan Carlos ParraAbbVie Incorporated, North Chicago, IL 60085, USA.
József Attila SzászDepartment of Neurology, "George Emil Palade" University of Medicine, Pharmacy, Science and Technology, 540139 Târgu-Mureș, Romania.ORCID 0000-0003-1675-036X
Victor Babeș University of Medicine and Pharmacy Timișoara · ROAbbVie (United States) · USCarol Davila University of Medicine and Pharmacy · RORomanian Society of Nephrology · ROSpitalul Clinic Judetean de Urgenta Târgu Mureş · ROUniversitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu Mureș · RO

Funding

AbbVie (United States) not applicable
6 · The paper itself

Abstract

The aim of the COmedication Study assessing Mono- and cOmbination therapy with levodopa-carbidopa inteStinal gel (COSMOS) was to assess the use of levodopa/carbidopa intestinal gel (LCIG) as monotherapy in patients with advanced Parkinson's disease (APD) in routine clinical practice. COSMOS was an international observational study with one cross-sectional visit and retrospective data collection. In Romania, 95 adult patients with APD on LCIG treatment for at least 12 months were enrolled and stratified according to their LCIG therapy after 12 months: monotherapy (without any add-on PD medication), monotherapy with night PD medication and LCIG + add-on medication. Compared to the moment of LCIG initiation, the percentage of patients on monotherapy increased at three months after LCIG initiation and remained constant up to 12 months, when 30.5% of the patients were on LCIG monotherapy and 11.6% were on monotherapy with night medication. "Off" time and "On" time with dyskinesia decreased from LCIG initiation to patient visit in all groups. LCIG monotherapy with or without night medication may provide a simplified treatment option for selected APD patients, with long-term efficacy similar to that of LCIG plus add-on medication.

Indexed as

COSMOSDATdevice aided therapiesLCIGlevodopa carbidopa intestinal gelmonotherapyParkinson’s diseaseroutine clinical practice

Identifiers

PMID34942868
PMCPMC8699449
OpenAlexW3217141037

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.