Evidence map›Paper›PMID 35415009›Full record

ArticleTremor and other hyperkinetic movements (New York, N.Y.)2022

Treatment Patterns in Essential Tremor: A Retrospective Analysis.

Chintan Shah, George R Jackson, Aliya I Sarwar, Pitchaiah Mandava, Fariha Jamal

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Tremor and other hyperkinetic movements (New York, N.Y.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07484152 (Motor and Non-Motor Effects of Low-Intensity Focused Ultrasound), which is not on this 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
1.9field-weighted citation impact, top 13% 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.

NCT07484152 phase1 / phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Motor and Non-Motor Effects of Low-Intensity Focused Ultrasound (LIFU) as a Neuromodulation Tool in Movement Disorders: A Randomized, Double-Blind, Sham-Controlled, Crossover Clinical Trial in Essential Tremor

TypeinterventionalSponsorUniversity of Sao Paulo General HospitalRan2026 to 2028Enrolled20ConditionsEssential Tremor (ET)ArmsLow-Intensity Focused Ultrasound (LIFU) - NeuroFUS PRO
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Medication Adherence in Chinese Patients with Essential Tremor: A Real World Study.Tremor and other hyperkinetic movements (New York, N.Y.) · 2025
    Article
  6. Review
  7. Tips and tricks in tremor treatment.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
  8. Article
  9. Observational
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

5 authors at 2 institutions in 1 country.

Chintan ShahParkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, Texas, US.ORCID 0000-0002-7249-5722
George R JacksonParkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, Texas, US.ORCID 0000-0001-7753-0331
Aliya I SarwarParkinson's Disease Research, Education, and Clinical Center, Michael E. DeBakey Veterans Affairs Medical Center, and Department of Neurology, Baylor College of Medicine, Houston, Texas, US.ORCID 0000-0002-4498-6698
Pitchaiah MandavaDepartment of Neurology, Baylor College of Medicine, Houston, Texas, US.ORCID 0000-0003-4957-4518
Fariha JamalParkinson's Disease Research, Education, and Clinical Center, Michael E. DeBakey Veterans Affairs Medical Center, and Department of Neurology, Baylor College of Medicine, Houston, Texas, US.ORCID 0000-0002-3311-1351
Michael E. DeBakey VA Medical Center · USBaylor College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although first line therapies for essential tremor have been identified from small clinical trials, responses are variable. We conducted a survey of tremor management in a large sample of ET cases. Methods: The Movement Disorders Clinical Case Registry within a US Veterans Health Administration medical center was used to identify 1468 patients with ET. Results: Of 1468 charts reviewed, 1074 (73.19%) met criteria for ET with characterization of temporal course and treatment; 291/1074 subjects (27.1%) did not receive any treatment. Almost half (500/1074; 46.6%) of the patients received monotherapy, 196/1074 (18.2%) two, 66/1074 (6.1%) three, and 21/1074 (2.0%) four or more medications. Of all prescriptions, primidone was the most used (546/1172; 46.6%), followed by propranolol (419; 35.8%), topiramate (122; 10.4%) and gabapentin (35; 3.0%). Medication response was available for a total of 1030 prescriptions, of which 138 (13.4%) were discontinued due to side effects; 180 (17.5%) prescriptions were ineffective. Furthermore, 52/1074 patients (4.8%) were treated with botulinum toxin injections and 41/1074 (3.8%) underwent deep brain stimulation surgery. Discussion: Our data suggest that more widespread recognition of limitations underlying conventional approaches, as well as increased referrals for nonpharmacological therapies, may be necessary to achieve improved outcomes in ET populations.

Indexed as

Essential TremorHumansPrimidonePropranololRetrospective StudiesTopiramatePrimidonePropranololTopiramatebotulinum toxinclinicaldeep brain stimulationessential tremormedicationtreatment

Identifiers

PMID35415009
PMCPMC8954883
OpenAlexW4226498107

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.