Evidence map›Paper›PMID 35454049›Full record

ArticleDiagnostics (Basel, Switzerland)2022

Parkinson's Disease Symptoms Associated with Developing On-State Axial Symptoms Early after Subthalamic Deep Brain Stimulation.

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

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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 2 institutions in 1 country.

Gustavo Fernández-PajarínDepartment of Neurology, Hospital Clínico Universitario de Santiago, 15706 La Coruña, Spain.ORCID 0000-0002-9211-9927
Ángel SesarDepartment of Neurology, Hospital Clínico Universitario de Santiago, 15706 La Coruña, Spain.
José Luis RelovaDepartment of Clinical Neurophysiology, Hospital Clínico Universitario de Santiago, 15706 La Coruña, Spain.
Begoña AresDepartment of Neurology, Hospital Clínico Universitario de Santiago, 15706 La Coruña, Spain.
Isabel JiménezDepartment of Neurology, Hospital Clínico Universitario de Santiago, 15706 La Coruña, Spain.
Miguel Gelabert-GonzálezDepartment of Neurosurgery, Hospital Clínico Universitario de Santiago, 15706 La Coruña, Spain.
Eduardo AránInstituto de Investigación Sanitaria de Santiago de Compostela (IDIS), 15706 La Coruña, Spain.
Alfonso CastroDepartment of Neurology, Hospital Clínico Universitario de Santiago, 15706 La Coruña, Spain.
Instituto de Investigación Sanitaria de Santiago · ESComplexo Hospitalario Universitario A Coruña · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The relationship between axial symptoms in Parkinson’s disease (PD) and subthalamic deep brain stimulation (STN-DBS) is still unclear. Purpose: We searched for particular clinical characteristics before STN-DBS linked to on-state axial problems after surgery. Methods: We retrospectively analyzed baseline motor, emotional and cognitive features from PD patients with early axial symptoms (within 4 years after STN-DBS) and late axial symptoms (after 4 years). We also considered a group of PD patients without axial symptoms for at least 4 years after surgery. Results: At baseline, early-axial PD patients (n = 28) had a higher on-state Unified Parkinson’s Disease Rating Scale III (15.0 ± 5.6 to 11.6 ± 6.2, p = 0.020), higher axial score (2.4 ± 1.8 to 0.7 ± 1.0, p < 0.001) and worse dopaminergic response (0.62 ± 0.12 to 0.70 ± 0.11, p = 0.005), than non-axial PD patients (n = 51). Early-axial PD patients had short-term recall impairment, not seen in non-axial PD (36.3 ± 7.6 to 40.3 ± 9.3, p = 0.041). These variables were similar between late-axial PD (n = 18) and non-axial PD, but late-axial PD showed worse frontal dysfunction. Conclusions: PD patients with early axial symptoms after DBS may have a significantly worse presurgical motor phenotype, poorer dopaminergic response and memory impairment. This may correspond to a more severe form of PD.

Indexed as

advanced stateaxial symptomsdeep brain stimulationearly axial symptomsfreezing of gaithigh-frequency stimulationlow-frequency stimulationParkinson’s disease

Identifiers

PMID35454049
PMCPMC9027591
OpenAlexW4224113850

What OpenQuestion holds

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LicenceCC BY
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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.