Evidence map›Paper›PMID 35790655›Full record

SynthesisNeurosurgical review2022

Deep brain stimulation for Parkinson's disease-related postural abnormalities: a systematic review and meta-analysis.

Philipp Spindler, Yasmin Alzoobi, Andrea A Kühn, Katharina Faust, Gerd-Helge Schneider, Peter Vajkoczy

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Neurosurgical review, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Efficacy and safety ofBMC neurology · 2026
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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

6 authors at 1 institution in 1 country.

Philipp SpindlerDepartment of Neurosurgery, Charité University Medicine Berlin, Charitéplatz 1, 10117, Berlin, Germany. philipp.spindler@charite.de.
Yasmin AlzoobiDepartment of Neurosurgery, Charité University Medicine Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Andrea A KühnDepartment of Neurology, Charité University Medicine Berlin, Berlin, Germany.
Katharina FaustDepartment of Neurosurgery, Charité University Medicine Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Gerd-Helge SchneiderDepartment of Neurosurgery, Charité University Medicine Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Peter VajkoczyDepartment of Neurosurgery, Charité University Medicine Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Charité - Universitätsmedizin Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deep brain stimulation (DBS) has become a well-established treatment modality for Parkinson's disease (PD), especially regarding motor fluctuations, dyskinesias, and tremor. Although postural abnormalities (i.e., Camptocormia [CC] and Pisa syndrome [Pisa]) are known to be a major symptom of PD as well, the influence of DBS on postural abnormalities is unclear. The objective of this study is to analyze the existing literature regarding DBS for PD-associated postural abnormalities in a systematic review and meta-analysis. In compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we conducted a systematic review and meta-analysis of 18 studies that reported the effect of DBS regarding postural abnormalities. After screening of 53 studies, a total of 98 patients (44 female, 53 males, 1 not reported; mean age: 62.3, range 30-83 years) with postural abnormalities (CC n = 98; Pisa n = 11) were analyzed from 18 included studies. Of those patients, 94.9% underwent STN-DBS and 5.1% had GPi as DBS target area. A positive outcome was reported for 67.8% with CC and 72.2% with Pisa. In the meta-analysis, younger age and lower pre-operative UPDRS-III (ON/OFF) were found as positive predictive factors for a positive effect of DBS. DBS might be a potentially effective treatment option for PD-associated postural abnormalities. However, the level of evidence is rather low, and definition of postoperative outcome is heterogenous between studies. Therefore larger, prospective trials are necessary to give a clear recommendation.

Indexed as

Deep Brain StimulationParkinson DiseaseSubthalamic NucleusAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedMuscular Atrophy, SpinalProspective StudiesSpinal CurvaturesDeep brain stimulationNeurosurgeryParkinson’s diseasePostureSpine

Identifiers

PMID35790655
PMCPMC9492622
OpenAlexW4284681765

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.