Evidence map›Paper›PMID 37663307›Full record

ArticleFrontiers in pain research (Lausanne, Switzerland)2023

Dorsal subthalamic deep brain stimulation improves pain in Parkinson's disease.

Asra Askari, Jordan L W Lam, Brandon J Zhu, Charles W Lu, Kelvin L Chou, Kara J Wyant, Parag G Patil

Abstract read
In one paragraph

Article in Frontiers in pain research (Lausanne, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

7 authors.

Asra AskariDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI, United States.
Jordan L W LamDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI, United States.
Brandon J ZhuDepartment of Biomedical Engineering, University of Michigan, Ann Arbor, MI, United States.
Charles W LuDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI, United States.
Kelvin L ChouDepartment of Neurology, University of Michigan, Ann Arbor, MI, United States.
Kara J WyantDepartment of Neurology, University of Michigan, Ann Arbor, MI, United States.
Parag G PatilDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Inconsistent effects of subthalamic deep brain stimulation (STN DBS) on pain, a common non-motor symptom of Parkinson's disease (PD), may be due to variations in active contact location relative to some pain-reducing locus of stimulation. This study models and compares the loci of maximal effect for pain reduction and motor improvement in STN DBS. Methods: We measured Movement Disorder Society Unified PD Rating Scale (MDS-UPDRS) Part I pain score (item-9), and MDS-UPDRS Part III motor score, preoperatively and 6-12 months after STN DBS. An ordinary least-squares regression model was used to examine active contact location as a predictor of follow-up pain score while controlling for baseline pain, age, dopaminergic medication, and motor improvement. An atlas-independent isotropic electric field model was applied to distinguish sites of maximally effective stimulation for pain and motor improvement. Results: In 74 PD patients, mean pain score significantly improved after STN DBS ( Conclusion: STN stimulation, dorsal to the site of optimal motor improvement, improves pain. This region contains the zona incerta, which is known to modulate pain in humans, and may explain this observation.

Indexed as

deep brain stimulationmovement disorder society unified Parkinson’s disease rating scale (MDS-UPDRS)painParkinson’s diseasesubthalamic nucleus

Identifiers

PMID37663307
PMCPMC10469498

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.