Evidence map›Paper›PMID 37868914›Full record

ArticleMovement disorders clinical practice2023

The Clinical Profile of Tremor in Parkinson's Disease.

Jacopo Pasquini, Günther Deuschl, Alessandro Pecori, Stefano Salvadori, Roberto Ceravolo, Nicola Pavese

Open access · bronzeAbstract read
In one paragraph

Article in Movement disorders clinical practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.8field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 28 citations in OpenAlex.

  1. Sublingual apomorphine for Parkinsonian tremor: a post-hoc analysis of pivotal trial data.Journal of neural transmission (Vienna, Austria : 1996) · 2026
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  3. Article
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  7. Temporal Dynamics of Parkinson's Disease Tremor: Clinical and Neuroimaging Insights.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  8. Article
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  13. The evolution of tremor in Parkinson's Disease: insights from a 4-year longitudinal assessment.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  14. Review
  15. Article
  16. Article
  17. Burden of tremor in Parkinson's disease: A survey study.Journal of Parkinson's disease · 2025
    Article
  18. Article
  19. Changes in Action Tremor in Parkinson's Disease over Time: Clinical and Neuroimaging Correlates.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  20. 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

6 authors at 5 institutions in 4 countries.

Jacopo PasquiniDepartment of Clinical and Experimental Medicine Pisa University Pisa Italy.ORCID https://orcid.org/0000-0003-1856-2995
Günther DeuschlDepartment of Neurology University Medical Center Schleswig-Holstein, Christian-Albrechts-University Kiel Germany.ORCID https://orcid.org/0000-0002-4176-9196
Alessandro PecoriInstitute for Maternal and Child Health IRCCS "Burlo Garofolo" Trieste Italy.
Stefano SalvadoriInstitute of Clinical Physiology National Research Council (CNR) Pisa Italy.ORCID https://orcid.org/0000-0002-1266-3931
Roberto CeravoloDepartment of Clinical and Experimental Medicine Pisa University Pisa Italy.ORCID https://orcid.org/0000-0003-1412-9406
Nicola PaveseClinical Ageing Research Unit Newcastle University Newcastle upon Tyne UK.ORCID https://orcid.org/0000-0002-6801-6194
University of Pisa · ITAarhus University Hospital · DKChristian-Albrechts-Universität zu Kiel · DEIRCCS Materno Infantile Burlo Garofolo · ITIstituto di Fisiologia Clinica · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tremor is one of the most troublesome manifestations of Parkinson's Disease (PD) and its response to dopaminergic medication is variable; an evidence-based framework of PD tremor is lacking yet needed to inform future investigations. Objective: To perform a comprehensive longitudinal analysis on the clinical characteristics, course and response to dopaminergic medication of tremor in de-novo PD. Methods: Three hundred ninety-seven participants were recruited in the Parkinson Progressive Markers Initiative, a prospective observational cohort study in early de-novo PD. Rest, postural and kinetic tremor scores were extracted from the Movement Disorders Society-Unified Parkinson's Disease Rating Scale. Progression from baseline to 7-year follow-up of rest, postural and kinetic tremor scores, and their response to in-clinic dopaminergic medication were analyzed through linear mixed-effects models adjusted for age, sex and disease duration at enrollment. A sensitivity analysis was conducted through subgroup and imputation analyses. Results: 382 (96.2%) participants showed tremor and 346 (87.2%) showed rest tremor in at least one assessment over 7 years. Conclusions: PD tremor is a troublesome manifestation, with increasing severity and variable response to medications. This analysis details the current clinical natural history of tremor in early-to-mid stage PD, outlining an evidence-based framework for future pathophysiological and interventional studies.

Indexed as

characteristicscoursedopaminergic responsivenessParkinson's diseasetremor

Identifiers

PMID37868914
PMCPMC10585977
OpenAlexW4385380910

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.