Evidence map›Paper›PMID 37916476›Full record

ArticleMovement disorders : official journal of the Movement Disorder Society2023

Cognitive Effects of Subthalamic Nucleus Deep Brain Stimulation in Parkinson's Disease with GBA1 Pathogenic Variants.

Gian D Pal, Daniel M Corcos, Leo Verhagen Metman, Zvi Israel, Hagai Bergman, David Arkadir

Open access · hybridAbstract read
In one paragraph

Article in Movement disorders : official journal of the Movement Disorder Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Classification and Genotype-Phenotype Relationships of GBA1 Variants: MDSGene Systematic Review.Movement disorders : official journal of the Movement Disorder Society · 2025
    Pooled it
  2. Does genetic testing remain relevant in advanced Parkinson's disease?Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. 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 3 institutions in 2 countries.

Gian D PalDivision of Movement Disorders, Department of Neurology, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.ORCID 0000-0003-1048-6182
Daniel M CorcosDepartment of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, Illinois, USA.
Leo Verhagen MetmanParkinson's Disease and Movement Disorders Center, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Zvi IsraelFaculty of Medicine, The Hebrew University and Hadassah, Jerusalem, Israel.
Hagai BergmanFaculty of Medicine, The Hebrew University and Hadassah, Jerusalem, Israel.
David ArkadirFaculty of Medicine, The Hebrew University and Hadassah, Jerusalem, Israel.ORCID 0000-0001-5065-991X
Hebrew University of Jerusalem · ILNorthwestern University · USRutgers, The State University of New Jersey · US

Funding

Study in Parkinson Disease of Exercise Phase 3 Clinical Trial: SPARX3U01NS113851 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Daniel M. Corcos · 2019 to 2026
$29.6M
Cortical priming to optimize gait rehabilitation post strokeR01HD075777 · NICHD · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MADHAVAN, SANGEETHA · 2014 to 2024
$4.1M
Role of Subthalamic nucleus in Speech and Movement among people with Parkinson’s as Revealed by Intraoperative Recordings and Deep Brain StimulationR01DC017718 · NIDCD · UNIVERSITY OF IOWA · PI GREENLEE, JEREMY · 2020 to 2024
$3.1M
Bilateral Priming Plus Task Specific Training for Severe Upper Limb HemiparesisR01HD091492 · NICHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CORCOS, DANIEL M. · 2017 to 2021
$1.5M
Intensive Rehabilitation Research Grant Writing Workshops in the United States (TIGRR)R25HD074546 · NICHD · SHEPHERD CENTER · PI EDELLE C. FIELD-FOTE, Jennifer E. Stevens-Lapsley · 2018 to 2026
$1.4M
Parkinson disease and DBS: cognitive effects in GBA mutation carriersK23NS097625 · NINDS · RUSH UNIVERSITY MEDICAL CENTER · PI PAL, GIAN D · 2017 to 2021
$936k
NICHD NIH HHS R01 HD075777NICHD NIH HHS R01 HD091492NICHD NIH HHS R25 HD074546NIDCD NIH HHS R01 DC017718NINDS NIH HHS K23 NS097625NINDS NIH HHS K23-NS097625-06NINDS NIH HHS L30 NS103289NINDS NIH HHS U01 NS113851
6 · The paper itself

Abstract

Genetic subtyping of patients with Parkinson's disease (PD) may assist in predicting the cognitive and motor outcomes of subthalamic deep brain stimulation (STN-DBS). Practical questions were recently raised with the emergence of new data regarding suboptimal cognitive outcomes after STN-DBS in individuals with PD associated with pathogenic variants in glucocerebrosidase gene (GBA1-PD). However, a variety of gaps and controversies remain. (1) Does STN-DBS truly accelerate cognitive deterioration in GBA1-PD? If so, what is the clinical significance of this acceleration? (2) How should the overall risk-to-benefit ratio of STN-DBS in GBA1-PD be established? (3) If STN-DBS has a negative effect on cognition in GBA1-PD, how can this effect be minimized? (4) Should PD patients be genetically tested before STN-DBS? (5) How should GBA1-PD patients considering STN-DBS be counseled? We aim to summarize the currently available relevant data and detail the gaps and controversies that exist pertaining to these questions. In the absence of evidence-based data, all authors strongly agree that clinicians should not categorically deny DBS to PD patients based solely on genotype (GBA1 status). We suggest that PD patients considering DBS may be offered genetic testing for GBA1, where available and feasible, so the potential risks and benefits of STN-DBS can be properly weighed by both the patient and clinician. © 2023 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Indexed as

Cognition DisordersDeep Brain StimulationParkinson DiseaseSubthalamic NucleusCognitionGlucosylceramidaseHumansGBA protein, humanGlucosylceramidasecognitiondeep brain stimulationglucocerebrosidaseParkinson's disease

Identifiers

PMID37916476
PMCPMC10990226
OpenAlexW4388236254

What OpenQuestion holds

Textmetadata
LicenceTDM
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.