Evidence map›Paper›PMID 38337113›Full record

ArticleAnnals of clinical and translational neurology2024

NIH Toolbox performance of persons with Parkinson's disease according to GBA1 and STN-DBS status.

Ahmad Almelegy, Srujanesh Gunda, Steven Buyske, Marc Rosenbaum, Sepehr Sani, Mitra Afshari, Leo V Metman, Christopher G Goetz, Deborah Hall, M Maral Mouradian and 1 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 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. Review
  3. 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

11 authors at 3 institutions in 1 country.

Ahmad AlmelegyDepartment of Neurology, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Srujanesh GundaDepartment of Neurology, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Steven BuyskeDepartment of Statistics, Rutgers University, Piscataway, New Jersey, USA.
Marc RosenbaumDepartment of Neurological Sciences, Rush University Medical Center, Chicago, Illinois, USA.
Sepehr SaniDepartment of Neurosurgery, Rush University Medical Center, Chicago, Illinois, USA.
Mitra AfshariDepartment of Neurological Sciences, Rush University Medical Center, Chicago, Illinois, USA.
Leo V MetmanParkinson's Disease and Movement Disorders Center, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Christopher G GoetzDepartment of Neurological Sciences, Rush University Medical Center, Chicago, Illinois, USA.ORCID 0000-0003-1665-8205
Deborah HallDepartment of Neurological Sciences, Rush University Medical Center, Chicago, Illinois, USA.ORCID 0000-0003-2772-7851
M Maral MouradianDepartment of Neurology, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Gian PalDepartment of Neurology, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.ORCID 0000-0003-1048-6182
Rush University Medical Center · USRutgers, The State University of New Jersey · USNorthwestern University · US

Funding

Parkinson disease and DBS: cognitive effects in GBA mutation carriersK23NS097625 · NINDS · RUSH UNIVERSITY MEDICAL CENTER · PI PAL, GIAN D · 2017 to 2021
$936k
NINDS NIH HHS K23 NS097625NINDS NIH HHS K23-NS097625-06
6 · The paper itself

Abstract

objectiveMutations in the glucocerebrosidase (GBA1) gene and subthalamic nucleus deep brain stimulation (STN-DBS) are independently associated with cognitive dysfunction in persons with Parkinson's disease (PwP). We hypothesized that PwP with both GBA1 mutations and STN-DBS are at greater risk of cognitive dysfunction than PwP with only GBA1 mutations or STN-DBS, or neither. In this study, we determined the pattern of cognitive dysfunction in PwP based on GBA1 mutation status and STN-DBS treatment.

methodsPwP who are GBA1 mutation carriers with or without DBS (GBA1+DBS+, GBA1+DBS-), and noncarriers with or without DBS (GBA1-DBS+, GBA1-DBS-) were included. Using the NIH Toolbox, cross-sectional differences in response inhibition, processing speed, and episodic memory were compared using analysis of variance with adjustment for relevant covariates.

resultsData were available for 9 GBA1+DBS+, 14 GBA1+DBS-, 17 GBA1-DBS+, and 26 GBA1-DBS- PwP. In this cross-sectional study, after adjusting for covariates, we found that performance on the Flanker test (measure of response inhibition) was lower in GBA1+DBS+ PwP compared with GBA1-DBS+ PwP (P = 0.030).

interpretationPwP who carry GBA1 mutations and have STN-DBS have greater impaired response inhibition compared with PwP with STN-DBS but without GBA1 mutations. Longitudinal data, including preoperative scores, are required to definitively determine whether GBA1 mutation carriers respond differently to STN-DBS, particularly in the domain of response inhibition.

Indexed as

Deep Brain StimulationParkinson DiseaseSubthalamic NucleusCross-Sectional StudiesGlucosylceramidaseHumansGlucosylceramidase

Identifiers

PMID38337113
PMCPMC11021616
OpenAlexW4391718080

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.