Evidence map›Paper›PMID 39113234›Full record

ArticleEuropean journal of neurology2024

Remote levodopa challenge test in Parkinson's disease: Feasibility, reliability, validity and economic value.

Zhitong Zeng, Zhengyu Lin, Zhonglue Chen, Xiaonan Wan, Haiyan Zhou, Chencheng Zhang, Bomin Sun, Kang Ren, Dianyou Li

Abstract read
In one paragraph

Article in European journal of neurology, 2024. 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. Digital Inclusion in Parkinson's Disease: A Case-Control Study.Movement disorders clinical practice · 2025
    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

9 authors.

Zhitong ZengDepartment of Neurosurgery, Centre for Functional Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID 0000-0001-7683-6873
Zhengyu LinDepartment of Neurosurgery, Centre for Functional Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID 0000-0002-9797-9272
Zhonglue ChenHUST-GYENNO CNS Intelligent Digital Medicine Technology Centre, Wuhan, China.
Xiaonan WanDepartment of Neurosurgery, Centre for Functional Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Haiyan ZhouDepartment of Neurology and Institute of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Chencheng ZhangDepartment of Neurosurgery, Centre for Functional Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID 0009-0000-9618-7049
Bomin SunDepartment of Neurosurgery, Centre for Functional Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Kang RenHUST-GYENNO CNS Intelligent Digital Medicine Technology Centre, Wuhan, China.
Dianyou LiDepartment of Neurosurgery, Centre for Functional Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Funding

Guangci Innovative Technology Launch Program GCQH202205Science and Technology Innovation Plan Of Shanghai Science and Technology Commission 22Y11903900Shanghai Municipal Health Commission 202140181
6 · The paper itself

Abstract

background and purposeThe aim was to demonstrate the feasibility, reliability and validity of an in-home remote levodopa challenge test (LCT), as delivered through an online platform, for patients with Parkinson's disease (PwPD).

methodsPatients with Parkinson's disease eligible for deep brain stimulation surgery screening were enrolled. Participants sequentially received an in-home remote LCT and an in-hospital standard LCT (separated by 2.71 weeks). A modified Movement Disorder Society Unified Parkinson's Disease Rating Scale Part III omitting rigidity and postural stability items was used in the remote LCT. The reliability of the remote LCT was evaluated using the intraclass correlation coefficient and the concurrent validity was evaluated using the Pearson's correlation coefficient r between the levodopa responsiveness of the remote and standard LCT.

resultsOut of 106 PwPD screened, 80 (75.5%) completed both the remote and standard LCT. There was a good reliability (intraclass correlation coefficient 0.81, 95% confidence interval 0.69-0.88) and a strong correlation (r = 0.84, 95% confidence interval 0.77-0.90) between the levodopa responsiveness of the remote and standard LCT. The mean cost for PwPD was estimated to be reduced by 91% by using the remote LCT.

conclusionThe remote LCT is feasible, reliable and valid and may reduce healthcare-related costs for PwPD and their caregivers.

Indexed as

Antiparkinson AgentsFeasibility StudiesLevodopaParkinson DiseaseAgedFemaleHumansMaleMiddle AgedReproducibility of ResultsAntiparkinson AgentsLevodopadeep brain stimulationlevodopa challenge testpatients with Parkinson's diseasetelemedicine

Identifiers

PMID39113234
PMCPMC11414795

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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.