Evidence map›Paper›PMID 39834985›Full record

ReviewCureus2024

The Pharmacological Management of Essential Tremor and Its Long-Term Effects on Patient Quality of Life: A Systematic Review.

Oqab Alharbi, Sofian A Albaibi, Abdullah A Almutairi, Emad Alsaqabi, Meshal Alharbi, Bader S Alharbi, Mohammad F Almansour, Zainah A Al-Qahtani

Abstract readReview
In one paragraph

Review in Cureus, 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
–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

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

  1. Pooled it
  2. Article
  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

8 authors.

Oqab AlharbiNeurology, Unaizah College of Medicine and Medical Sciences, Qassim University, Unaizah, SAU.
Sofian A AlbaibiMedicine, Unaizah College of Medicine and Medical Sciences, Qassim University, Unaizah, SAU.
Abdullah A AlmutairiNeurology, Unaizah College of Medicine and Medical Sciences, Qassim University, Unaizah, SAU.
Emad AlsaqabiNeurology, Unaizah College of Medicine and Medical Sciences, Qassim University, Unaizah, SAU.
Meshal AlharbiInternal Medicine, Unaizah College of Medicine and Medical Sciences, Qassim University, Unaizah, SAU.
Bader S AlharbiMedicine, Unaizah College of Medicine and Medical Sciences, Qassim University, Unaizah, SAU.
Mohammad F AlmansourMedicine, Unaizah College of Medicine and Medical Sciences, Qassim University, Unaizah, SAU.
Zainah A Al-QahtaniNeurology, King Khalid University, Abha, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Essential tremor (ET) is one of the most prevalent nerve-related movement disorders, most commonly affecting the hands during voluntary movements or while maintaining posture. Unlike tremors in neurodegenerative conditions, ET is not observed at rest. Continued research is essential to optimize treatment strategies and address the unmet need for sustainable, patient-centered therapies that minimize side effects and enhance long-term quality of life (QoL) for individuals with ET. Five medical databases were searched for content relevant to this study's topic, utilizing the guidelines set forth by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). These databases searched include Web of Science, PubMed, Cochrane Library, ScienceDirect, and Google Scholar for publications between 2010 and 2024. The review analyzed studies including adult patients with ET, focusing on efficacy, safety, and QoL outcomes, with priority given to studies from the Middle East or Saudi Arabia. We included 10 studies that met our inclusion criteria for a full review. Based on the studies, pharmacological treatments such as alprazolam, primidone, propranolol, and CX-8998 were found to be efficient in the management of ET. Emerging medications, including CX-8998 and alprazolam, showed mixed results with significant adverse events. Surgical interventions like deep brain stimulation (DBS) demonstrated long-term motor control benefits, although functional declines occurred due to disease progression. Novel approaches like low-intensity focused ultrasound (LIFU), transcutaneous afferent patterned stimulation (TAPS), and incobotulinumtoxinA injections presented promising results with improved tremor control and minimal side effects. In conclusion, pharmacological treatments for ET provide symptomatic relief but are limited by side effects and reduced long-term efficacy, significantly impacting QoL. Surgical and novel therapeutic options offer enhanced motor control and durability of effects, though they are not universally applicable.

Indexed as

deep brain stimulation (dbs)emerging therapiesessential tremor (et)pharmacological managementquality of life (qol)

Identifiers

PMID39834985
PMCPMC11743653

What OpenQuestion holds

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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.