Evidence map›Paper›PMID 39937423›Full record

ReviewNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2025

Pain and fatigue in Parkinson's disease: advances in diagnosis and management.

Michele Tinazzi, Christian Geroin, Mattia Siciliano, Marialuisa Gandolfi, Ilaria Di Vico, Rosa De Micco, Alessandro Tessitore

Abstract readReview
PubMed Publisher
In one paragraph

Review in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Types of Pain in Multiple System Atrophy.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  3. Gender differences in non-motor symptoms in Parkinson's disease: a multicenter longitudinal study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  4. Review
  5. Review
  6. Review
  7. 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

7 authors.

Michele Tinazzi *Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, Italy. michele.tinazzi@univr.it.ORCID http://orcid.org/0000-0002-2370-7063
Christian Geroin *Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Verona, Italy. christian.geroin@univr.it.ORCID http://orcid.org/0000-0001-6095-1930
Mattia SicilianoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID http://orcid.org/0000-0001-5246-2109
Marialuisa GandolfiDepartment of Neuroscience, Biomedicine and Movement, University of Verona, Verona, Italy.ORCID http://orcid.org/0000-0002-0877-4807
Ilaria Di VicoDepartment of Neuroscience, Biomedicine and Movement, University of Verona, Verona, Italy.ORCID http://orcid.org/0000-0001-7126-8686
Rosa De Micco *Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID http://orcid.org/0000-0002-6397-8888
Alessandro Tessitore *Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID http://orcid.org/0000-0003-1740-8566

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-motor symptoms affect over 90% of people with Parkinson's disease at all stages, with pain and fatigue being among the most prevalent yet often neglected in clinical practice. Despite their significant impact, these symptoms are frequently underdiagnosed and inadequately treated, adding substantial burden to patients' lives. The lack of a clear definition and classification of these symptoms has led neurologists to underestimate their presence among people with Parkinson's disease and limited the ability to address them with mechanism-based care and effective treatments. Managing these symptoms is challenging because of the lack of robust, specifically designed, randomized-controlled trials on effective treatments. This review delves into the current understanding of diagnosing, assessing, and treating pain and fatigue in Parkinson's disease, highlighting critical knowledge gaps and suggesting future research directions. The framework emphasizes improving classification methods, deepening our understanding of the underlying pathophysiology, evaluating treatment impacts on pain and fatigue, and leveraging longitudinal data collection through consensus-based methodology. By addressing these critical areas, we strive to enhance the management of these debilitating non-motor symptoms and ultimately improve patients' quality of life.

Indexed as

FatiguePainPain ManagementParkinson DiseaseDisease ManagementHumansAnxietyDepressionFatiguePainQuality of LifeSleep

Identifiers

What OpenQuestion holds

Textmetadata
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.