Evidence map›Paper›PMID 40042113›Full record

SynthesisMovement disorders clinical practice2025

Long-Term Quality of Life Trend after Subthalamic Stimulation for Parkinson's Disease: An Updated Systematic Review and Meta-Analysis.

Luis Otávio Nogueira, Angela Maria Sandini Corso, Louise Dalla Corte Dallé, Vanio L J Antunes, Matheus de M Fernandes, Isabella S M Rabelo, Marcus V Della Coletta, Carolina Candeias da Silva, Lorena Broseghini Barcelos, Henrique Ballalai Ferraz and 2 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Movement disorders clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

12 authors.

Luis Otávio NogueiraAmazonas State University, Medicine Department, Manaus, Brazil.ORCID https://orcid.org/0009-0004-8809-8715
Angela Maria Sandini CorsoParaná Federal University, Curitiba, Brazil.ORCID https://orcid.org/0009-0005-5048-9531
Louise Dalla Corte DalléFederal University of Health Sciences of Porto Alegre, Medicine Department, Porto Alegre, Brazil.ORCID https://orcid.org/0009-0004-8681-7464
Vanio L J AntunesFederal University of Health Sciences of Porto Alegre, Medicine Department, Porto Alegre, Brazil.ORCID https://orcid.org/0009-0007-1127-230X
Matheus de M FernandesState University of Rio Grande do Norte, Mossoró, Brazil.ORCID https://orcid.org/0009-0001-6536-0862
Isabella S M RabeloState University of Ceará, Fortaleza, Brazil.ORCID https://orcid.org/0009-0009-4836-5483
Marcus V Della ColettaAmazonas State University, Medicine Department, Manaus, Brazil.ORCID https://orcid.org/0000-0002-3368-8492
Carolina Candeias da SilvaFederal University of São Paulo, Department of Neurology and Neurosurgery, São Paulo, Brazil.ORCID https://orcid.org/0000-0003-2661-779X
Lorena Broseghini BarcelosFederal University of São Paulo, Department of Neurology and Neurosurgery, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-0514-6733
Henrique Ballalai FerrazFederal University of São Paulo, Department of Neurology and Neurosurgery, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-3821-1407
Robson Luis Oliveira de AmorimHealth Sciences Faculty, Federal University of Amazonas, Manaus, Brazil.ORCID https://orcid.org/0000-0003-2391-7519
Dayany Leonel BooneFederal University of São Paulo, Department of Neurology and Neurosurgery, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-9932-3528

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
6 · The paper itself

Abstract

backgroundDeep brain stimulation of the subthalamic nucleus (STN-DBS) is a well-established treatment for Parkinson's Disease (PD). However, the long-term trajectory of Quality of Life (QoL) following STN-DBS remains underexplored.

objectivesWe aimed to conduct a systematic review and meta-analysis to assess QoL trends up to five years after STN-DBS.

methodsWe systematically searched PubMed, Embase, and Cochrane databases from inception to August 2024 for studies involving PD patients treated with bilateral STN-DBS, evaluating QoL using the Parkinson's Disease Questionnaire (PDQ), with a minimum follow-up of 12 months post-surgery. Continuous outcomes were pooled using standardized mean differences (SMD), and statistical analyses were conducted using R version 4.3.2.

resultsOut of 4106 screened articles, 42 studies with a total of 2767 patients were included in the meta-analysis. QoL improvements were observed up to 36 months post-surgery (SMD 0.83; 95% CI 0.29 to 1.37), followed by a decline to pre-operative levels at 60 months (SMD -0.06; 95% CI -0.26 to 0.15). Subdomain analysis at 60 months revealed significant deterioration in cognitive function and communication. Meta-regression indicated that QoL improvements were independent of clinical and sociodemographic factors such as age, sex, and disease duration; however, there was a correlation with mean baseline PDQ (P = 0.01).

conclusionsThis meta-analysis provides long-term QoL trends following STN-DBS, highlighting a further need to explore the factors driving the decline in QoL and develop strategies to mitigate this deterioration.

Indexed as

Deep Brain StimulationParkinson DiseaseQuality of LifeSubthalamic NucleusHumansmeta‐analysisParkinson's diseasePDQquality of lifeSTN‐DBS

Identifiers

PMID40042113
PMCPMC12070175

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.