Evidence map›Paper›PMID 40276401›Full record

ReviewCureus2025

Exploring Fatigue in Parkinson's Disease: A Comprehensive Literature Review.

Jamir Pitton Rissardo, Maleesha Jayasinghe, Masoumeh Rashidi, Fatemeh Rashidi, Hania Moharam, Ibrahim Khalil, Ali Dway, Wael A Elhassan, Mohamed H Elbadawi, Asad Ur Rehman and 4 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

14 authors.

Jamir Pitton RissardoNeurology, Cooper University Hospital, Camden, USA.
Maleesha JayasingheMedicine, Nanjing Medical University, Nanjing, CHN.
Masoumeh RashidiMedicine, Nanjing Medical University, Nanjing, CHN.
Fatemeh RashidiMedicine, Nanjing Medical University, Nanjing, CHN.
Hania MoharamMedicine and Surgery, Nanjing Medical University, Nanjing, CHN.
Ibrahim KhalilNeurological Surgery, Alexandria Faculty of Medicine, Alexandria, EGY.
Ali DwayFaculty of Medicine, AL-andalus university, Tartus, SYR.
Wael A ElhassanFaculty of Medicine, University of Khartoum, Khartoum, SDN.
Mohamed H ElbadawiMedicine and Surgery, University of khartoum, Khartoum, SDN.
Asad Ur RehmanMedicine, Nanjing Medical University, Nanjing, CHN.
Meryem BaharMedical Education, Nanjing Medical University, Nanjing, CHN.
Yixuan LiBiostatistics and Epidemiology, Nanjing Jinling Hexi Campus, Nanjing, CHN.
Ana Leticia Fornari CapraraNeurology, Universidade Federal de Santa Maria, Santa Maria, BRA.
Omesh PrathirajaMedicine and Surgery, Nanjing Medical University, Nanjing, CHN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fatigue is one of the most prevalent and debilitating non-motor symptoms of Parkinson's disease (PD), affecting up to two-thirds of patients and significantly impacting quality of life. This review provides a comprehensive analysis of its complex pathophysiology, prevalence, clinical presentation, assessment methods, and current management strategies. Fatigue in PD is linked to dysfunction in dopaminergic and non-dopaminergic pathways, neuroinflammation, genetic predispositions, and metabolic dysregulation. Reported prevalence rates range from 36% to 60%, highlighting the need for standardized assessment tools and a universally accepted definition. Clinically, fatigue is characterized by an overwhelming and abnormal sense of exhaustion, often preceding motor symptoms by years. Distinguishing it from sleepiness, apathy, and depression is crucial for accurate diagnosis and treatment. Assessment primarily relies on patient-reported scales, such as the Fatigue Severity Scale and the Parkinson's Disease Fatigue Scale. Management includes both pharmacological and non-pharmacological approaches, with medications like methylphenidate and rasagiline showing potential, alongside physical exercise, cognitive behavioral therapy, and sleep disorder management. Further research is essential to unravel the underlying mechanisms, identify objective biomarkers, and develop more effective, targeted treatments for this burdensome symptom.

Indexed as

apathybehavioral symptomschronic fatiguedepressionexcessive daytime sleepinessfatiguenon-motor symptomsparkinson's diseasesecondary fatiguesleepiness

Identifiers

PMID40276401
PMCPMC12019007

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.