Evidence map›Paper›PMID 40325017›Full record

ArticleNPJ Parkinson's disease2025

Will adaptive deep brain stimulation for Parkinson's disease become a real option soon? A Delphi consensus study.

Matteo Guidetti, Tommaso Bocci, Marta De Pedro Del Álamo, Guenther Deuschl, Alfonso Fasano, Raul Martinez-Fernandez, Carmen Gasca-Salas, Clement Hamani, Joachim K Krauss, Andrea A Kühn and 17 more

Abstract read
In one paragraph

Article in NPJ Parkinson's disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. The Place of Adaptive Deep Brain Stimulation in Parkinson's Disease: Spatial before Temporal Optimization.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  2. Article
  3. Article
  4. Adaptive Deep Brain Stimulation for Parkinson's Disease: Navigating the Roadblocks to Clinical Implementation.Movement disorders : official journal of the Movement Disorder Society · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Local Field Potentials in Movement Disorders: A Narrative Review.Stereotactic and functional neurosurgery · 2026
    Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors.

Matteo GuidettiDepartment of Health Sciences, "Aldo Ravelli" Center for Neurotechnology and Experimental Brain Therapeutics, University of Milan, Milan, Italy.
Tommaso BocciDepartment of Health Sciences, "Aldo Ravelli" Center for Neurotechnology and Experimental Brain Therapeutics, University of Milan, Milan, Italy.
Marta De Pedro Del ÁlamoHM CINAC, Hospital Universitario HM Puerta del Sur, HM Hospitales, Madrid, Spain.
Guenther DeuschlDepartment of Neurology, University Hospital Schleswig-Holstein, Campus Kiel and Christian Albrechts-University of Kiel Kiel Germany, Kiel, Germany.
Alfonso FasanoKrembil Research Institute, University Health Network, Toronto, ON, Canada.
Raul Martinez-FernandezHM CINAC, Hospital Universitario HM Puerta del Sur, HM Hospitales, Madrid, Spain.
Carmen Gasca-SalasHM CINAC, Hospital Universitario HM Puerta del Sur, HM Hospitales, Madrid, Spain.
Clement HamaniSunnybrook Health Sciences Centre, Toronto, ON, Canada.
Joachim K KraussDepartment of Neurosurgery, Hannover Medical School, Hannover, Germany.
Andrea A KühnDepartment of Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Patricia LimousinDepartment of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology and the National Hospital for Neurology and Neurosurgery, London, UK.
Simon LittleMovement Disorders and Neuromodulation Centre, University of California San Francisco, San Francisco, CA, USA.
Andres M LozanoKrembil Research Institute, University Health Network, Toronto, ON, Canada.
Natale V MaioranaDepartment of Health Sciences, "Aldo Ravelli" Center for Neurotechnology and Experimental Brain Therapeutics, University of Milan, Milan, Italy.
Sara MarcegliaDepartment of Health Sciences, "Aldo Ravelli" Center for Neurotechnology and Experimental Brain Therapeutics, University of Milan, Milan, Italy. sara.marceglia@unimi.it.
Michael S OkunNorman Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, USA.
Serena OliveriDepartment of Health Sciences, "Aldo Ravelli" Center for Neurotechnology and Experimental Brain Therapeutics, University of Milan, Milan, Italy.
Jill L OstremMovement Disorders and Neuromodulation Centre, University of California San Francisco, San Francisco, CA, USA.
Emma ScelzoClinical Neurology Unit, Department of Health Sciences, "Azienda Socio-Sanitaria Territoriale Santi Paolo e Carlo", University of Milan, Milan, Italy.
Alfons SchnitzlerInstitute of Clinical Neuroscience and Medical Psychology, Medical Faculty, Heinrich-Heine University, Düsseldorf, Germany.
Philip A StarrUCSF Department of Neurological Surgery, University of California San Francisco, San Francisco, CA, USA.
Yasin TemelDepartment of Neurosurgery, Maastricht University Medical Center, Maastricht, The Netherlands.
Lars TimmermannDepartment of Neurology, University Hospital of Marburg, Marburg, Germany.
Gerd TinkhauserDepartment of Neurology, Bern University Hospital and University of Bern, Bern, Switzerland.
Veerle Visser-VandewalleDepartment of Stereotactic and Functional Neurosurgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Jens VolkmannDepartment of Neurology, University Hospital Würzburg, Würzburg, Germany.
Alberto PrioriDepartment of Health Sciences, "Aldo Ravelli" Center for Neurotechnology and Experimental Brain Therapeutics, University of Milan, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While conventional deep brain stimulation (cDBS) treatment delivers continuous electrical stimuli, new adaptive DBS (aDBS) technology provides dynamic symptom-related stimulation. Research data are promising, and devices are already available, but are we ready for it? We asked leading DBS experts worldwide (n = 21) to discuss a research agenda for aDBS research in the near future to allow full adoption. A 5-point Likert scale questionnaire, along with a Delphi method, was employed. In the next 10 years, aDBS will be clinical routine, but research is needed to define which patients would benefit more from the treatment; second, implantation and programming procedures should be simplified to allow actual generalized adoption; third, new adaptive algorithms, and the integration of aDBS paradigm with new technologies, will improve control of more complex symptoms. Since the next years will be crucial for aDBS implementation, the research should focus on improving precision and making programming procedures more accessible.

Identifiers

PMID40325017
PMCPMC12052990

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.