Evidence map›Paper›PMID 40406920›Full record

SynthesisMovement disorders clinical practice2025

Prevalence of Supine Hypertension in Alpha-Synucleinopathies: A Systematic Review and Meta-Analysis.

Paulo Roberto Moss Lopes, Fernando Luiz Westphal Filho, Frederico De Sousa Marinho Mendes Filho, Caio Eduardo Rodrigues Falcão, Vitor Maia Arca, Jacy Bezerra Parmera

Abstract readMeta-AnalysisSystematic Review
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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Orthostatic hypotension in Parkinson's disease: therapeutic considerations.Therapeutic advances in neurological disorders · 2025
    Review
  6. 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

6 authors.

Paulo Roberto Moss LopesDepartment of Clinical Surgery, School of Medicine, Federal University of Amazonas (UFAM), Manaus, Brazil.ORCID https://orcid.org/0009-0000-8534-044X
Fernando Luiz Westphal FilhoDepartment of Clinical Surgery, School of Medicine, Federal University of Amazonas (UFAM), Manaus, Brazil.
Frederico De Sousa Marinho Mendes FilhoDepartment of Clinical Surgery, School of Medicine, Federal University of Amazonas (UFAM), Manaus, Brazil.
Caio Eduardo Rodrigues FalcãoDepartment of Clinical Surgery, School of Medicine, Federal University of Amazonas (UFAM), Manaus, Brazil.
Vitor Maia ArcaDepartment of Neurology and Neurosurgery, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.
Jacy Bezerra ParmeraMovement Disorders Center, Department of Neurology, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, Brazil.ORCID https://orcid.org/0000-0002-3565-5328

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlpha-synucleinopathies, including Parkinson's Disease (PD), Dementia with Lewy Bodies (DLB), Multiple System Atrophy (MSA), and Pure Autonomic Failure (PAF), are associated with autonomic dysfunctions such as orthostatic hypotension (OH) and supine hypertension (SH). SH, characterized by elevated supine blood pressure, carries significant cardiovascular and cognitive risks, yet its prevalence in α-synucleinopathies remains inadequately defined.

objectivesWe aimed to conduct a systematic review and meta-analysis to assess the prevalence of SH in α-synucleinopathies.

methodsWe systematically searched PubMed, Embase, and Web of Science databases for studies reporting SH prevalence in patients with α-synucleinopathies. A random-effects model estimated prevalence, stratified by disease type, study design, SH definition, OH presence, and disease duration. Sensitivity analyses were applied to explore sources of variability.

resultsNineteen studies involving 4973 patients were included. The overall SH prevalence was 30.4% (95% CI: 26.4-34.7; I

conclusionSH is highly prevalent across α-synucleinopathies, with variability by disease type and OH presence. Standardizing diagnostic criteria and investigating its clinical implications are essential to enhance management strategies.

Indexed as

HypertensionHypotension, OrthostaticParkinson DiseaseSynucleinopathiesHumansLewy Body DiseaseMultiple System AtrophyPrevalenceSupine PositionOrthostatic hypotensionParkinson's DiseasePrevalenceSupine hypertensionSynucleinopathies

Identifiers

PMID40406920
PMCPMC12625150

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.