Evidence map›Paper›PMID 40719828›Full record

ReviewJournal of neural transmission (Vienna, Austria : 1996)2026

Motor and non-motor fluctuations in Parkinson's disease: the knowns and unknowns of current therapeutic approaches.

Martin Regensburger, Ilona Csoti, Wolfgang H Jost, Zacharias Kohl, Stefan Lorenzl, David J Pedrosa, Paul Lingor

Abstract readReview
In one paragraph

Review in Journal of neural transmission (Vienna, Austria : 1996), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. On-demand therapies-emergency medication or daily routine?Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  2. Review
  3. What's in a name? reframing advanced Parkinson's disease as a multidimensional state.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Initiating Apomorphine Therapy Without Antiemetic Pretreatment: Real-World Data From a Nurse-led Parkinson Disease Support Program.The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses
    Article
  11. 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.

Martin RegensburgerDepartment of Molecular Neurology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.ORCID http://orcid.org/0000-0002-2172-7386
Ilona CsotiFachklinik für Parkinson, Gertrudis Klinik Biskirchen, Leun-Biskirchen, Germany.ORCID http://orcid.org/0000-0002-3867-6837
Wolfgang H JostParkinson-Klinik Ortenau, Wolfach, Germany.ORCID http://orcid.org/0000-0002-8574-3297
Zacharias KohlDepartment of Neurology, University of Regensburg, Regensburg, Germany.ORCID http://orcid.org/0000-0002-4147-8866
Stefan LorenzlInstitute of Palliative Care, Paracelsus Medical University, Salzburg, Austria.ORCID http://orcid.org/0000-0002-1165-0821
David J PedrosaDepartment of Neurology, Philipps-University Marburg, Marburg, Germany.ORCID http://orcid.org/0000-0002-5403-1959
Paul LingorDepartment of Neurology, Klinikum rechts der Isar, School of Medicine and Health, Technical University Munich, Munich, Germany. paul.lingor@tum.de.ORCID http://orcid.org/0000-0001-9362-7096

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neurodegeneration in Parkinson's disease is chronically progressive, and no disease-modifying therapies have been approved so far. Fluctuations emerge in eventually all people with Parkinson's disease, and may lead to a high burden of motor and non-motor disability and significantly impair participation if they are inadequately treated. In recent years, the range of therapeutic options has expanded considerably. While different types of oral dopaminergic substances are initially applied to control fluctuations, additional routes of administration now encompass sublingual, inhalative, subcutaneous and transdermal applications. Different choices exist for on-demand and continuous pump therapies, as well as for deep brain stimulation. In this narrative review, we summarize the state of the art in the identification and treatment of motor and non-motor fluctuations in Parkinson's disease. Moreover, we discuss practical aspects of managing fluctuations, address yet unresolved questions and we offer insights into upcoming clinical developments.

Indexed as

Antiparkinson AgentsParkinson DiseaseDeep Brain StimulationHumansAntiparkinson Agents

Identifiers

PMID40719828
PMCPMC12855397

What OpenQuestion holds

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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.