Evidence map›Paper›PMID 41124650›Full record

ArticleNeurology2025

Long-Term Motor and Cognitive Outcome of Deep Brain Stimulation in Patients With Parkinson Disease With a

Micol Avenali, Carlo Alberto Artusi, Roberto Cilia, Giulia Giannini, Giada Cuconato, Alberto Albanese, Nico Golfrè Andreasi, Pietro Antenucci, Angelo Antonini, Laura Avanzino and 49 more

Abstract readMulticenter Study
In one paragraph

Article in Neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Clinical Utility ofGenes · 2026
    Review
  6. Review
  7. 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

59 authors.

Micol AvenaliDepartment of Brain and Behavioural Sciences, University of Pavia, Italy.ORCID 0000-0002-7880-9921
Carlo Alberto ArtusiRita Levi Montalcini' Department of Neuroscience, University of Torino, Turin, Italy.ORCID 0000-0001-8579-3772
Roberto CiliaSC Neurologia 2U, AOU Città della Salute e della Scienza di Torino, Turin, Italy.
Giulia GianniniDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Italy.ORCID 0000-0002-0499-3236
Giada CuconatoIRCCS Istituto delle Scienze Neurologiche di Bologna, Italy.
Alberto AlbaneseDepartment of Molecular Medicine, University of Pavia, Italy.ORCID 0000-0002-5864-0006
Nico Golfrè AndreasiSC Neurologia 2U, AOU Città della Salute e della Scienza di Torino, Turin, Italy.
Pietro AntenucciDepartment of Neurology, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Angelo AntoniniParkinson and Movement Disorder Unit, Department of Neuroscience, University of Padua, Italy.ORCID 0000-0003-1040-2807
Laura AvanzinoIRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Luca BaldelliDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Italy.ORCID 0000-0003-3666-1735
Anna Rita BentivoglioDepartment of Neuroscience, Università Cattolica del Sacro Cuore, Rome, Italy.
Francesco BoveDepartment of Neuroscience, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID 0000-0002-2959-6659
Marco BozzaliRita Levi Montalcini' Department of Neuroscience, University of Torino, Turin, Italy.ORCID 0000-0002-0568-2026
Giovanna Calandra-BuonauraDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Italy.ORCID 0000-0002-9447-3532
Ilaria CaniDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Italy.
Valerio CarelliDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Italy.ORCID 0000-0003-4923-6404
Francesco CavallieriNeurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.ORCID 0000-0001-5836-1982
Antoniangela CoccoDepartment of Molecular Medicine, University of Pavia, Italy.
Filippo CogiamanianNeurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Fabiana ColucciSC Neurologia 2U, AOU Città della Salute e della Scienza di Torino, Turin, Italy.ORCID 0000-0003-1945-8153
Pietro CortelliDepartment of Clinical Neurosciences, Parkinson and Movement Disorders Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy.ORCID 0000-0002-3633-8818
Alesssandro De BiaseDepartment of Neuroscience, Università Cattolica del Sacro Cuore, Rome, Italy.
Francesca Di BiasioPadova Neuroscience Center, University of Padua, Italy.
Alessio Di FonzoNeurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.ORCID 0000-0001-6478-026X
Valentina D'OnofrioParkinson and Movement Disorder Unit, Department of Neuroscience, University of Padua, Italy.
Roberto EleopraDepartment of Clinical Neurosciences, Parkinson and Movement Disorders Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy.
Antonio Emanuele EliaDepartment of Clinical Neurosciences, Parkinson and Movement Disorders Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy.
Valentina FioravantiNeurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.ORCID 0009-0003-4631-8591
Danilo GenoveseDepartment of Neuroscience, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID 0000-0002-7603-5758
Andrea GuerraParkinson and Movement Disorder Unit, Department of Neuroscience, University of Padua, Italy.
Alberto ImarisioIRCCS Mondino Foundation, Pavia, Italy.
Claudia LeddaRita Levi Montalcini' Department of Neuroscience, University of Torino, Turin, Italy.ORCID 0000-0003-0839-932X
Marco LiccariIRCCS Foundation Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Chiara LongoDepartment of Neurology, Santa Chiara Hospital, Trento, Italy.
Leonardo LopianoRita Levi Montalcini' Department of Neuroscience, University of Torino, Turin, Italy.
Maria Chiara MalagutiDepartment of Medical, Surgical and Health Sciences, Cattinara University Hospital, ASUGI, University of Trieste, Italy.
Rachele MalitoIRCCS Mondino Foundation, Pavia, Italy.
Francesca MameliNeurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.ORCID 0000-0003-4774-582X
Silvia MarinoDepartment of Neurology, Santa Chiara Hospital, Trento, Italy.ORCID 0000-0001-6598-9903
Raffaella MinardiDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Italy.
Pierfrancesco MitrottiDepartment of Brain and Behavioural Sciences, University of Pavia, Italy.ORCID 0000-0003-3574-1290
Edoardo MonfriniNeurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.ORCID 0000-0003-4720-9234
Claudio PacchettiIRCCS Mondino Foundation, Pavia, Italy.ORCID 0000-0001-8236-9650
Carla PianoDepartment of Neuroscience, Università Cattolica del Sacro Cuore, Rome, Italy.
Vittorio RispoliDino Ferrari Center, Department of Pathophysiology and Transplantation, University of Milan, Italy.ORCID 0000-0001-6728-8481
Mario Giorgio RizzoneRita Levi Montalcini' Department of Neuroscience, University of Torino, Turin, Italy.
Luigi Michele RomitoDepartment of Clinical Neurosciences, Parkinson and Movement Disorders Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy.ORCID 0000-0002-6772-1035
Luisa SambatiDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Italy.ORCID 0000-0002-5939-7933
Mariachiara SensiDepartment of Neurology, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Chiara SorberaDepartment of Neurology, Santa Chiara Hospital, Trento, Italy.
Francesca SpagnoloAzienda Ospedaliera Universitaria S. Anna, U.O. Neurologia, Ferrara, Italy; and.
Cristina TassorelliDepartment of Brain and Behavioural Sciences, University of Pavia, Italy.ORCID 0000-0003-1513-2113
Francesca ValentinoIRCCS Mondino Foundation, Pavia, Italy.
Franco ValzaniaNeurology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.ORCID 0000-0003-4887-1692
Roberta ZangagliaIRCCS Mondino Foundation, Pavia, Italy.ORCID 0000-0002-0962-1845
Maurizio ZibettiRita Levi Montalcini' Department of Neuroscience, University of Torino, Turin, Italy.
Italian PARKNET Study Group
Enza Maria ValenteIRCCS Mondino Foundation, Pavia, Italy.ORCID 0000-0002-0600-6820

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesDeep brain stimulation (DBS) is an established treatment for Parkinson disease (PD). In patients carrying

methodsThis multicenter retrospective, controlled, Italian study included 3 groups: DBS-treated PD patients either carrying or noncarrying

resultsA total of 615 participants were included: 430 DBS-nonGBA-PD (age 57.4 ± 7.7 years, 32% female), 109 DBS-GBA-PD (age 53.5 ± 8.4 years, 38% female), and 76 nonDBS-GBA-PD (age 57.7 ± 8.1 years, 37% female). At baseline, groups were largely matched for clinical features. Longitudinally, both DBS groups showed marked motor improvement (dyskinesias, on-off phenomenon, and wearing-off, all DISCUSSION: Despite its retrospective design, this study supports DBS as a valid therapeutic option for GBA-PD, providing prolonged benefits on motor symptoms and quality of life. The accelerated cognitive decline observed in GBA-PD, compared with non-mutated participants, was similarly present in both operated and non-operated groups, suggesting it is driven by the genotype rather than DBS itself. CLASSIFICATION OF EVIDENCE: This study provides Class III evidence that DBS does not worsen cognitive function in patients with

Indexed as

Deep Brain StimulationGlucosylceramidaseParkinson DiseaseAgedCognitionCognitive DysfunctionFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeGBA protein, humanGlucosylceramidase

Identifiers

PMID41124650
PMCPMC12549006

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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.