Evidence map›Paper›PMID 41591598›Full record

Observational studyNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026

Sustained efficacy and safety of levodopa-carbidopa intestinal gel in advanced Parkinson's disease: a 10-year observational study.

Hatice Ömercikoğlu Özden, Dilcem Şimşek, Merve Bikem Uçar, Fatma Nazlı Durmaz Çelik, Dilek Günal

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Hatice Ömercikoğlu ÖzdenDepartment of Neurology, Marmara University Faculty of Medicine, Basibuyuk Mah. Maltepe Başıbüyük Yolu Sok. No:9/2, Maltepe, Istanbul, 34854, Turkey. hozden@marmara.edu.tr.ORCID http://orcid.org/0000-0002-8492-7991
Dilcem ŞimşekDepartment of Neurology, Marmara University Faculty of Medicine, Basibuyuk Mah. Maltepe Başıbüyük Yolu Sok. No:9/2, Maltepe, Istanbul, 34854, Turkey.
Merve Bikem UçarDepartment of Neurology, Marmara University Faculty of Medicine, Basibuyuk Mah. Maltepe Başıbüyük Yolu Sok. No:9/2, Maltepe, Istanbul, 34854, Turkey.
Fatma Nazlı Durmaz ÇelikDepartment of Neurology, Eskişehir Osmangazi University Faculty of Medicine, Meselik Kampusu, Odunpazarı, Eskişehir, 26480, Turkey.
Dilek GünalDepartment of Neurology, Marmara University Faculty of Medicine, Basibuyuk Mah. Maltepe Başıbüyük Yolu Sok. No:9/2, Maltepe, Istanbul, 34854, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Levodopa-Carbidopa Intestinal Gel (LCIG) provides continuous dopaminergic stimulation for patients with advanced Parkinson’s disease (aPD) and is particularly beneficial for those with disabling motor fluctuations unresponsive to oral therapies. This retrospective observational study evaluated the long-term outcomes of LCIG in 52 patients treated between 2010 and 2014, with up to 10 years of follow-up. At 10 years, 67% remained on therapy and 77% were alive. LCIG reduced “off” time by an average of 3.9 h/day at 1 year and sustained partial motor benefit over time. Treatment discontinuation and mortality were associated with cognitive decline and older age at initiation. Although LCIG dose requirements increased over time, the total dopaminergic load remained stable. Adverse events occurred in most patients but rarely led to treatment discontinuation. These findings suggest that LCIG offers sustained efficacy, high long-term treatment retention, and a manageable safety profile, supporting its role as a durable therapeutic option for carefully selected aPD patients.

Indexed as

Antiparkinson AgentsCarbidopaLevodopaParkinson DiseaseAgedDrug CombinationsFemaleFollow-Up StudiesGelsHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAntiparkinson AgentsCarbidopacarbidopa, levodopa drug combinationDrug CombinationsGelsLevodopaAdvanced Parkinson’s diseaseLevodopa karbidopa intestinal gelParkinson’s disease

Identifiers

What OpenQuestion holds

Textmetadata
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.