Evidence map›Paper›PMID 41626017›Full record

ArticleFrontiers in neurology2025

10-year clinical outcomes of subthalamic nucleus versus pallidal deep brain stimulation for Parkinson's disease: VA/NINDS CSP #468F.

Jill L Ostrem, Ping Luo, Frances M Weaver, Kenneth Follett, Johannes Rothlind, Nicholas B Galifianakis, Eugene C Lai, Jeff Bronstein, John Duda, Kathryn Holloway and 11 more

3 registry-linked trialsAbstract read
In one paragraph

Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT00056563 phase3completednot on this map

CSP #468 Phase I - A Comparison of Best Medical Therapy and Deep Brain Stimulation of Subthalamic Nucleus and Globus Pallidus for the Treatment of Parkinson's Disease

TypeinterventionalSponsorUS Department of Veterans AffairsRan2002 to 2008Enrolled255ConditionsParkinson's DiseaseArmsBilateral Deep Brain Stimulation, best medical therapy
NCT01022073 completednot on this map

CSP #468F - Long Term Study of Deep Brain Stimulation for Parkinson's Disease: A Longitudinal Follow-Up Study of the VA/NINDS CSP #468 Cohort

TypeobservationalSponsorVA Office of Research and DevelopmentRan2010 to 2015Enrolled156ConditionsParkinson Disease
NCT01076452 phase3completednot on this map

CSP #468 Phase II - A Comparison of Best Medical Therapy and Deep Brain Stimulation of Subthalamic Nucleus and Globus Pallidus for the Treatment of Parkinson's Disease, Phase II

TypeinterventionalSponsorUS Department of Veterans AffairsRan2002 to 2009Enrolled299ConditionsParkinson's DiseaseArmsBilateral Deep Brain Stimulation
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. How Does Deep Brain Stimulation Change the Course of Parkinson's Disease?Movement disorders : official journal of the Movement Disorder Society · 2022
    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

21 authors.

Jill L OstremDepartment of Neurology, University of California, San Francisco, San Francisco, CA, United States.
Ping LuoEdward Hines Jr, VA Hospital, Hines, IL, United States.
Frances M WeaverEdward Hines Jr, VA Hospital, Hines, IL, United States.
Kenneth FollettDepartment of Neurosurgery, University of Nebraska Medical Center, Omaha, NE, United States.
Johannes RothlindSan Francisco VA Medical Center, San Francisco, CA, United States.
Nicholas B GalifianakisDepartment of Neurology, University of California, San Francisco, San Francisco, CA, United States.
Eugene C LaiDepartment of Neurology, Houston Methodist Neurological Institute, Houston, TX, United States.
Jeff BronsteinDepartment of Neurology, University of California, Los Angeles, Los Angeles, CA, United States.
John DudaDepartment of Neurology, Philadelphia VA Medical Center, Philadelphia, PA, United States.
Kathryn HollowayMcGuire VA Medical Center, Richmond, VA, United States.
Aliya SarwarMichael E. DeBakey VA Medical Center, Houston, TX, United States.
Matthew BrodskyDepartment of Neurology, Oregon Health Science University, Portland, OR, United States.
Kathryn ChungPortland VA Medical Center, Portland, OR, United States.
Meredith SpindlerDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, United States.
Domenic RedaEdward Hines Jr, VA Hospital, Hines, IL, United States.
Amanda SnodgrassVA Cooperative Studies Program Clinical Research Pharmacy Coordinating Center, Albuquerque, NM, United States.
Claudia MoyThe National Institutes of Neurological Disorders and Stroke, Bethesda, MD, United States.
Grant HuangThe Department of Veterans Affairs Cooperative Studies Program Central Office, Washington, DC, United States.
Yongliang WeiEdward Hines Jr, VA Hospital, Hines, IL, United States.
William J MarksDepartment of Neurology, Stanford University School of Medicine, Stanford, CA, United States.
CSP 468F Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to examine the very long-term effects of globus pallidus interna (GPi) or subthalamic nucleus (STN) deep brain stimulation (DBS) on Parkinson's disease (PD) in a subset of patients enrolled in the CSP468 VA/NINDS prospective randomized trial. Methods: The primary outcome was the change in off-medication/on-stimulation Unified Parkinson's Disease Rating Scale III score (UPDRS III) from baseline over time between the two targets at 2, 7, and 10 years. Many secondary outcomes were also explored. Results: A total of 156 patients were enrolled in this substudy, and data were available for 68 GPi/49 STN participants at 7 years and 49 GPi/28 STN participants at 10 years. There was no overall difference in the time trend between the two targets ( Conclusion: DBS therapy has a significant beneficial effect on overall motor function, dyskinesia, and motor fluctuations over 10 years (regardless of target), though non-motor symptoms progressed. Bradykinesia, axial, and quality-of-life improvement were maintained at 2 years and then declined over time. Clinical trial registration: ClinicalTrials.gov, identifier NCT01022073, NCT00056563, NCT01076452.

Indexed as

deep brain stimulationglobus palliduslong-term outcomesParkinson’s diseasesubthalamic nucleus

Identifiers

PMID41626017
PMCPMC12856926

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.