Evidence map›Paper›PMID 41832267›Full record

ArticleNPJ Parkinson's disease2026

Predictors of motor outcome with pallidal stimulation for Parkinson's disease from the CSP468 cohort.

Shawn D'Souza, Aashish Batheja, Jeffrey Chen, Harsh P Shah, Vikram Seshadri, Nina Opem, Omar Al-Dulaimi, Jamie Toms, Pierre D'Haese, Benoit M Dawant and 4 more

Abstract read
In one paragraph

Article in NPJ Parkinson's disease, 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

14 authors.

Shawn D'SouzaWashington University at St. Louis Medicine, St. Louis, MO, USA. dshawn@wustl.edu.
Aashish BathejaVirginia Commonwealth University School of Medicine, Richmond, VA, USA.
Jeffrey ChenVirginia Commonwealth University School of Medicine, Richmond, VA, USA.
Harsh P ShahWashington University at St. Louis Medicine, St. Louis, MO, USA.
Vikram SeshadriUT Southwestern Medical Center, Dallas, TX, USA.
Nina OpemVirginia Commonwealth University School of Medicine, Richmond, VA, USA.
Omar Al-DulaimiVirginia Commonwealth University School of Medicine, Richmond, VA, USA.
Jamie TomsLSU Health Sciences Center - Shreveport, Shreveport, LA, USA.
Pierre D'HaeseRockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, USA.
Benoit M DawantVanderbilt University, Nashville, TN, USA.
Rui LiVanderbilt University Medical Center, Nashville, TN, USA.
Paul KochVirginia Commonwealth University Health System, Richmond, VA, USA.
Paul LarsonUniversity of Arizona, Tucson, AZ, USA.
Kathryn L HollowayVirginia Commonwealth University Health System, Richmond, VA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deep brain stimulation (DBS) of the globus pallidus interna (GPi) is an effective treatment for medication‑refractory Parkinson's disease (PD), though outcomes vary widely. The influence of lead location relative to the GPi therapeutic sweetspot has not previously been examined within a multivariable regression framework. This study evaluated the predictive utility of volume-of-tissue-activated (VTA)-sweetspot overlap on postoperative UPDRS‑III outcomes in the CSP #468 cohort receiving bilateral GPi‑DBS, alongside demographic/clinical predictors, using two independently derived sweetspot models. CSP #468 was a multicenter randomized clinical trial with blinded 6‑month outcomes and robust collection of associated features of PD. A prior publication generated a cross validated 6‑month GPi-sweetspot from this dataset. An independent single‑surgeon cohort was used to construct a separate sweetspot uninfluenced by CSP outcomes. Multivariable modeling was completed using backward‑selection linear regression with Bonferroni correction. Models were checked for assumptions, data leakage, and overfitting. Each sweetspot-multivariable model's ability to predict outcomes in the opposite cohort was assessed. Both sweetspots localized to the primary motor GPi. The independent sweetspot multivariable model included VTA‑sweetspot overlap and levodopa response (R²

Identifiers

PMID41832267
PMCPMC13136293

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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.