Evidence map›Paper›PMID 42156595›Full record

SynthesisNeurosurgical review2026

Short-and long-term responsiveness of deep brain stimulation on motor and cognitive outcomes in GBA vs. Non-GBA parkinson's disease: a systematic review and meta-analysis of observational studies.

Patrick Fabrizio Gonzales Romero, Pierina Bermejo Rosado, Fabiana Paredes Torres, Fritz Fidel Váscones-Román, Daniela Limbania, Diego Pichardo-Rojas, Carlos Quispe-Vicuña, Carlos Nuñez-Castellanos, Forough Yazdanian, Aaron El Warren and 2 more

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Neurosurgical review, 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

12 authors.

Patrick Fabrizio Gonzales RomeroFacultad de Medicina Humana, Universidad Católica de Santa María, Arequipa, Perú. 71132583@ucsm.edu.pe.ORCID http://orcid.org/0009-0003-3482-8180
Pierina Bermejo RosadoFacultad de Medicina Humana, Universidad Católica de Santa María, Arequipa, Perú.
Fabiana Paredes TorresFacultad de Medicina Humana, Universidad Católica de Santa María, Arequipa, Perú.
Fritz Fidel Váscones-RománCentro Básico de Investigación en Neurocirugía Endovascular, Neurocirugía Vascular y Base de Cráneo, Instituto Nacional de Ciencias Neurológicas, Lima, Perú.
Daniela LimbaniaDepartment of Neurosurgery, Mass General Brigham, Harvard Medical School, Boston, MA, USA.
Diego Pichardo-RojasInstituto Nacional de Neurología y Neurocirugía "Manuel Velasco Suarez", Mexico City, México.
Carlos Quispe-VicuñaGrupo de Investigación Neurociencias, Metabolismo, Efectividad Clínica y Sanitaria (NEMECS), Universidad Científica del Sur, Lima, Perú.
Carlos Nuñez-CastellanosFacultad de Medicina Humana "Dr. Manuel Velasco Suárez", Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, México.
Forough YazdanianDepartment of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Aaron El WarrenDepartment of Neurosurgery, Mass General Brigham, Harvard Medical School, Boston, MA, USA.
Niels Pacheco-BarriosDepartment of Neurosurgery, Mass General Brigham, Harvard Medical School, Boston, MA, USA.
John D RolstonDepartment of Neurosurgery, Mass General Brigham, Harvard Medical School, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deep brain stimulation (DBS) is an established therapy for motor complications in Parkinson's disease (PD). Patients carrying glucocerebrosidase (GBA) mutations exhibit distinct disease trajectories, raising questions regarding potential differences in clinical outcomes following DBS compared with non-carriers. To evaluate short- and long-term motor, medication, and cognitive outcomes following DBS in patients with GBA-PD compared with non-GBA PD. We conducted a systematic review and meta-analysis of studies reporting clinical outcomes in PD patients with and without GBA mutations who underwent DBS and had a minimum follow-up of one year. Random-effects inverse variance models were applied, with subgroup analyses according to GBA status. DBS was associated with significant improvements in motor function in the off-medication state and sustained reductions in levodopa equivalent daily dose in both GBA carriers and non-carriers, with no significant between-group differences. Cognitive performance declined over long-term follow-up in both groups. At five years, greater cognitive decline, assessed using the Mattis Dementia Rating Scale, was observed among GBA-PD mutation carriers compared with non-carriers. Motor improvement and medication reduction following DBS were comparable between PD patients with and without GBA mutations. Over long-term follow-up, greater cognitive decline was observed among GBA-PD carriers.

Indexed as

CognitionDeep Brain StimulationGlucosylceramidaseParkinson DiseaseHumansMutationObservational Studies as TopicTreatment OutcomeGlucosylceramidaseDeep brain stimulation (DBS)Glucocerebrosidase (GBA)Meta-analysisParkinson’s disease (PD)

Identifiers

What OpenQuestion holds

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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.