Evidence map›Paper›PMID 42455202›Full record

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

Device aided therapies in Parkinson disease: an expert view on apomorphine.

Fabrizio Stocchi, Roberto Ceravolo, Carlo Colosimo, Maria Francesca De Pandis, Nicola Modugno, Manuela Pilleri, Alessandro Tessitore, Michele Tinazzi, Franco Valzania, Carmine Vitale and 4 more

Erratum issuedAbstract readReview
In one paragraph

Review 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. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Fabrizio StocchiDepartment of Neurology, University San Raffaele, Rome, Italy. fabrizio.stocchi@fastwebnet.it.
Roberto CeravoloDepartment of Clinical and Experimental Medicine, Neurology Unit, University of Pisa, Pisa, Italy.
Carlo ColosimoDepartment of Neurology, Santa Maria University Hospital, Terni, Italy.
Maria Francesca De PandisIRCCS San Raffaele Roma, Cassino, Italy.
Nicola ModugnoI.R.C.C.S. Neuromed, Pozzilli, Isernia, Italy.
Manuela PilleriUO Neurologia Casa Di Cura Villa Margherita, Arcugnano, Vicenza, Italy.
Alessandro TessitoreDepartment of Advanced Medical and Surgical Sciences, University of Campania "L. Vanvitelli", Naples, Italy.
Michele TinazziDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Franco ValzaniaNeuromotor and Rehabilitation Department, Neurology Unit, Azienda AUSL-IRCCS Di Reggio Emilia, Reggio Emilia, Italy.
Carmine VitaleDepartment of Medical, Motor and Wellness Sciences, University of Naples "Parthenope", Naples, Italy.
Roberta ZangagliaParkinson's Disease and Movement Disorders Unit, National Institute of Neurology, IRCCS "C. Mondino Foundation", Pavia, Italy.
Mario ZappiaDepartment of Medical, Surgical Sciences and Advanced Technologies "GF Ingrassia", University of Catania, Catania, Italy.
Maurizio ZibettiDepartment of Neuroscience "Rita Levi Montalcini", University of Turin, Via Cherasco 15, 10126, Turin, Italy.
Angelo AntoniniNeurodegenerative Disease Unit, Department of Neuroscience, Padua Neuroscience Center (PNC), University of Padua, Padua, Italy.

Funding

Ever Pharma no number
6 · The paper itself

Abstract

introductionParkinson's disease (PD) affects approximately 1% of individuals over the age of 60, with its prevalence increasing in older populations. Clinical manifestations can be effectively controlled during the first years of disease but progressively medications effect shortens with appearance of motor complications and dyskinesia. AREAS COVERED: Management of PD primarily aims to restore dopaminergic activity through pharmacological interventions such as levodopa, which effectively alleviates motor symptoms and extends life expectancy. Early initiation of treatment improves bradykinesia, rigidity, and tremor; however, as the disease advances, the therapeutic response to levodopa shortens, leading to complications such as motor fluctuations and dyskinesia. In advanced Parkinson's disease (aPD), the emergence of the "wearing-off" phenomenon and unpredictable "on/off" fluctuations-where symptoms reappear despite medications-poses significant challenges for disease management. EXPERT OPINION: Device-aided therapies, including deep brain stimulation and continuous infusion of apomorphine or levodopa, provide effective management options for advanced Parkinson's disease (aPD) when oral medications fail to adequately control symptoms. Continuous subcutaneous apomorphine infusion (CSAI) has demonstrated both efficacy and long-term tolerability; however, its clinical adoption remains limited due to challenges in patient selection and referral, treatment initiation and handling of the device. This review examines the available infusion therapies, with a particular focus on CSAI, and aims to provide clinicians with evidence-based guidance for optimizing treatment selection in aPD.

Indexed as

Antiparkinson AgentsApomorphineDeep Brain StimulationDopamine AgonistsParkinson DiseaseHumansLevodopaAntiparkinson AgentsApomorphineDopamine AgonistsLevodopaAdvanced Parkinson’s diseaseApomorphineContinuous apomorphine infusionDevice-aided therapiesLevodopaParkinson’s disease

Identifiers

PMID42455202
PMCPMC13372871

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.