Evidence map›Paper›PMID 42765824›Full record

ReviewJournal of Parkinson's disease2026

Effects of deep brain stimulation on functional autonomy and quality of life in Parkinson's disease: A systematic review and meta-analysis.

Laura Culicetto, Maria Cristina De Cola, Fabiana Pia Vitiello, Giulia Marafioti, Viviana Lo Buono, Anita Maria Sophia Cusumano, Chiara Sorbera, Giuseppe Di Lorenzo, Angelo Quartarone, Silvia Marino

Abstract readReview
In one paragraph

Review in Journal of 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

10 authors.

Laura CulicettoIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Maria Cristina De ColaIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.ORCID 0000-0002-7509-3833
Fabiana Pia VitielloIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Giulia MarafiotiIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Viviana Lo BuonoIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Anita Maria Sophia CusumanoDipartimento di Scienze Psicologiche, Pedagogiche, Dell'esercizio Fisico e Della Formazione, Università degli Studi di Palermo, Palermo, Italy.
Chiara SorberaIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Giuseppe Di LorenzoIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Angelo QuartaroneIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Silvia MarinoIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundDeep brain stimulation (DBS) of the subthalamic nucleus (STN) is an established therapy for advanced Parkinson's disease (PD), primarily targeting motor complications refractory to pharmacological treatment. However, its long-term impact on functional autonomy and quality of life (QoL) remains debated.ObjectiveThis systematic review with meta-analysis aimed to evaluate the effects of STN-DBS on autonomy and QoL in people with PD.MethodsFollowing PRISMA guidelines, a systematic search of PubMed, Scopus, Embase and Web of Science was conducted to identify studies including adults with PD treated with STN-DBS and reporting measures of autonomy and/or quality of life.ResultsThirty-two studies met inclusion criteria. Meta-analyses showed effect estimates favoring DBS at 6 months (SMD = 0.83[0.38;1.29]) and at 1 year (SMD = 0.49[-0.02;0.99]) for autonomy. Similar trends were observed for QoL, with SMD = 0.60[0.49;0.71] at 6 months and SMD = 0.48[0.0;0.96] at 1 year.At 2 years, small but significant pooled effects persisted, for both autonomy SMD = 0.40[0.13;0.67] and QoL SMD = 0.25[-0.04;0.53]. However, at 5 years, pooled effects were no longer statistically significant for either autonomy SMD = 0.37[-0.55;1.29] or QoL SMD = -0.01[-0.25;0.22], indicating a progressive attenuation of benefit over time.ConclusionsSTN-DBS provides robust short- and mid-term benefits in functional autonomy and QoL in PD. Long-term outcomes are variable and influenced by disease progression and non-motor symptoms. Standardized outcome reporting, larger multicenter trials, and integration of rehabilitative and psychosocial interventions are needed to optimize benefits.

Indexed as

activities of daily livingautonomydeep brain stimulationmeta-analysisParkinson's diseasequality of lifesubthalamic nucleus

Identifiers

PMID42765824
PMCPMC13593943

What OpenQuestion holds

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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.