Evidence map›Paper›PMID 39354049›Full record

ArticleNPJ digital medicine2024

Machine learning explains response variability of deep brain stimulation on Parkinson's disease quality of life.

Enrico Ferrea, Farzin Negahbani, Idil Cebi, Daniel Weiss, Alireza Gharabaghi

Abstract read
In one paragraph

Article in NPJ digital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Full-Stack Architectures for Intelligent Brain-Computer Interfaces.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
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

5 authors.

Enrico Ferrea *Institute for Neuromodulation and Neurotechnology, University Hospital Tübingen (UKT), Faculty of Medicine, University Tübingen, 72076, Tübingen, Germany.ORCID http://orcid.org/0000-0003-1352-4789
Farzin Negahbani *Institute for Neuromodulation and Neurotechnology, University Hospital Tübingen (UKT), Faculty of Medicine, University Tübingen, 72076, Tübingen, Germany.ORCID http://orcid.org/0000-0001-6286-7177
Idil CebiInstitute for Neuromodulation and Neurotechnology, University Hospital Tübingen (UKT), Faculty of Medicine, University Tübingen, 72076, Tübingen, Germany.
Daniel WeissCenter for Neurology, Department for Neurodegenerative Diseases, and Hertie Institute for Clinical Brain Research, University Tübingen, 72076, Tübingen, Germany.
Alireza GharabaghiInstitute for Neuromodulation and Neurotechnology, University Hospital Tübingen (UKT), Faculty of Medicine, University Tübingen, 72076, Tübingen, Germany. alireza.gharabaghi@uni-tuebingen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Improving health-related quality of life (QoL) is crucial for managing Parkinson's disease. However, QoL outcomes after deep brain stimulation (DBS) of the subthalamic nucleus (STN) vary considerably. Current approaches lack integration of demographic, patient-reported, neuroimaging, and neurophysiological data to understand this variability. This study used explainable machine learning to analyze multimodal factors affecting QoL changes, measured by the Parkinson's Disease Questionnaire (PDQ-39) in 63 patients, and quantified each variable's contribution. Results showed that preoperative PDQ-39 scores and upper beta band activity (>20 Hz) in the left STN were key predictors of QoL changes. Lower initial QoL burden predicted worsening, while improvement was associated with higher beta activity. Additionally, electrode positions along the superior-inferior axis, especially relative to the z = -7 coordinate in standard space, influenced outcomes, with improved and worsened QoL above and below this marker. This study emphasizes a tailored, data-informed approach to optimize DBS treatment and improve patient QoL.

Identifiers

PMID39354049
PMCPMC11445542

What Socratic 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 Socratic graph.