Evidence map›Paper›PMID 40767109›Full record

ArticleRevista de neurologia2025

Cost of Quality of Life in Advanced Parkinson's Disease: Efficient Strategies for Disease Assessment.

Nuria García-Agua Soler, Lucía García Trujillo, Antonio J García-Ruiz

Abstract read
In one paragraph

Article in Revista de neurologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

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

3 authors.

Nuria García-Agua SolerEconomía de la Salud y Uso Racional de Medicamentos, Departamento de Farmacología, Facultad de Medicina, 29010 Málaga, España.
Lucía García TrujilloServicio de Neurología, Hospital Regional Universitario de Málaga, 29010 Málaga, España.
Antonio J García-RuizEconomía de la Salud y Uso Racional de Medicamentos, Departamento de Farmacología, Facultad de Medicina, 29010 Málaga, España.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAs Parkinson's disease progresses, symptoms develop that make it more difficult to control, either because of the presence of fluctuations despite adequate oral treatment, or because of the adverse effects caused by the continued use of levodopa, considered the gold standard. At this point in the course of the disease, there are different therapeutic alternatives that provide more continuous dopaminergic stimulation and help to improve this symptomatology: deep brain stimulation (Medtronic®: Percept™ Primary Cell (PC), Percept™ ReChargable (RC)), intestinal gel Levodopa/Carbidopa (Duodopa®) o Levodopa/Carbidopa/Entacapona (Lecigon®), as well as subcutaneous infusion of foslevodopa/foscarbidopa (Foslevodopa®) and continuous infusion of apomorphine (Dacepton®, Apo-Go®).

objectivePharmacoeconomic study of the different therapies for treating advanced Parkinson's disease in Spain. PATIENTS AND

methodsBased on a Markov model, the efficacy and costs of these therapies were compared, measuring life years gained (LYG) and quality-adjusted life years (QALY).

resultsDacepton® (apomorphine) is the most cost-effective option with a cost of 20,782€/QALY (1€ = 1.0815 USD, 2025), compared to three times or more for the other therapies with Lecigon® (levodopa/carbidopa/entacapone) being the least cost-effective with a cost of 104,000€/QALY. Deep brain stimulation (DBS) and Duodopa® also proved to be effective options, but more costly than Dacepton®.

conclusionsThese results provide additional information on the efficiency of treatments that should inform decision-making in the management of advanced Parkinson's disease, thus enabling better resource management.

Indexed as

Antiparkinson AgentsParkinson DiseaseQuality of LifeApomorphineCarbidopaCost-Benefit AnalysisDeep Brain StimulationDrug CombinationsHumansLevodopaMarkov ChainsQuality-Adjusted Life YearsSpainAntiparkinson AgentsApomorphineCarbidopacarbidopa, levodopa drug combinationDrug CombinationsLevodopacost-benefit analysisParkinson diseasequality-adjusted life years

Identifiers

PMID40767109
PMCPMC12326400

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.