Evidence map›Paper›PMID 41398241›Full record

SynthesisBMC neurology2025

Sleep disorders in Parkinson's disease: evaluating pharmacological treatments through systematic review and meta-analysis.

Jingqi Li, Runtang Zhou, Jialin Deng, Hong Zhou, Jun Hu, Xinzheng Wang

Erratum issuedAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC neurology, 2025. 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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Jingqi Li *Department of Radiology, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China.
Runtang Zhou *Department of Radiology, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China.
Jialin Deng *Department of Radiology, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China.
Hong ZhouDepartment of Radiology, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China. hongzhou@usc.edu.cn.ORCID http://orcid.org/0000-0002-6460-3420
Jun HuDepartment of Radiology, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China. cgooo123@outlook.com.
Xinzheng WangDepartment of Radiology, the Longhua District People's Hospital of Shenzhen, Shenzhen, Guangdong, 518000, China. wxzjj999@163.com.

Funding

Clinical Research 4310 Program of the First Affiliated Hospital of University of South China 20224310NHYCG03Innovation Platform and Talent Program 2023TP1047National Science and Technology Major Project SQ2024AAA031359Scientific Research Project of Hunan Provincial Health Commission 202218014518
6 · The paper itself

Abstract

Sleep disorders are the most common non-motor symptoms in patients with Parkinson’s disease (PD) and can significantly impact quality of life. However, the pharmacological treatments for sleep disorders in patients with PD remain controversial. Databases (PubMed, Embase, Web of Science, and the Cochrane Library) were searched up to 20 January 2025. Randomized controlled trials were included if they investigated the efficacy of pharmacological interventions for sleep disorders in populations with PD. The weighted mean difference (WMD) and standardized mean difference (SMD) were used as effect size. The random-effects model was applied due to the heterogeneity between studies. The certainty of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation tool. A total of 23 studies were included in the systematic review and meta-analysis. Seven trials focused on the treatment of rapid eye movement sleep behavior disorder (RBD), seven on excessive daytime sleepiness (EDS), six on insomnia, and three on sleep disorders that were not specifically classified. The meta-analysis showed that pharmacological interventions were effective in improving EDS (SMD: -0.36; 95% CI: -0.63, -0.10) and insomnia in patients with PD (SMD: -0.53; 95% CI: -0.82, -0.24). However, pharmacological interventions did not show significant benefits for managing RBD (SMD: -0.19; 95% CI: -0.54, 0.16). The certainty of evidence across all studies ranged from very low to moderate. In population with PD, pharmacological interventions were effective in improving EDS and insomnia. However, the management of RBD with pharmacological treatments remains challenging. In the future, strong evidence is needed to address this challenge.

Indexed as

Parkinson DiseaseSleep Wake DisordersHumansRandomized Controlled Trials as TopicParkinson's diseasePharmacological interventionSleep disorderSystematic review

Identifiers

PMID41398241
PMCPMC12706981

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.