PMID- 35691972 OWN - NLM STAT- MEDLINE DCOM- 20220916 LR - 20220921 IS - 1590-3478 (Electronic) IS - 1590-1874 (Linking) VI - 43 IP - 10 DP - 2022 Oct TI - A meta-analysis evaluating effects of the rotigotine in Parkinson's disease, focusing on sleep disturbances and activities of daily living. PG - 5821-5837 LID - 10.1007/s10072-022-06159-9 [doi] AB - BACKGROUND: Rotigotine transdermal patch (TP) is a useful dopaminergic medication for Parkinson's disease (PD). This meta-analysis attempted to evaluate the effects of rotigotine TP on motor performance, activities of daily living (ADL) limitations, and sleep disturbances in patients with PD. METHODS: Only randomized controlled clinical trials (RCTs) with placebo design were included in this study. The clinical outcomes, evaluated using the Unified Parkinson's Disease Rating Scale (UPDRS III), UPDRS-II, UPDRS Part II + III, Parkinson's Disease Sleep Scale (PDSS)-2, and adverse events (AEs) were evaluated. The Jadad scale was used to evaluate study quality. RESULTS: A total of 16 RCTs with 4682 patients with PD were enrolled in this study. We found that rotigotine TP significantly reduced the UPDRS-III, UPDRS-II, and UPDRS Part II + III scores, indicating that rotigotine TP led to a significant amelioration of movement symptoms and ADL limitations. Moreover, we found that rotigotine TP significantly reduced PDSS-2 scores, suggesting that rotigotine TP led to a remarkable improvement in sleep quality. Meanwhile, compared with the placebo group, patients taking rotigotine TP did not have added incidence of AEs. CONCLUSION: This study verified the efficacy and safety of rotigotine TP in treating PD. The findings of the present study provide compelling evidence concerning and insight into clinical usage of rotigotine TP. Future studies will focus on more non-motor symptoms affected by rotigotine TP. CI - (c) 2022. Fondazione Societa Italiana di Neurologia. FAU - Sun, Weibo AU - Sun W AD - Harbin Medical University, Harbin, China. FAU - Wang, Qingyong AU - Wang Q AD - Heilongjiang University of Chinese Medicine, Harbin, China. FAU - Yang, Tiansong AU - Yang T AD - First Affiliated Hospital, Heilongjiang University of Chinese Medicine, 24 Heping Road, Harbin, 150040, China. Yangtiansong2006@163.com. FAU - Feng, Chuwen AU - Feng C AD - First Affiliated Hospital, Heilongjiang University of Chinese Medicine, 24 Heping Road, Harbin, 150040, China. FAU - Qu, Yuanyuan AU - Qu Y AD - Heilongjiang University of Chinese Medicine, Harbin, China. FAU - Yang, Yan AU - Yang Y AD - Heilongjiang University of Chinese Medicine, Harbin, China. FAU - Li, Chaoran AU - Li C AD - Heilongjiang University of Chinese Medicine, Harbin, China. FAU - Sun, Zhongren AU - Sun Z AD - Heilongjiang University of Chinese Medicine, Harbin, China. FAU - Asakawa, Tetsuya AU - Asakawa T AUID- ORCID: 0000-0002-2300-3509 AD - Institute of Neurology, Guangdong Province, The Third People's Hospital of Shenzhen, 29 Buji Bulan Road, Shenzhen, 518112, China. asakawat1971@gmail.com. AD - Research Base of Traditional Chinese Medicine Syndrome, Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China. asakawat1971@gmail.com. AD - Department of Neurology, The Eighth Affiliated Hospital, Sun Yat-Sen University, Shenzhen, 518033, China. asakawat1971@gmail.com. LA - eng GR - 82074539/National foundation of natural science of China/ GR - 81704170/National foundation of natural science of China/ GR - LH2020H092/Natural Science of Heilongjiang Province/ GR - ZHY2020-79/Research Fund Project for Chinese Medicine of Heilongjiang Province/ GR - 2019XZZX-ZJ005/Research Fund for Construction of Evidence Based Medicine for Chinese Medicine/ GR - 20791025/the Japan Society for the Promotion of Science/ GR - 24592157/the Japan Society for the Promotion of Science/ GR - 15k10358/the Japan Society for the Promotion of Science/ GR - 18K08991/the Japan Society for the Promotion of Science/ PT - Journal Article PT - Meta-Analysis PT - Review DEP - 20220613 PL - Italy TA - Neurol Sci JT - Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology JID - 100959175 RN - 0 (Dopamine Agonists) RN - 0 (Tetrahydronaphthalenes) RN - 0 (Thiophenes) RN - 87T4T8BO2E (rotigotine) SB - IM MH - Activities of Daily Living MH - Dopamine Agonists/adverse effects MH - Humans MH - *Parkinson Disease/drug therapy MH - Randomized Controlled Trials as Topic MH - Sleep Wake Disorders/chemically induced MH - *Tetrahydronaphthalenes/adverse effects MH - *Thiophenes/adverse effects OTO - NOTNLM OT - ADL OT - Adverse events OT - Motor symptoms OT - Parkinson's disease OT - Rotigotine transdermal patch OT - Sleep disturbances EDAT- 2022/06/13 06:00 MHDA- 2022/09/17 06:00 CRDT- 2022/06/12 23:13 PHST- 2022/04/09 00:00 [received] PHST- 2022/05/18 00:00 [accepted] PHST- 2022/06/13 06:00 [pubmed] PHST- 2022/09/17 06:00 [medline] PHST- 2022/06/12 23:13 [entrez] AID - 10.1007/s10072-022-06159-9 [pii] AID - 10.1007/s10072-022-06159-9 [doi] PST - ppublish SO - Neurol Sci. 2022 Oct;43(10):5821-5837. doi: 10.1007/s10072-022-06159-9. Epub 2022 Jun 13.