The role and structure of the multidisciplinary team in the management of advanced Parkinson’s disease with a focus on the use of levodopa–carbidopa intestinal gel
Identifieur interne : 000007 ( Main/Exploration ); précédent : 000006; suivant : 000008The role and structure of the multidisciplinary team in the management of advanced Parkinson’s disease with a focus on the use of levodopa–carbidopa intestinal gel
Auteurs : Stephen W. Pedersen [Danemark] ; Martin Suedmeyer [Allemagne] ; Louis W C. Liu [Canada] ; Dirk Domagk [Allemagne] ; Alison Forbes [États-Unis] ; Lars Bergmann [États-Unis] ; Koray Onuk [États-Unis] ; Ashley Yegin [États-Unis] ; Teus Van Laar [Pays-Bas]Source :
- Journal of Multidisciplinary Healthcare [ 1178-2390 ] ; 2017.
Abstract
A multidisciplinary team (MDT) approach is increasingly recommended in Parkinson’s disease (PD) treatment guidelines, but no standard of care exists for such an approach, and the guidelines do not provide clarification on how it should be implemented. This paper reviews evidence of MDT interventions in people with PD and provides expert clinical perspectives for an MDT approach, with a focus on advanced PD and levodopa–carbidopa intestinal gel (carbidopa–levodopa enteral suspension in the USA). The key recommendations are to enable the best possible treatment of people with PD locally by facilitating a close structured collaboration of different health care professionals working in a fixed network structure; to refer people with PD to established MDT centers in a timely manner; to establish regular meetings for the MDT enabling interdisciplinary exchange and learning; to optimize individual treatment and carefully evaluate available treatment options; to ensure treatment decisions are agreed jointly between people with PD, their caregivers, family, and health care professional; and to include specialists outside of neurology from adjuvant medical departments as necessary when implementing advanced therapies.
Url:
DOI: 10.2147/JMDH.S111369
PubMed: 28115853
PubMed Central: 5221801
Affiliations:
- Allemagne, Canada, Danemark, Pays-Bas, États-Unis
- Groningue (province), Hovedstaden, Ontario
- Copenhague, Groningue, Toronto
- Université de Toronto
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Liu</name><affiliation wicri:level="4"><nlm:aff id="af3-jmdh-10-013">Division of Gastroenterology, Department of Medicine, University of Toronto, University Health Network, Toronto, ON, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Gastroenterology, Department of Medicine, University of Toronto, University Health Network, Toronto, ON</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Domagk, Dirk" sort="Domagk, Dirk" uniqKey="Domagk D" first="Dirk" last="Domagk">Dirk Domagk</name><affiliation wicri:level="1"><nlm:aff id="af4-jmdh-10-013">Department of Medicine I, Josephs-Hospital Warendorf, Academic Teaching Hospital, University of Muenster, Warendorf, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Medicine I, Josephs-Hospital Warendorf, Academic Teaching Hospital, University of Muenster, Warendorf</wicri:regionArea><wicri:noRegion>Warendorf</wicri:noRegion><wicri:noRegion>Warendorf</wicri:noRegion><wicri:noRegion>Warendorf</wicri:noRegion></affiliation></author><author><name sortKey="Forbes, Alison" sort="Forbes, Alison" uniqKey="Forbes A" first="Alison" last="Forbes">Alison Forbes</name><affiliation wicri:level="1"><nlm:aff id="af5-jmdh-10-013">PDNS consultant, AbbVie Inc., Roswell, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>PDNS consultant, AbbVie Inc., Roswell, GA</wicri:regionArea><wicri:noRegion>GA</wicri:noRegion></affiliation></author><author><name sortKey="Bergmann, Lars" sort="Bergmann, Lars" uniqKey="Bergmann L" first="Lars" last="Bergmann">Lars Bergmann</name><affiliation wicri:level="1"><nlm:aff id="af6-jmdh-10-013">Global Medical Affairs, AbbVie Inc., North Chicago, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Global Medical Affairs, AbbVie Inc., North Chicago, IL</wicri:regionArea><wicri:noRegion>IL</wicri:noRegion></affiliation></author><author><name sortKey="Onuk, Koray" sort="Onuk, Koray" uniqKey="Onuk K" first="Koray" last="Onuk">Koray Onuk</name><affiliation wicri:level="1"><nlm:aff id="af6-jmdh-10-013">Global Medical Affairs, AbbVie Inc., North Chicago, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Global Medical Affairs, AbbVie Inc., North Chicago, IL</wicri:regionArea><wicri:noRegion>IL</wicri:noRegion></affiliation></author><author><name sortKey="Yegin, Ashley" sort="Yegin, Ashley" uniqKey="Yegin A" first="Ashley" last="Yegin">Ashley Yegin</name><affiliation wicri:level="1"><nlm:aff id="af6-jmdh-10-013">Global Medical Affairs, AbbVie Inc., North Chicago, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Global Medical Affairs, AbbVie Inc., North Chicago, IL</wicri:regionArea><wicri:noRegion>IL</wicri:noRegion></affiliation></author><author><name sortKey="Van Laar, Teus" sort="Van Laar, Teus" uniqKey="Van Laar T" first="Teus" last="Van Laar">Teus Van Laar</name><affiliation wicri:level="3"><nlm:aff id="af7-jmdh-10-013">Department of Neurology, University Medical Center Groningen, Groningen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Neurology, University Medical Center Groningen, Groningen</wicri:regionArea><placeName><settlement type="city">Groningue</settlement><region nuts="2" type="province">Groningue (province)</region></placeName></affiliation></author></analytic><series><title level="j">Journal of Multidisciplinary Healthcare</title><idno type="eISSN">1178-2390</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A multidisciplinary team (MDT) approach is increasingly recommended in Parkinson’s disease (PD) treatment guidelines, but no standard of care exists for such an approach, and the guidelines do not provide clarification on how it should be implemented. This paper reviews evidence of MDT interventions in people with PD and provides expert clinical perspectives for an MDT approach, with a focus on advanced PD and levodopa–carbidopa intestinal gel (carbidopa–levodopa enteral suspension in the USA). The key recommendations are to enable the best possible treatment of people with PD locally by facilitating a close structured collaboration of different health care professionals working in a fixed network structure; to refer people with PD to established MDT centers in a timely manner; to establish regular meetings for the MDT enabling interdisciplinary exchange and learning; to optimize individual treatment and carefully evaluate available treatment options; to ensure treatment decisions are agreed jointly between people with PD, their caregivers, family, and health care professional; and to include specialists outside of neurology from adjuvant medical departments as necessary when implementing advanced therapies.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Carne, W" uniqKey="Carne W">W Carne</name></author><author><name sortKey="Cifu, D" uniqKey="Cifu D">D Cifu</name></author><author><name sortKey="Marcinko, P" 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Browner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Frazzitta, G" uniqKey="Frazzitta G">G Frazzitta</name></author><author><name sortKey="Maestri, R" uniqKey="Maestri R">R Maestri</name></author><author><name sortKey="Ferrazzoli, D" uniqKey="Ferrazzoli D">D Ferrazzoli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Giardini, A" uniqKey="Giardini A">A Giardini</name></author><author><name sortKey="Pierobon, A" uniqKey="Pierobon A">A Pierobon</name></author><author><name sortKey="Callegari, S" uniqKey="Callegari S">S Callegari</name></author><author><name sortKey="Bertotti, G" uniqKey="Bertotti G">G Bertotti</name></author><author><name sortKey="Maffoni, M" uniqKey="Maffoni M">M Maffoni</name></author><author><name sortKey="Frazzitta, G" uniqKey="Frazzitta G">G Frazzitta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Monticone, M" uniqKey="Monticone M">M Monticone</name></author><author><name sortKey="Ambrosini, E" uniqKey="Ambrosini E">E Ambrosini</name></author><author><name sortKey="Laurini, A" uniqKey="Laurini A">A Laurini</name></author><author><name sortKey="Rocca, B" uniqKey="Rocca B">B Rocca</name></author><author><name sortKey="Foti, C" uniqKey="Foti C">C Foti</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Achey, M" uniqKey="Achey M">M Achey</name></author><author><name sortKey="Aldred, Jl" uniqKey="Aldred J">JL Aldred</name></author><author><name sortKey="Aljehani, N" uniqKey="Aljehani N">N Aljehani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Willows, T" uniqKey="Willows T">T Willows</name></author><author><name sortKey="Dizdar, N" uniqKey="Dizdar N">N Dizdar</name></author><author><name sortKey="Nyholm, D" uniqKey="Nyholm D">D Nyholm</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Canada</li><li>Danemark</li><li>Pays-Bas</li><li>États-Unis</li></country><region><li>Groningue (province)</li><li>Hovedstaden</li><li>Ontario</li></region><settlement><li>Copenhague</li><li>Groningue</li><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="Danemark"><region name="Hovedstaden"><name sortKey="Pedersen, Stephen W" sort="Pedersen, Stephen W" uniqKey="Pedersen S" first="Stephen W" last="Pedersen">Stephen W. Pedersen</name></region></country><country name="Allemagne"><noRegion><name sortKey="Suedmeyer, Martin" sort="Suedmeyer, Martin" uniqKey="Suedmeyer M" first="Martin" last="Suedmeyer">Martin Suedmeyer</name></noRegion><name sortKey="Domagk, Dirk" sort="Domagk, Dirk" uniqKey="Domagk D" first="Dirk" last="Domagk">Dirk Domagk</name></country><country name="Canada"><region name="Ontario"><name sortKey="Liu, Louis W C" sort="Liu, Louis W C" uniqKey="Liu L" first="Louis W C" last="Liu">Louis W C. Liu</name></region></country><country name="États-Unis"><noRegion><name sortKey="Forbes, Alison" sort="Forbes, Alison" uniqKey="Forbes A" first="Alison" last="Forbes">Alison Forbes</name></noRegion><name sortKey="Bergmann, Lars" sort="Bergmann, Lars" uniqKey="Bergmann L" first="Lars" last="Bergmann">Lars Bergmann</name><name sortKey="Onuk, Koray" sort="Onuk, Koray" uniqKey="Onuk K" first="Koray" last="Onuk">Koray Onuk</name><name sortKey="Yegin, Ashley" sort="Yegin, Ashley" uniqKey="Yegin A" first="Ashley" last="Yegin">Ashley Yegin</name></country><country name="Pays-Bas"><region name="Groningue (province)"><name sortKey="Van Laar, Teus" sort="Van Laar, Teus" uniqKey="Van Laar T" first="Teus" last="Van Laar">Teus Van Laar</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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