Fatigue in Parkinson's disease: report from a mutidisciplinary symposium
Identifieur interne : 000353 ( Main/Exploration ); précédent : 000352; suivant : 000354Fatigue in Parkinson's disease: report from a mutidisciplinary symposium
Auteurs : Joseph H. Friedman [États-Unis] ; James C. Beck [États-Unis] ; Kelvin L. Chou [États-Unis] ; Gracia Clark [États-Unis] ; Christopher P. Fagundes [États-Unis] ; Christopher G. Goetz [États-Unis] ; Karen Herlofson [Norvège] ; Benzi Kluger [États-Unis] ; Lauren B. Krupp [États-Unis] ; Anthony E. Lang [Canada] ; Jao-Shin Lou [États-Unis] ; Laura Marsh [États-Unis] ; Anne Newbould [États-Unis] ; Daniel Weintraub [États-Unis]Source :
- NPJ Parkinson's disease [ 2373-8057 ] ; 2016.
Abstract
Fatigue is a severe problem for many people living with Parkinson's disease (PD). Best estimates suggest that more than 50% of patients experience this debilitating symptom. Little is known about its etiology or treatment, making the understanding of fatigue a true unmet need. As part of the Parkinson's Disease Foundation Community Choice Research Program, patients, caregivers, and scientists attended a symposium on fatigue on 16 and 17 October 2014. We present a summary of that meeting, reviewing what is known about the diagnosis and treatment of fatigue, its physiology, and what we might learn from multiple sclerosis (MS), depression, and cancer—disorders in which fatigue figures prominently too. We conclude with focused recommendations to enhance our understanding and treatment of this prominent problem in PD.
Url:
DOI: 10.1038/npjparkd.2015.25
PubMed: 27239558
PubMed Central: 4883681
Affiliations:
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Friedman</name><affiliation wicri:level="1"><nlm:aff id="A1">Movement Disorders Program, Butler Hospital, Province, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Movement Disorders Program, Butler Hospital, Province, RI</wicri:regionArea><wicri:noRegion>RI</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Neurology, Alpert Medical School of Brown University, Providence, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, Alpert Medical School of Brown University, Providence, RI</wicri:regionArea><wicri:noRegion>RI</wicri:noRegion></affiliation></author><author><name sortKey="Beck, James C" sort="Beck, James C" uniqKey="Beck J" first="James C" last="Beck">James C. 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Krupp</name><affiliation wicri:level="1"><nlm:aff id="A11">Department of Neurology, Stony Brook University Medical Center, Stony Brook, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, Stony Brook University Medical Center, Stony Brook, NY</wicri:regionArea><wicri:noRegion>NY</wicri:noRegion></affiliation></author><author><name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E" last="Lang">Anthony E. 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DeBakey Veterans Affairs Medical Center, Houston, TX, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, Baylor College of Medicine, Mental Health Care Line, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX</wicri:regionArea><wicri:noRegion>TX</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A15">Department of Neurology, Baylor College of Medicine, Mental Health Care Line, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, Baylor College of Medicine, Mental Health Care Line, Michael E. 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Friedman</name><affiliation wicri:level="1"><nlm:aff id="A1">Movement Disorders Program, Butler Hospital, Province, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Movement Disorders Program, Butler Hospital, Province, RI</wicri:regionArea><wicri:noRegion>RI</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Neurology, Alpert Medical School of Brown University, Providence, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, Alpert Medical School of Brown University, Providence, RI</wicri:regionArea><wicri:noRegion>RI</wicri:noRegion></affiliation></author><author><name sortKey="Beck, James C" sort="Beck, James C" uniqKey="Beck J" first="James C" last="Beck">James C. Beck</name><affiliation wicri:level="1"><nlm:aff id="A3">Parkinson's Disease Foundation, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Parkinson's Disease Foundation, New York, NY</wicri:regionArea><wicri:noRegion>NY</wicri:noRegion></affiliation></author><author><name sortKey="Chou, Kelvin L" sort="Chou, Kelvin L" uniqKey="Chou K" first="Kelvin L" last="Chou">Kelvin L. Chou</name><affiliation wicri:level="1"><nlm:aff id="A4">Department of Neurology, University of Michigan Health System, Ann Arbor, MI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, University of Michigan Health System, Ann Arbor, MI</wicri:regionArea><wicri:noRegion>MI</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A5">Department of Neurosurgery, University of Michigan Health System, Ann Arbor, MI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosurgery, University of Michigan Health System, Ann Arbor, MI</wicri:regionArea><wicri:noRegion>MI</wicri:noRegion></affiliation></author><author><name sortKey="Clark, Gracia" sort="Clark, Gracia" uniqKey="Clark G" first="Gracia" last="Clark">Gracia Clark</name><affiliation wicri:level="1"><nlm:aff id="A3">Parkinson's Disease Foundation, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Parkinson's Disease Foundation, New York, NY</wicri:regionArea><wicri:noRegion>NY</wicri:noRegion></affiliation></author><author><name sortKey="Fagundes, Christopher P" sort="Fagundes, Christopher P" uniqKey="Fagundes C" first="Christopher P" last="Fagundes">Christopher P. Fagundes</name><affiliation wicri:level="1"><nlm:aff id="A6">Department of Psychology, Rice University, M.D. Anderson Cancer Center, Houston, TX, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychology, Rice University, M.D. Anderson Cancer Center, Houston, TX</wicri:regionArea><wicri:noRegion>TX</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A7">Department of Health Disparities, Houston, TX, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Disparities, Houston, TX</wicri:regionArea><wicri:noRegion>TX</wicri:noRegion></affiliation></author><author><name sortKey="Goetz, Christopher G" sort="Goetz, Christopher G" uniqKey="Goetz C" first="Christopher G" last="Goetz">Christopher G. Goetz</name><affiliation wicri:level="1"><nlm:aff id="A8">Department of Neurological Sciences, Rush University Medical Center, Chicago, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurological Sciences, Rush University Medical Center, Chicago, IL</wicri:regionArea><wicri:noRegion>IL</wicri:noRegion></affiliation></author><author><name sortKey="Herlofson, Karen" sort="Herlofson, Karen" uniqKey="Herlofson K" first="Karen" last="Herlofson">Karen Herlofson</name><affiliation wicri:level="1"><nlm:aff id="A9">Department of Neurology, Sorlandet Hospital, Arendal, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Neurology, Sorlandet Hospital, Arendal</wicri:regionArea><wicri:noRegion>Arendal</wicri:noRegion></affiliation></author><author><name sortKey="Kluger, Benzi" sort="Kluger, Benzi" uniqKey="Kluger B" first="Benzi" last="Kluger">Benzi Kluger</name><affiliation wicri:level="1"><nlm:aff id="A10">Department of Neurology, University of Colorado Anschutz Campus, Aurora, CO, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, University of Colorado Anschutz Campus, Aurora, CO</wicri:regionArea><wicri:noRegion>CO</wicri:noRegion></affiliation></author><author><name sortKey="Krupp, Lauren B" sort="Krupp, Lauren B" uniqKey="Krupp L" first="Lauren B" last="Krupp">Lauren B. Krupp</name><affiliation wicri:level="1"><nlm:aff id="A11">Department of Neurology, Stony Brook University Medical Center, Stony Brook, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, Stony Brook University Medical Center, Stony Brook, NY</wicri:regionArea><wicri:noRegion>NY</wicri:noRegion></affiliation></author><author><name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E" last="Lang">Anthony E. Lang</name><affiliation wicri:level="1"><nlm:aff id="A12">Toronto Western Hospital, Morton and Gloria Shulman Movement Disorders Clinic and Edmond J Safra Program in Parkinson's Disease, Toronto, ON, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Toronto Western Hospital, Morton and Gloria Shulman Movement Disorders Clinic and Edmond J Safra Program in Parkinson's Disease, Toronto, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Lou, Jao Shin" sort="Lou, Jao Shin" uniqKey="Lou J" first="Jao-Shin" last="Lou">Jao-Shin Lou</name><affiliation wicri:level="1"><nlm:aff id="A13">University of North Dakota School of Medicine and Health Services, Sanford Health, Grand Forks, ND, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of North Dakota School of Medicine and Health Services, Sanford Health, Grand Forks, ND</wicri:regionArea><wicri:noRegion>ND</wicri:noRegion></affiliation></author><author><name sortKey="Marsh, Laura" sort="Marsh, Laura" uniqKey="Marsh L" first="Laura" last="Marsh">Laura Marsh</name><affiliation wicri:level="1"><nlm:aff id="A14">Department of Psychiatry, Baylor College of Medicine, Mental Health Care Line, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, Baylor College of Medicine, Mental Health Care Line, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX</wicri:regionArea><wicri:noRegion>TX</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A15">Department of Neurology, Baylor College of Medicine, Mental Health Care Line, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, Baylor College of Medicine, Mental Health Care Line, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX</wicri:regionArea><wicri:noRegion>TX</wicri:noRegion></affiliation></author><author><name sortKey="Newbould, Anne" sort="Newbould, Anne" uniqKey="Newbould A" first="Anne" last="Newbould">Anne Newbould</name><affiliation wicri:level="1"><nlm:aff id="A3">Parkinson's Disease Foundation, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Parkinson's Disease Foundation, New York, NY</wicri:regionArea><wicri:noRegion>NY</wicri:noRegion></affiliation></author><author><name sortKey="Weintraub, Daniel" sort="Weintraub, Daniel" uniqKey="Weintraub D" first="Daniel" last="Weintraub">Daniel Weintraub</name><affiliation wicri:level="1"><nlm:aff id="A16">Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.</nlm:aff><country xml:lang="fr" wicri:curation="lc">États-Unis</country><wicri:regionArea>Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</wicri:regionArea><wicri:noRegion>PA</wicri:noRegion></affiliation></author></analytic><series><title level="j">NPJ Parkinson's disease</title><idno type="eISSN">2373-8057</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Fatigue is a severe problem for many people living with Parkinson's disease (PD). Best estimates suggest that more than 50% of patients experience this debilitating symptom. Little is known about its etiology or treatment, making the understanding of fatigue a true unmet need. As part of the Parkinson's Disease Foundation Community Choice Research Program, patients, caregivers, and scientists attended a symposium on fatigue on 16 and 17 October 2014. We present a summary of that meeting, reviewing what is known about the diagnosis and treatment of fatigue, its physiology, and what we might learn from multiple sclerosis (MS), depression, and cancer—disorders in which fatigue figures prominently too. We conclude with focused recommendations to enhance our understanding and treatment of this prominent problem in PD.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Wright, J" uniqKey="Wright J">J Wright</name></author><author><name sortKey="O Connor, Km" uniqKey="O Connor K">KM O'Connor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Friedman, Jh" uniqKey="Friedman J">JH Friedman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Garcia Ruiz, Pj" uniqKey="Garcia Ruiz P">PJ Garcia-Ruiz</name></author><author><name sortKey="Chaudhuri, Kr" uniqKey="Chaudhuri K">KR Chaudhuri</name></author><author><name sortKey="Martinez Marin, P" uniqKey="Martinez Marin P">P Martinez-Marin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Smets, Ema" uniqKey="Smets E">EMA Smets</name></author><author><name sortKey="Garssen, B" uniqKey="Garssen B">B 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Friedman</name></noRegion><name sortKey="Beck, James C" sort="Beck, James C" uniqKey="Beck J" first="James C" last="Beck">James C. Beck</name><name sortKey="Chou, Kelvin L" sort="Chou, Kelvin L" uniqKey="Chou K" first="Kelvin L" last="Chou">Kelvin L. Chou</name><name sortKey="Chou, Kelvin L" sort="Chou, Kelvin L" uniqKey="Chou K" first="Kelvin L" last="Chou">Kelvin L. Chou</name><name sortKey="Clark, Gracia" sort="Clark, Gracia" uniqKey="Clark G" first="Gracia" last="Clark">Gracia Clark</name><name sortKey="Fagundes, Christopher P" sort="Fagundes, Christopher P" uniqKey="Fagundes C" first="Christopher P" last="Fagundes">Christopher P. Fagundes</name><name sortKey="Fagundes, Christopher P" sort="Fagundes, Christopher P" uniqKey="Fagundes C" first="Christopher P" last="Fagundes">Christopher P. Fagundes</name><name sortKey="Friedman, Joseph H" sort="Friedman, Joseph H" uniqKey="Friedman J" first="Joseph H" last="Friedman">Joseph H. Friedman</name><name sortKey="Goetz, Christopher G" sort="Goetz, Christopher G" uniqKey="Goetz C" first="Christopher G" last="Goetz">Christopher G. Goetz</name><name sortKey="Kluger, Benzi" sort="Kluger, Benzi" uniqKey="Kluger B" first="Benzi" last="Kluger">Benzi Kluger</name><name sortKey="Krupp, Lauren B" sort="Krupp, Lauren B" uniqKey="Krupp L" first="Lauren B" last="Krupp">Lauren B. Krupp</name><name sortKey="Lou, Jao Shin" sort="Lou, Jao Shin" uniqKey="Lou J" first="Jao-Shin" last="Lou">Jao-Shin Lou</name><name sortKey="Marsh, Laura" sort="Marsh, Laura" uniqKey="Marsh L" first="Laura" last="Marsh">Laura Marsh</name><name sortKey="Marsh, Laura" sort="Marsh, Laura" uniqKey="Marsh L" first="Laura" last="Marsh">Laura Marsh</name><name sortKey="Newbould, Anne" sort="Newbould, Anne" uniqKey="Newbould A" first="Anne" last="Newbould">Anne Newbould</name><name sortKey="Weintraub, Daniel" sort="Weintraub, Daniel" uniqKey="Weintraub D" first="Daniel" last="Weintraub">Daniel Weintraub</name></country><country name="Norvège"><noRegion><name sortKey="Herlofson, Karen" sort="Herlofson, Karen" uniqKey="Herlofson K" first="Karen" last="Herlofson">Karen Herlofson</name></noRegion></country><country name="Canada"><noRegion><name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E" last="Lang">Anthony E. 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