La maladie de Parkinson au Canada (serveur d'exploration)

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Clinical practice regarding dopamine-agonist use and driving in Parkinson's disease.

Identifieur interne : 000848 ( Ncbi/Merge ); précédent : 000847; suivant : 000849

Clinical practice regarding dopamine-agonist use and driving in Parkinson's disease.

Auteurs : R M A. De Bie [Canada] ; J. Miyasaki ; A E Lang ; S H Fox

Source :

RBID : pubmed:18062452

Descripteurs français

English descriptors

Abstract

Current Health Canada instructions for use of the dopamine agonists (DA), pramipexole and ropinirole, state that Parkinson's disease (PD) patients should be told not to drive. The objective was to assess neurologists' actual clinical practice concerning driving advice they give to PD patients starting a DA.

PubMed: 18062452

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pubmed:18062452

Le document en format XML

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<name sortKey="De Bie, R M A" sort="De Bie, R M A" uniqKey="De Bie R" first="R M A" last="De Bie">R M A. De Bie</name>
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<nlm:affiliation>Movement Disorders Centre, Division of Neurology University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Movement Disorders Centre, Division of Neurology University of Toronto, Toronto, Ontario</wicri:regionArea>
<orgName type="university">Université de Toronto</orgName>
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<settlement type="city">Toronto</settlement>
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<name sortKey="Miyasaki, J" sort="Miyasaki, J" uniqKey="Miyasaki J" first="J" last="Miyasaki">J. Miyasaki</name>
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<name sortKey="Lang, A E" sort="Lang, A E" uniqKey="Lang A" first="A E" last="Lang">A E Lang</name>
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<name sortKey="Fox, S H" sort="Fox, S H" uniqKey="Fox S" first="S H" last="Fox">S H Fox</name>
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<term>Dopamine Agonists (adverse effects)</term>
<term>Dopamine Agonists (therapeutic use)</term>
<term>Guideline Adherence (statistics & numerical data)</term>
<term>Guidelines as Topic</term>
<term>Humans</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Practice Patterns, Physicians' (statistics & numerical data)</term>
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<term>Dopamine Agonists</term>
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<term>Parkinson Disease</term>
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<div type="abstract" xml:lang="en">Current Health Canada instructions for use of the dopamine agonists (DA), pramipexole and ropinirole, state that Parkinson's disease (PD) patients should be told not to drive. The objective was to assess neurologists' actual clinical practice concerning driving advice they give to PD patients starting a DA.</div>
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<Month>Nov</Month>
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<Title>The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques</Title>
<ISOAbbreviation>Can J Neurol Sci</ISOAbbreviation>
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<ArticleTitle>Clinical practice regarding dopamine-agonist use and driving in Parkinson's disease.</ArticleTitle>
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<MedlinePgn>438-42</MedlinePgn>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Current Health Canada instructions for use of the dopamine agonists (DA), pramipexole and ropinirole, state that Parkinson's disease (PD) patients should be told not to drive. The objective was to assess neurologists' actual clinical practice concerning driving advice they give to PD patients starting a DA.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">An online survey was created consisting of 4 items regarding demographics, 5 regarding PD and driving, and 9 regarding DA use and driving. The survey was distributed to 563 neurologists.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In total 96 neurologists (17.9%) responded. 4.4% tell patients with PD not to drive, solely because they are taking a DA. Respondents assess the patient's tendency for excessive daytime sleepiness and sleep attacks after starting a DA more frequently than after starting other dopaminergic drugs (p < 0.001).</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">A minor proportion of the clinicians responding to our survey advise PD patients not to drive, solely because they use a DA. Such being the case, we propose that current Health Canada guidelines need revision.</AbstractText>
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