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

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Quality of life in early Parkinson's disease: Impact of dyskinesias and motor fluctuations

Identifieur interne : 000315 ( PascalFrancis/Curation ); précédent : 000314; suivant : 000316

Quality of life in early Parkinson's disease: Impact of dyskinesias and motor fluctuations

Auteurs : Connie Marras [Canada] ; Anthony Lang [Canada] ; Murray Krahn [Canada] ; George Tomlinson [Canada] ; Gary Naglie [Canada]

Source :

RBID : Pascal:04-0232991

Descripteurs français

English descriptors

Abstract

The impact of dyskinesias and motor fluctuations on quality of life (QOL) at various stages in the course of Parkinsons disease (PD) is not well understood. In 301 subjects with early PD enrolled in a clinical trial (CALM-PD), we quantified the impact of motor complications on QOL and investigated how this changes over time. We also compared QOL related to demographic and treatment characteristics. The presence of dyskinesias was associated with visual analogue scale (VAS) scores 3.0 of 100 points higher (better) than those without dyskinesias in years I to 2, even when adjusting for Unified Parkinson's Disease Rating Scale (UPDRS) motor scores. The positive association between dyskinesias and QOL scores was more marked in older patients. In years 3 to 4, dyskinesias no longer had a significant relationship with QOL. Younger subjects had higher VAS scores. Gender, motor fluctuations, and treatment regimen had no significant association with QOL, although a trend was found toward a small negative effect of motor fluctuations on QOL. We conclude that motor complications that occur within the first 4 years of treatment of PD do not have a significant negative effect on quality of life as measured by a visual analogue scale for most patients.
pA  
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A03   1    @0 Mov. disord.
A05       @2 19
A06       @2 1
A08 01  1  ENG  @1 Quality of life in early Parkinson's disease: Impact of dyskinesias and motor fluctuations
A11 01  1    @1 MARRAS (Connie)
A11 02  1    @1 LANG (Anthony)
A11 03  1    @1 KRAHN (Murray)
A11 04  1    @1 TOMLINSON (George)
A11 05  1    @1 NAGLIE (Gary)
A14 01      @1 Division of Neurology, Toronto Western Hospital, University Health Network, University of Toronto @2 Toronto, Ontario @3 CAN @Z 1 aut. @Z 2 aut.
A14 02      @1 Division of Clinical Decision Making and Health Care Research, Toronto General Research Institute, Toronto General Hospital, University Health Network @2 Toronto, Ontario @3 CAN @Z 3 aut. @Z 5 aut.
A14 03      @1 Division of General Internal Medicine, University Health Network @2 Toronto, Ontario @3 CAN @Z 3 aut. @Z 5 aut.
A14 04      @1 Departments of Medicine and Health Policy, Management and Evaluation, University of Toronto @2 Toronto, Ontario @3 CAN @Z 3 aut.
A14 05      @1 Department of Radiology, University Health Network and Department of Biostatistics, University of Toronto @2 Toronto, Ontario @3 CAN @Z 4 aut.
A14 06      @1 Geriatrics Program, Toronto Rehabilitation Institute @2 Toronto, Ontario @3 CAN @Z 5 aut.
A17 01  1    @1 Parkinson Study Group @3 CAN
A20       @1 22-28
A21       @1 2004
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000111549200050
A44       @0 0000 @1 © 2004 INIST-CNRS. All rights reserved.
A45       @0 15 ref.
A47 01  1    @0 04-0232991
A60       @1 P
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A64 01  1    @0 Movement disorders
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C01 01    ENG  @0 The impact of dyskinesias and motor fluctuations on quality of life (QOL) at various stages in the course of Parkinsons disease (PD) is not well understood. In 301 subjects with early PD enrolled in a clinical trial (CALM-PD), we quantified the impact of motor complications on QOL and investigated how this changes over time. We also compared QOL related to demographic and treatment characteristics. The presence of dyskinesias was associated with visual analogue scale (VAS) scores 3.0 of 100 points higher (better) than those without dyskinesias in years I to 2, even when adjusting for Unified Parkinson's Disease Rating Scale (UPDRS) motor scores. The positive association between dyskinesias and QOL scores was more marked in older patients. In years 3 to 4, dyskinesias no longer had a significant relationship with QOL. Younger subjects had higher VAS scores. Gender, motor fluctuations, and treatment regimen had no significant association with QOL, although a trend was found toward a small negative effect of motor fluctuations on QOL. We conclude that motor complications that occur within the first 4 years of treatment of PD do not have a significant negative effect on quality of life as measured by a visual analogue scale for most patients.
C02 01  X    @0 002B17
C03 01  X  FRE  @0 Parkinson maladie @5 01
C03 01  X  ENG  @0 Parkinson disease @5 01
C03 01  X  SPA  @0 Parkinson enfermedad @5 01
C03 02  X  FRE  @0 Qualité vie @5 02
C03 02  X  ENG  @0 Quality of life @5 02
C03 02  X  SPA  @0 Calidad vida @5 02
C03 03  X  FRE  @0 Fluctuation @5 03
C03 03  X  ENG  @0 Fluctuations @5 03
C03 03  X  SPA  @0 Fluctuación @5 03
C03 04  X  FRE  @0 Dyskinésie @5 04
C03 04  X  ENG  @0 Dyskinesia @5 04
C03 04  X  SPA  @0 Disquinesia @5 04
C03 05  X  FRE  @0 Système nerveux pathologie @5 07
C03 05  X  ENG  @0 Nervous system diseases @5 07
C03 05  X  SPA  @0 Sistema nervioso patología @5 07
C07 01  X  FRE  @0 Encéphale pathologie @5 37
C07 01  X  ENG  @0 Cerebral disorder @5 37
C07 01  X  SPA  @0 Encéfalo patología @5 37
C07 02  X  FRE  @0 Extrapyramidal syndrome @5 38
C07 02  X  ENG  @0 Extrapyramidal syndrome @5 38
C07 02  X  SPA  @0 Extrapiramidal síndrome @5 38
C07 03  X  FRE  @0 Maladie dégénérative @5 39
C07 03  X  ENG  @0 Degenerative disease @5 39
C07 03  X  SPA  @0 Enfermedad degenerativa @5 39
C07 04  X  FRE  @0 Système nerveux central pathologie @5 40
C07 04  X  ENG  @0 Central nervous system disease @5 40
C07 04  X  SPA  @0 Sistema nervosio central patología @5 40
C07 05  X  FRE  @0 Mouvement involontaire @5 41
C07 05  X  ENG  @0 Involuntary movement @5 41
C07 05  X  SPA  @0 Movimiento involuntario @5 41
C07 06  X  FRE  @0 Trouble neurologique @5 42
C07 06  X  ENG  @0 Neurological disorder @5 42
C07 06  X  SPA  @0 Trastorno neurológico @5 42
N21       @1 152
N82       @1 OTO

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Pascal:04-0232991

Le document en format XML

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<div type="abstract" xml:lang="en">The impact of dyskinesias and motor fluctuations on quality of life (QOL) at various stages in the course of Parkinsons disease (PD) is not well understood. In 301 subjects with early PD enrolled in a clinical trial (CALM-PD), we quantified the impact of motor complications on QOL and investigated how this changes over time. We also compared QOL related to demographic and treatment characteristics. The presence of dyskinesias was associated with visual analogue scale (VAS) scores 3.0 of 100 points higher (better) than those without dyskinesias in years I to 2, even when adjusting for Unified Parkinson's Disease Rating Scale (UPDRS) motor scores. The positive association between dyskinesias and QOL scores was more marked in older patients. In years 3 to 4, dyskinesias no longer had a significant relationship with QOL. Younger subjects had higher VAS scores. Gender, motor fluctuations, and treatment regimen had no significant association with QOL, although a trend was found toward a small negative effect of motor fluctuations on QOL. We conclude that motor complications that occur within the first 4 years of treatment of PD do not have a significant negative effect on quality of life as measured by a visual analogue scale for most patients.</div>
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<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Disquinesia</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Système nerveux pathologie</s0>
<s5>07</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>07</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>07</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Encéphale pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Cerebral disorder</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Encéfalo patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Extrapyramidal syndrome</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Maladie dégénérative</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Degenerative disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Enfermedad degenerativa</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Système nerveux central pathologie</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Mouvement involontaire</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Involuntary movement</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Movimiento involuntario</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Trouble neurologique</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Neurological disorder</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Trastorno neurológico</s0>
<s5>42</s5>
</fC07>
<fN21>
<s1>152</s1>
</fN21>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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