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

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Early-onset vs. Late-onset Parkinson's disease: A Clinical-pathological Study.

Identifieur interne : 000318 ( PubMed/Curation ); précédent : 000317; suivant : 000319

Early-onset vs. Late-onset Parkinson's disease: A Clinical-pathological Study.

Auteurs : Leslie Wayne Ferguson [Canada] ; Ali H. Rajput [Canada] ; Alexander Rajput [Canada]

Source :

RBID : pubmed:26189779

English descriptors

Abstract

Several studies have compared early-onset Parkinson disease (EOPD) and late-onset Parkinson disease (LOPD) but most are not based on autopsy confirmed cases.

DOI: 10.1017/cjn.2015.244
PubMed: 26189779

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pubmed:26189779

Le document en format XML

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<name sortKey="Ferguson, Leslie Wayne" sort="Ferguson, Leslie Wayne" uniqKey="Ferguson L" first="Leslie Wayne" last="Ferguson">Leslie Wayne Ferguson</name>
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<nlm:affiliation>Division of Neurology,University of Saskatchewan,Saskatoon,Saskatchewan,Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
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<name sortKey="Rajput, Ali H" sort="Rajput, Ali H" uniqKey="Rajput A" first="Ali H" last="Rajput">Ali H. Rajput</name>
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<term>Age Factors</term>
<term>Age of Onset</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Antiparkinson Agents</term>
<term>Disease Progression</term>
<term>Dyskinesias (drug therapy)</term>
<term>Dyskinesias (epidemiology)</term>
<term>Dyskinesias (etiology)</term>
<term>Dyskinesias (physiopathology)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Severity of Illness Index</term>
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<term>Antiparkinson Agents</term>
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<term>Parkinson Disease</term>
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<term>Parkinson Disease</term>
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<div type="abstract" xml:lang="en">Several studies have compared early-onset Parkinson disease (EOPD) and late-onset Parkinson disease (LOPD) but most are not based on autopsy confirmed cases.</div>
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<ArticleTitle>Early-onset vs. Late-onset Parkinson's disease: A Clinical-pathological Study.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Several studies have compared early-onset Parkinson disease (EOPD) and late-onset Parkinson disease (LOPD) but most are not based on autopsy confirmed cases.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We compared clinical and pharmacological profiles, time to reach irreversible Hoehn and Yahr (H&Y) Stage 3 and levodopa motor complications in autopsy confirmed EOPD and LOPD cases.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">At first clinic visit EOPD cases were younger but had longer disease duration and they died at a younger age (all p<0.0001). Anti-Parkinsonian drug use, including levodopa, was significantly delayed in EOPD. Lifetime use of amantadine (p<0.05) and dopamine agonists (p<0.01) were higher in EOPD. While lifetime use of levodopa was similar in the two groups, levodopa was used for a significantly longer period by EOPD (p< 0.0001). EOPD had a higher cumulative incidence of dyskinesias (p<0.01), wearing-off (p<0.01), and on-off (p<0.01). However, the time to dyskinesia onset was similar in the two groups. The threshold to wearing-off was much longer in EOPD (p<0.01). H&Y stage profile at first visit was similar in the two groups. The duration from disease onset to reach irreversible H&Y stage 3 was significantly longer in EOPD.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our observations indicate that progression of PD is slower in EOPD and suggest that the pre-clinical interval in this group is longer. These findings can be used for case selection for drug trials and studies of the pathogenesis of PD.</AbstractText>
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