MovDisordV3, Main, Curation, bibRecord, 004A63

Gender differences in the frequency and treatment of behavior problems in Parkinson's disease

Identifieur interne : 004A63 ( Main/Curation ); précédent : 004A62; suivant : 004A64

Gender differences in the frequency and treatment of behavior problems in Parkinson's disease

Auteurs : Hubert H. Fernandez [États-Unis] ; Kate L. Lapane [États-Unis] ; Brian R. Ott [États-Unis] ; Joseph H. Friedman [États-Unis]

Source :

Movement Disorders [ 0885-3185 ] ; 2000-05.

RBID : ISTEX:208EB9CAC39A0B62B36681099128C838ECC6DC36

Descripteurs français

Pascal (Inist)
- Complication, Epidémiologie, Homme, Parkinson maladie, Sexe, Trouble comportement.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Activities of Daily Living (classification), Aged, Aged, 80 and over, Behavior, Behavioral disorder, Complication, Cross-Sectional Studies, Dementia, Dementia (mortality), Dementia (therapy), Epidemiology, Female, Gender, Homes for the Aged, Human, Humans, Long-Term Care, Long‐term care, Male, Neuropsychological Tests, Nursing Homes, Nursing home, Parkinson, Parkinson Disease (mortality), Parkinson Disease (therapy), Parkinson disease, Pharmaco‐epidemiology, Sex, Sex Factors, Social Behavior Disorders (mortality), Social Behavior Disorders (therapy), Survival Rate, Treatment.
MESH :
- classification : Activities of Daily Living.
- mortality : Dementia, Parkinson Disease, Social Behavior Disorders.
- therapy : Dementia, Parkinson Disease, Social Behavior Disorders.
- Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Homes for the Aged, Humans, Long-Term Care, Male, Neuropsychological Tests, Nursing Homes, Sex Factors, Survival Rate.

Abstract

OBJECTIVE: To determine gender differences in the prevalence, survival rates, and management of noncognitive behavioral problems of patients with Parkinson's disease (PD) in nursing homes (NH). METHODS: We performed an observational study on 24,402 residents with PD using the Systematic Assessment and Geriatric drug use via Epidemiology (SAGE) database collected from the Minimum Data Set on a cross‐section of over 400,000 NH residents in five US states. Gender differences in behavior were used to predict differences in pharmacologic and nonpharmacologic therapies using logistic regression. Similar analyses were done to evaluate gender differences in 1‐year survival rates among patients with PD with and without behavioral problems. RESULTS: 36% of men and 33% of women exhibited behavioral problems. Wandering, verbal and physical abusiveness, and inappropriate behavior tended to be more common in men, especially among PD residents with severe cognitive impairment. Hallucinations and delusions were equally prevalent between genders and depressive symptoms were more common in women. Regardless of behavioral manifestation, men were more likely to receive antipsychotic drugs, whereas women were more likely to receive antidepressants. This gender difference in treatment was also widest among the severely demented group. Although women lived longer, no difference in survival curves were noted between PD residents with and without behavioral problems. CONCLUSION: Gender appears to play an important role in determining the frequency and treatment of behavioral problems of NH residents with PD.

Url:

https://api.istex.fr/document/208EB9CAC39A0B62B36681099128C838ECC6DC36/fulltext/pdf

DOI: 10.1002/1531-8257(200005)15:3<490::AID-MDS1011>3.0.CO;2-E

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ISTEX:208EB9CAC39A0B62B36681099128C838ECC6DC36

Le document en format XML

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<front><div type="abstract" xml:lang="en">OBJECTIVE: To determine gender differences in the prevalence, survival rates, and management of noncognitive behavioral problems of patients with Parkinson's disease (PD) in nursing homes (NH). METHODS: We performed an observational study on 24,402 residents with PD using the Systematic Assessment and Geriatric drug use via Epidemiology (SAGE) database collected from the Minimum Data Set on a cross-section of over 400,000 NH residents in five US states. Gender differences in behavior were used to predict differences in pharmacologic and nonpharmacologic therapies using logistic regression. Similar analyses were done to evaluate gender differences in 1-year survival rates among patients with PD with and without behavioral problems. RESULTS: 36% of men and 33% of women exhibited behavioral problems. Wandering, verbal and physical abusiveness, and inappropriate behavior tended to be more common in men, especially among PD residents with severe cognitive impairment. Hallucinations and delusions were equally prevalent between genders and depressive symptoms were more common in women. Regardless of behavioral manifestation, men were more likely to receive antipsychotic drugs, whereas women were more likely to receive antidepressants. This gender difference in treatment was also widest among the severely demented group. Although women lived longer, no difference in survival curves were noted between PD residents with and without behavioral problems. CONCLUSION: Gender appears to play an important role in determining the frequency and treatment of behavioral problems of NH residents with PD.</div>
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<front><div type="abstract" xml:lang="en">To determine gender differences in the prevalence, survival rates, and management of noncognitive behavioral problems of patients with Parkinson's disease (PD) in nursing homes (NH).</div>
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Movement Disorders (revue)

Gender differences in the frequency and treatment of behavior problems in Parkinson's disease

Gender differences in the frequency and treatment of behavior problems in Parkinson's disease

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