Interventions for fatigue in Parkinson's disease: A systematic review and meta-analysis.
Identifieur interne : 000541 ( Main/Exploration ); précédent : 000540; suivant : 000542Interventions for fatigue in Parkinson's disease: A systematic review and meta-analysis.
Auteurs : Marloes Franssen [Royaume-Uni] ; Charlotte Winward ; Johnny Collett ; Derick Wade ; Helen DawesSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2014.
English descriptors
- KwdEn :
- MESH :
- complications : Parkinson Disease.
- etiology : Fatigue.
- therapy : Fatigue.
- Humans.
Abstract
The authors sought to review the efficacy of interventions for fatigue in Parkinson's disease. A search was conducted of PubMed, Cinahl, Psychinfo, EMBASE, and Web of Knowledge up to November 2013. Methodological quality was assessed using the PEDro scale. For meta-analyses, studies were weighted on variance. Effect sizes were calculated with 95% confidence interval (CI); overall effect was presented by means of a Z-score; heterogeneity was investigated using the I(2) . Fourteen articles (n = 1,890) investigating drugs and behavioral therapy were eligible. Ten studies demonstrated excellent, three good, and one fair methodological quality. Three articles (investigating amphetamines) were appropriate for meta-analysis, which was performed according to scales used: Multidimensional Fatigue Inventory: mean difference, -6.13 (95%CI: -14.63-2.37, Z = 1.41, P = 0.16; I(2) = 0); Fatigue Severity Scale: mean difference, -4.00 (95%CI: -8.72-0.72, Z = 1.66, P = 0.10; I(2) = 0). Currently insufficient evidence exists to support the treatment of fatigue in PD with any drug or nondrug treatment. Further study is required.
DOI: 10.1002/mds.26030
PubMed: 25234443
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">The authors sought to review the efficacy of interventions for fatigue in Parkinson's disease. A search was conducted of PubMed, Cinahl, Psychinfo, EMBASE, and Web of Knowledge up to November 2013. Methodological quality was assessed using the PEDro scale. For meta-analyses, studies were weighted on variance. Effect sizes were calculated with 95% confidence interval (CI); overall effect was presented by means of a Z-score; heterogeneity was investigated using the I(2) . Fourteen articles (n = 1,890) investigating drugs and behavioral therapy were eligible. Ten studies demonstrated excellent, three good, and one fair methodological quality. Three articles (investigating amphetamines) were appropriate for meta-analysis, which was performed according to scales used: Multidimensional Fatigue Inventory: mean difference, -6.13 (95%CI: -14.63-2.37, Z = 1.41, P = 0.16; I(2) = 0); Fatigue Severity Scale: mean difference, -4.00 (95%CI: -8.72-0.72, Z = 1.66, P = 0.10; I(2) = 0). Currently insufficient evidence exists to support the treatment of fatigue in PD with any drug or nondrug treatment. Further study is required.</div>
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<name sortKey="Wade, Derick" sort="Wade, Derick" uniqKey="Wade D" first="Derick" last="Wade">Derick Wade</name>
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<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Franssen, Marloes" sort="Franssen, Marloes" uniqKey="Franssen M" first="Marloes" last="Franssen">Marloes Franssen</name>
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