MovDisordV3, Main, Exploration, bibRecord, 002772

Medical decision‐making capacity in cognitively impaired Parkinson's disease patients without dementia

Identifieur interne : 002772 ( Main/Exploration ); précédent : 002771; suivant : 002773

Medical decision‐making capacity in cognitively impaired Parkinson's disease patients without dementia

Auteurs : Roy C. Martin [États-Unis] ; Ozioma C. Okonkwo [États-Unis] ; Joni Hill [États-Unis] ; H. Randall Griffith [États-Unis] ; Kristen Triebel [États-Unis] ; Alfred Bartolucci [États-Unis] ; Anthony P. Nicholas [États-Unis] ; Ray L. Watts [États-Unis] ; Natividad Stover [États-Unis] ; Lindy E. Harrell [États-Unis] ; David Clark [États-Unis] ; Daniel C. Marson [États-Unis]

Source :

Movement Disorders [ 0885-3185 ] ; 2008-10-15.

RBID : ISTEX:53139B9D552F0BE38E7A86227A9697A8D4B1FBC0

Descripteurs français

Pascal (Inist)
- Démence, Homme, Maladie de Parkinson, Pathologie du système nerveux, Prise de décision, Trouble cognitif.
Wicri :
- topic : Homme, Prise de décision.

English descriptors

KwdEn :
- Aged, Case-Control Studies, Cognition Disorders (complications), Cognition Disorders (psychology), Cognitive disorder, Decision Making (physiology), Decision making, Dementia, Dementia (complications), Female, Human, Humans, Informed Consent (psychology), Informed Consent (standards), Male, Mental Competency, Middle Aged, Nervous system diseases, Neuropsychological Tests, Parkinson Disease (complications), Parkinson Disease (psychology), Parkinson disease, Parkinson's disease, Physician-Patient Relations, Retrospective Studies, cognitive impairment without dementia, consent capacity, functional change, medical decision‐making.
MESH :
- complications : Cognition Disorders, Dementia, Parkinson Disease.
- physiology : Decision Making.
- psychology : Cognition Disorders, Informed Consent, Parkinson Disease.
- standards : Informed Consent.
- Aged, Case-Control Studies, Female, Humans, Male, Mental Competency, Middle Aged, Neuropsychological Tests, Physician-Patient Relations, Retrospective Studies.

Abstract

Little is currently known about the higher order functional skills of patients with Parkinson disease and cognitive impairment. Medical decision‐making capacity (MDC) was assessed in patients with Parkinson's disease (PD) with cognitive impairment and dementia. Participants were 16 patients with PD and cognitive impairment without dementia (PD‐CIND), 16 patients with PD dementia (PDD), and 22 healthy older adults. All participants were administered the Capacity to Consent to Treatment Instrument (CCTI), a standardized capacity instrument assessing MDC under five different consent standards. Parametric and nonparametric statistical analyses were utilized to examine capacity performance on the consent standards. In addition, capacity outcomes (capable, marginally capable, or incapable outcomes) on the standards were identified for the two patient groups. Relative to controls, PD‐CIND patients demonstrated significant impairment on the understanding treatment consent standard, clinically the most stringent CCTI standard. Relative to controls and PD‐CIND patients, PDD patients were impaired on the three clinical standards of understanding, reasoning, and appreciation. The findings suggest that impairment in decisional capacity is already present in cognitively impaired patients with PD without dementia and increases as these patients develop dementia. Clinicians and researchers should carefully assess decisional capacity in all patients with PD with cognitive impairment. © 2008 Movement Disorder Society

Url:

DOI: 10.1002/mds.22170

Affiliations:

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Case-Control Studies</term>
<term>Cognition Disorders (complications)</term>
<term>Cognition Disorders (psychology)</term>
<term>Cognitive disorder</term>
<term>Decision Making (physiology)</term>
<term>Decision making</term>
<term>Dementia</term>
<term>Dementia (complications)</term>
<term>Female</term>
<term>Human</term>
<term>Humans</term>
<term>Informed Consent (psychology)</term>
<term>Informed Consent (standards)</term>
<term>Male</term>
<term>Mental Competency</term>
<term>Middle Aged</term>
<term>Nervous system diseases</term>
<term>Neuropsychological Tests</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (psychology)</term>
<term>Parkinson disease</term>
<term>Parkinson's disease</term>
<term>Physician-Patient Relations</term>
<term>Retrospective Studies</term>
<term>cognitive impairment without dementia</term>
<term>consent capacity</term>
<term>functional change</term>
<term>medical decision‐making</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Cognition Disorders</term>
<term>Dementia</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Decision Making</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Cognition Disorders</term>
<term>Informed Consent</term>
<term>Parkinson Disease</term>
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</keywords>
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<term>Case-Control Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mental Competency</term>
<term>Middle Aged</term>
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<term>Physician-Patient Relations</term>
<term>Retrospective Studies</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Démence</term>
<term>Homme</term>
<term>Maladie de Parkinson</term>
<term>Pathologie du   système nerveux</term>
<term>Prise de décision</term>
<term>Trouble cognitif</term>
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<term>Prise de décision</term>
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<front><div type="abstract" xml:lang="en">Little is currently known about the higher order functional skills of patients with Parkinson disease and cognitive impairment. Medical decision‐making capacity (MDC) was assessed in patients with Parkinson's disease (PD) with cognitive impairment and dementia. Participants were 16 patients with PD and cognitive impairment without dementia (PD‐CIND), 16 patients with PD dementia (PDD), and 22 healthy older adults. All participants were administered the Capacity to Consent to Treatment Instrument (CCTI), a standardized capacity instrument assessing MDC under five different consent standards. Parametric and nonparametric statistical analyses were utilized to examine capacity performance on the consent standards. In addition, capacity outcomes (capable, marginally capable, or incapable outcomes) on the standards were identified for the two patient groups. Relative to controls, PD‐CIND patients demonstrated significant impairment on the understanding treatment consent standard, clinically the most stringent CCTI standard. Relative to controls and PD‐CIND patients, PDD patients were impaired on the three clinical standards of understanding, reasoning, and appreciation. The findings suggest that impairment in decisional capacity is already present in cognitively impaired patients with PD without dementia and increases as these patients develop dementia. Clinicians and researchers should carefully assess decisional capacity in all patients with PD with cognitive impairment. © 2008 Movement Disorder Society</div>
</front>
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<name sortKey="Clark, David" sort="Clark, David" uniqKey="Clark D" first="David" last="Clark">David Clark</name>
<name sortKey="Clark, David" sort="Clark, David" uniqKey="Clark D" first="David" last="Clark">David Clark</name>
<name sortKey="Griffith, H Randall" sort="Griffith, H Randall" uniqKey="Griffith H" first="H. Randall" last="Griffith">H. Randall Griffith</name>
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<name sortKey="Harrell, Lindy E" sort="Harrell, Lindy E" uniqKey="Harrell L" first="Lindy E." last="Harrell">Lindy E. Harrell</name>
<name sortKey="Hill, Joni" sort="Hill, Joni" uniqKey="Hill J" first="Joni" last="Hill">Joni Hill</name>
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<name sortKey="Marson, Daniel C" sort="Marson, Daniel C" uniqKey="Marson D" first="Daniel C." last="Marson">Daniel C. Marson</name>
<name sortKey="Martin, Roy C" sort="Martin, Roy C" uniqKey="Martin R" first="Roy C." last="Martin">Roy C. Martin</name>
<name sortKey="Nicholas, Anthony P" sort="Nicholas, Anthony P" uniqKey="Nicholas A" first="Anthony P." last="Nicholas">Anthony P. Nicholas</name>
<name sortKey="Nicholas, Anthony P" sort="Nicholas, Anthony P" uniqKey="Nicholas A" first="Anthony P." last="Nicholas">Anthony P. Nicholas</name>
<name sortKey="Nicholas, Anthony P" sort="Nicholas, Anthony P" uniqKey="Nicholas A" first="Anthony P." last="Nicholas">Anthony P. Nicholas</name>
<name sortKey="Okonkwo, Ozioma C" sort="Okonkwo, Ozioma C" uniqKey="Okonkwo O" first="Ozioma C." last="Okonkwo">Ozioma C. Okonkwo</name>
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<name sortKey="Triebel, Kristen" sort="Triebel, Kristen" uniqKey="Triebel K" first="Kristen" last="Triebel">Kristen Triebel</name>
<name sortKey="Triebel, Kristen" sort="Triebel, Kristen" uniqKey="Triebel K" first="Kristen" last="Triebel">Kristen Triebel</name>
<name sortKey="Watts, Ray L" sort="Watts, Ray L" uniqKey="Watts R" first="Ray L." last="Watts">Ray L. Watts</name>
</country>
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   |area=    MovDisordV3
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   |étape=   Exploration
   |type=    RBID
   |clé=     ISTEX:53139B9D552F0BE38E7A86227A9697A8D4B1FBC0
   |texte=   Medical decision‐making capacity in cognitively impaired Parkinson's disease patients without dementia
}}

This area was generated with Dilib version V0.6.23.
Data generation: Sun Jul 3 12:29:32 2016. Site generation: Wed Feb 14 10:52:30 2024

Movement Disorders (revue)

Medical decision‐making capacity in cognitively impaired Parkinson's disease patients without dementia

Medical decision‐making capacity in cognitively impaired Parkinson's disease patients without dementia

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	Movement Disorders (revue)
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