Enhancing recognition of early Parkinsonism in the community
Identifieur interne : 003D22 ( Main/Exploration ); précédent : 003D21; suivant : 003D23Enhancing recognition of early Parkinsonism in the community
Auteurs : Günter U. Höglinger [Allemagne] ; Ida Rissling [Allemagne] ; Aline Metz [Allemagne] ; Vincent Ries [Allemagne] ; Anne Heinermann [Allemagne] ; Helge Prinz [Allemagne] ; Sybille Spieker [Allemagne] ; Günter Deuschl [Allemagne] ; Erika Baum [Allemagne] ; Wolfgang H. Oertel [Allemagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2004-05.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Brain (metabolism), Community Health Services, Diagnosis, Differential, Female, Humans, Iodine Radioisotopes (diagnostic use), Male, Mass Screening (methods), Middle Aged, Nervous system diseases, Parkinson's disease, Parkinsonian Disorders (diagnosis), Parkinsonism, Primary Health Care, Questionnaires, Recognition (Psychology), Reproducibility of Results, Tomography, Emission-Computed, Single-Photon, Tropanes (diagnostic use), [123I]‐FP‐CIT SPECT, general practitioner, parkinsonism, questionnaire, screening.
- MESH :
- chemical , diagnostic use : Iodine Radioisotopes, Tropanes.
- diagnosis : Parkinsonian Disorders.
- metabolism : Brain.
- methods : Mass Screening.
- Aged, Aged, 80 and over, Community Health Services, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Primary Health Care, Questionnaires, Recognition (Psychology), Reproducibility of Results, Tomography, Emission-Computed, Single-Photon.
Abstract
Because Parkinsonism is underdiagnosed in the community, we have validated screening modalities in the field setting and developed a screening procedure to enhance recognition of undiagnosed patients. In a first survey, we identified suspect cases among patients consulting 9 general practitioners (GPs) over a 3‐week period using in parallel: (1) a published questionnaire; (2) a standardized examination by the GPs; (3) clinical impression of the GPs; or (4) pre‐established diagnoses. Parkinsonism was ascertained by two neurologists with a 1‐year follow‐up and FP‐CIT‐SPECT. In total, 1,411 patients consulted the GPs, 1,030 participated in the study, 87 possible cases were identified by at least one of four screening modalities, 12 suffered from Parkinsonism, and 4 of these 12 were de novo cases. Statistical analysis demonstrated that with appropriate evaluation, the questionnaire is highly sensitive and excludes most nonaffected persons, and that the GPs' clinical impression is more specific. We therefore tested in a second survey the efficacy of a serial screening, starting with the questionnaire, followed by a standardized GP evaluation, and then by neurological examination. Of 1,353 participants seen by 9 GPs during a 3‐week period, 5 de novo cases were identified. This simple screening protocol significantly enhances recognition of incipient Parkinsonism. © 2004 Movement Disorder Society
Url:
DOI: 10.1002/mds.20033
Affiliations:
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Le document en format XML
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In a first survey, we identified suspect cases among patients consulting 9 general practitioners (GPs) over a 3‐week period using in parallel: (1) a published questionnaire; (2) a standardized examination by the GPs; (3) clinical impression of the GPs; or (4) pre‐established diagnoses. Parkinsonism was ascertained by two neurologists with a 1‐year follow‐up and FP‐CIT‐SPECT. In total, 1,411 patients consulted the GPs, 1,030 participated in the study, 87 possible cases were identified by at least one of four screening modalities, 12 suffered from Parkinsonism, and 4 of these 12 were de novo cases. Statistical analysis demonstrated that with appropriate evaluation, the questionnaire is highly sensitive and excludes most nonaffected persons, and that the GPs' clinical impression is more specific. We therefore tested in a second survey the efficacy of a serial screening, starting with the questionnaire, followed by a standardized GP evaluation, and then by neurological examination. Of 1,353 participants seen by 9 GPs during a 3‐week period, 5 de novo cases were identified. This simple screening protocol significantly enhances recognition of incipient Parkinsonism. © 2004 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>District de Giessen</li><li>Hesse (Land)</li><li>Schleswig-Holstein</li></region><settlement><li>Kiel</li><li>Marbourg</li></settlement></list><tree><country name="Allemagne"><region name="Hesse (Land)"><name sortKey="Hoglinger, Gunter U" sort="Hoglinger, Gunter U" uniqKey="Hoglinger G" first="Günter U." last="Höglinger">Günter U. Höglinger</name></region><name sortKey="Baum, Erika" sort="Baum, Erika" uniqKey="Baum E" first="Erika" last="Baum">Erika Baum</name><name sortKey="Deuschl, Gunter" sort="Deuschl, Gunter" uniqKey="Deuschl G" first="Günter" last="Deuschl">Günter Deuschl</name><name sortKey="Heinermann, Anne" sort="Heinermann, Anne" uniqKey="Heinermann A" first="Anne" last="Heinermann">Anne Heinermann</name><name sortKey="Metz, Aline" sort="Metz, Aline" uniqKey="Metz A" first="Aline" last="Metz">Aline Metz</name><name sortKey="Oertel, Wolfgang H" sort="Oertel, Wolfgang H" uniqKey="Oertel W" first="Wolfgang H." last="Oertel">Wolfgang H. Oertel</name><name sortKey="Prinz, Helge" sort="Prinz, Helge" uniqKey="Prinz H" first="Helge" last="Prinz">Helge Prinz</name><name sortKey="Ries, Vincent" sort="Ries, Vincent" uniqKey="Ries V" first="Vincent" last="Ries">Vincent Ries</name><name sortKey="Rissling, Ida" sort="Rissling, Ida" uniqKey="Rissling I" first="Ida" last="Rissling">Ida Rissling</name><name sortKey="Spieker, Sybille" sort="Spieker, Sybille" uniqKey="Spieker S" first="Sybille" last="Spieker">Sybille Spieker</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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