Movement Disorders (revue)

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Gender differences in the frequency and treatment of behavior problems in Parkinson's disease. SAGE Study Group. Systematic Assessment and Geriatric drug use via Epidemiology.

Identifieur interne : 000273 ( Ncbi/Merge ); précédent : 000272; suivant : 000274

Gender differences in the frequency and treatment of behavior problems in Parkinson's disease. SAGE Study Group. Systematic Assessment and Geriatric drug use via Epidemiology.

Auteurs : H H Fernandez [États-Unis] ; K L Lapane ; B R Ott ; J H Friedman

Source :

RBID : pubmed:10830414

English descriptors

Abstract

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).

PubMed: 10830414

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pubmed:10830414

Le document en format XML

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<title xml:lang="en">Gender differences in the frequency and treatment of behavior problems in Parkinson's disease. SAGE Study Group. Systematic Assessment and Geriatric drug use via Epidemiology.</title>
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<name sortKey="Fernandez, H H" sort="Fernandez, H H" uniqKey="Fernandez H" first="H H" last="Fernandez">H H Fernandez</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Clinical Neurosciences, Brown University, Providence, Rhode Island, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Clinical Neurosciences, Brown University, Providence, Rhode Island</wicri:regionArea>
<placeName>
<region type="state">Rhode Island</region>
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<name sortKey="Lapane, K L" sort="Lapane, K L" uniqKey="Lapane K" first="K L" last="Lapane">K L Lapane</name>
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<name sortKey="Ott, B R" sort="Ott, B R" uniqKey="Ott B" first="B R" last="Ott">B R Ott</name>
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<name sortKey="Friedman, J H" sort="Friedman, J H" uniqKey="Friedman J" first="J H" last="Friedman">J H Friedman</name>
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<title xml:lang="en">Gender differences in the frequency and treatment of behavior problems in Parkinson's disease. SAGE Study Group. Systematic Assessment and Geriatric drug use via Epidemiology.</title>
<author>
<name sortKey="Fernandez, H H" sort="Fernandez, H H" uniqKey="Fernandez H" first="H H" last="Fernandez">H H Fernandez</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Clinical Neurosciences, Brown University, Providence, Rhode Island, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Clinical Neurosciences, Brown University, Providence, Rhode Island</wicri:regionArea>
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<region type="state">Rhode Island</region>
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<name sortKey="Lapane, K L" sort="Lapane, K L" uniqKey="Lapane K" first="K L" last="Lapane">K L Lapane</name>
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<name sortKey="Ott, B R" sort="Ott, B R" uniqKey="Ott B" first="B R" last="Ott">B R Ott</name>
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<name sortKey="Friedman, J H" sort="Friedman, J H" uniqKey="Friedman J" first="J H" last="Friedman">J H Friedman</name>
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<series>
<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
<idno type="ISSN">0885-3185</idno>
<imprint>
<date when="2000" type="published">2000</date>
</imprint>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Activities of Daily Living (classification)</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cross-Sectional Studies</term>
<term>Dementia (mortality)</term>
<term>Dementia (therapy)</term>
<term>Female</term>
<term>Homes for the Aged</term>
<term>Humans</term>
<term>Long-Term Care</term>
<term>Male</term>
<term>Neuropsychological Tests</term>
<term>Nursing Homes</term>
<term>Parkinson Disease (mortality)</term>
<term>Parkinson Disease (therapy)</term>
<term>Sex Factors</term>
<term>Social Behavior Disorders (mortality)</term>
<term>Social Behavior Disorders (therapy)</term>
<term>Survival Rate</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en">
<term>Activities of Daily Living</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en">
<term>Dementia</term>
<term>Parkinson Disease</term>
<term>Social Behavior Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Dementia</term>
<term>Parkinson Disease</term>
<term>Social Behavior Disorders</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Homes for the Aged</term>
<term>Humans</term>
<term>Long-Term Care</term>
<term>Male</term>
<term>Neuropsychological Tests</term>
<term>Nursing Homes</term>
<term>Sex Factors</term>
<term>Survival Rate</term>
</keywords>
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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>
</front>
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<PMID Version="1">10830414</PMID>
<DateCreated>
<Year>2000</Year>
<Month>10</Month>
<Day>02</Day>
</DateCreated>
<DateCompleted>
<Year>2000</Year>
<Month>10</Month>
<Day>02</Day>
</DateCompleted>
<DateRevised>
<Year>2007</Year>
<Month>11</Month>
<Day>14</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Print">0885-3185</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>15</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2000</Year>
<Month>May</Month>
</PubDate>
</JournalIssue>
<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
<ISOAbbreviation>Mov. Disord.</ISOAbbreviation>
</Journal>
<ArticleTitle>Gender differences in the frequency and treatment of behavior problems in Parkinson's disease. SAGE Study Group. Systematic Assessment and Geriatric drug use via Epidemiology.</ArticleTitle>
<Pagination>
<MedlinePgn>490-6</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="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).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Gender appears to play an important role in determining the frequency and treatment of behavioral problems of NH residents with PD.</AbstractText>
</Abstract>
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<LastName>Fernandez</LastName>
<ForeName>H H</ForeName>
<Initials>HH</Initials>
<AffiliationInfo>
<Affiliation>Department of Clinical Neurosciences, Brown University, Providence, Rhode Island, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Lapane</LastName>
<ForeName>K L</ForeName>
<Initials>KL</Initials>
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<LastName>Ott</LastName>
<ForeName>B R</ForeName>
<Initials>BR</Initials>
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<LastName>Friedman</LastName>
<ForeName>J H</ForeName>
<Initials>JH</Initials>
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</AuthorList>
<Language>eng</Language>
<GrantList CompleteYN="Y">
<Grant>
<GrantID>500-89-0046</GrantID>
<Agency>PHS HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant>
<GrantID>AG11624</GrantID>
<Acronym>AG</Acronym>
<Agency>NIA NIH HHS</Agency>
<Country>United States</Country>
</Grant>
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<Country>UNITED STATES</Country>
<MedlineTA>Mov Disord</MedlineTA>
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<DescriptorName MajorTopicYN="N" UI="D000203">Activities of Daily Living</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D000369">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D003430">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D003704">Dementia</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000401">mortality</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000628">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D006707">Homes for the Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D008134">Long-Term Care</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D009483">Neuropsychological Tests</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D009735">Nursing Homes</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D010300">Parkinson Disease</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000401">mortality</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000628">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D012737">Sex Factors</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D012920">Social Behavior Disorders</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000401">mortality</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000628">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D015996">Survival Rate</DescriptorName>
</MeshHeading>
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<name sortKey="Ott, B R" sort="Ott, B R" uniqKey="Ott B" first="B R" last="Ott">B R Ott</name>
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