The Nondeclaration of Nonmotor Symptoms of Parkinson's Disease to Health Care Professionals: An International Study Using the Nonmotor Symptoms Questionnaire
Identifieur interne : 000793 ( PascalFrancis/Checkpoint ); précédent : 000792; suivant : 000794The Nondeclaration of Nonmotor Symptoms of Parkinson's Disease to Health Care Professionals: An International Study Using the Nonmotor Symptoms Questionnaire
Auteurs : K. Ray Chaudhuri [Royaume-Uni] ; Cristina Prieto-Jurcynska [Espagne] ; Yogini Naidu [Royaume-Uni] ; Tanya Mitra [Royaume-Uni] ; Belen Frades-Payo [Espagne] ; Susanne Tluk [Royaume-Uni] ; Anne Ruessmann [Allemagne] ; Per Odin [Allemagne] ; Graeme Macphee [Royaume-Uni] ; Fabrizio Stocchi [Italie] ; William Ondo [États-Unis] ; Kapil Sethi [États-Unis] ; Anthony H. V. Schapira [Royaume-Uni] ; Pablo Martinez-Martin [Espagne]Source :
- Movement disorders [ 0885-3185 ] ; 2010.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
The nonmotor symptoms (NMS) of Parkinson's disease (PD) are less well recognised and can be more troublesome to patients and carers than classical motor features. NMS are frequently missed during routine consultations and such under-recognition may have implications on quality of care given that many NMS are treatable. To determine the proportion of patients not declaring NMS to healthcare professional (HCP) as assessed by self completion of the NMS questionnaire (NMSQuest), a validated, self-completing questionnaire with 30 items. Multicentre international study. The data was collected from PD patients across all age groups and stages attending outpatient clinics in specialist and care of the elderly settings. 242 patients recruited and undeclared NMS ranged from 31.8% (diplopia) to 65.2% (delusions). The most frequently nondeclared symptoms were delusions, daytime sleepiness, intense and vivid dreams, and dizziness. In many, appropriate treatments for undeclared NMS were started only after these were recognised following completion of NMSQuest. NMS of PD are frequently undeclared at routine hospital consultation and may be related to the fact that patients often do not link these symptoms with PD or may be too embarrassed to discuss these. Use of NMSQuest allows patients to flag symptoms which may be otherwise undeclared and remain untreated when potential treatments exist.
Affiliations:
- Allemagne, Espagne, Italie, Royaume-Uni, États-Unis
- Angleterre, Communauté de Madrid, Grand Londres, Géorgie (États-Unis), Latium, Texas
- Londres, Madrid, Rome
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">The Nondeclaration of Nonmotor Symptoms of Parkinson's Disease to Health Care Professionals: An International Study Using the Nonmotor Symptoms Questionnaire</title><author><name sortKey="Chaudhuri, K Ray" sort="Chaudhuri, K Ray" uniqKey="Chaudhuri K" first="K. Ray" last="Chaudhuri">K. Ray Chaudhuri</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>National Parkinson Foundation Centre of Excellence, Kings College Hospital, Denmark Hill</s1><s2>London</s2><s3>GBR</s3><sZ>1 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Prieto Jurcynska, Cristina" sort="Prieto Jurcynska, Cristina" uniqKey="Prieto Jurcynska C" first="Cristina" last="Prieto-Jurcynska">Cristina Prieto-Jurcynska</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Alzheimer Disease Research Unit, Carlos III Institute of Health</s1><s2>Madrid</s2><s3>ESP</s3><sZ>2 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation><affiliation 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wicri:level="3"><inist:fA14 i1="05"><s1>Department of Neuroscience, Guy's, King's and St. Thomas' School of Medicine</s1><s2>London</s2><s3>GBR</s3><sZ>4 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Frades Payo, Belen" sort="Frades Payo, Belen" uniqKey="Frades Payo B" first="Belen" last="Frades-Payo">Belen Frades-Payo</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Alzheimer Disease Research Unit, National Center for Epidemiology and CIBERNED, Carlos III Institute of Health</s1><s2>Madrid</s2><s3>ESP</s3><sZ>5 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Tluk, Susanne" sort="Tluk, Susanne" uniqKey="Tluk S" first="Susanne" last="Tluk">Susanne Tluk</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Department of Neurology, University Hospital Lewisham</s1><s2>London</s2><s3>GBR</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Ruessmann, Anne" sort="Ruessmann, Anne" uniqKey="Ruessmann A" first="Anne" last="Ruessmann">Anne Ruessmann</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Neurology, Klinikum-Bremerhaven Reinkenheide</s1><s2>Bremerhaven</s2><s3>DEU</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Bremerhaven</wicri:noRegion><wicri:noRegion>Klinikum-Bremerhaven Reinkenheide</wicri:noRegion><wicri:noRegion>Bremerhaven</wicri:noRegion></affiliation></author><author><name sortKey="Odin, Per" sort="Odin, Per" uniqKey="Odin P" first="Per" last="Odin">Per Odin</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Neurology, Klinikum-Bremerhaven Reinkenheide</s1><s2>Bremerhaven</s2><s3>DEU</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Bremerhaven</wicri:noRegion><wicri:noRegion>Klinikum-Bremerhaven Reinkenheide</wicri:noRegion><wicri:noRegion>Bremerhaven</wicri:noRegion></affiliation></author><author><name sortKey="Macphee, Graeme" sort="Macphee, Graeme" uniqKey="Macphee G" first="Graeme" last="Macphee">Graeme Macphee</name><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Department of Medicine for the Elderly, Southern General Hospital</s1><s2>Glasgow</s2><s3>GBR</s3><sZ>9 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Glasgow</wicri:noRegion></affiliation></author><author><name sortKey="Stocchi, Fabrizio" sort="Stocchi, Fabrizio" uniqKey="Stocchi F" first="Fabrizio" last="Stocchi">Fabrizio Stocchi</name><affiliation wicri:level="3"><inist:fA14 i1="09"><s1>Department of Neurology, IRCCS San Raffaele</s1><s2>Rome</s2><s3>ITA</s3><sZ>10 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Ondo, William" sort="Ondo, William" uniqKey="Ondo W" first="William" last="Ondo">William Ondo</name><affiliation wicri:level="2"><inist:fA14 i1="10"><s1>Department of Neurology, Baylor College of Medicine</s1><s2>Houston, Texas</s2><s3>USA</s3><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Sethi, Kapil" sort="Sethi, Kapil" uniqKey="Sethi K" first="Kapil" last="Sethi">Kapil Sethi</name><affiliation wicri:level="2"><inist:fA14 i1="11"><s1>Department of Neurology, Medical College of Georgia</s1><s2>Athens, Georgia</s2><s3>USA</s3><sZ>12 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Schapira, Anthony H V" sort="Schapira, Anthony H V" uniqKey="Schapira A" first="Anthony H. V." last="Schapira">Anthony H. V. Schapira</name><affiliation wicri:level="3"><inist:fA14 i1="12"><s1>Department of Clinical Neurosciences, Institute of Neurology, Queen Square, UCL</s1><s2>London</s2><s3>GBR</s3><sZ>13 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Martinez Martin, Pablo" sort="Martinez Martin, Pablo" uniqKey="Martinez Martin P" first="Pablo" last="Martinez-Martin">Pablo Martinez-Martin</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Alzheimer Disease Research Unit, National Center for Epidemiology and CIBERNED, Carlos III Institute of Health</s1><s2>Madrid</s2><s3>ESP</s3><sZ>5 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">10-0233086</idno><date when="2010">2010</date><idno type="stanalyst">PASCAL 10-0233086 INIST</idno><idno type="RBID">Pascal:10-0233086</idno><idno type="wicri:Area/PascalFrancis/Corpus">000B69</idno><idno type="wicri:Area/PascalFrancis/Curation">002150</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000793</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">The Nondeclaration of Nonmotor Symptoms of Parkinson's Disease to Health Care Professionals: An International Study Using the Nonmotor Symptoms Questionnaire</title><author><name sortKey="Chaudhuri, K Ray" sort="Chaudhuri, K Ray" uniqKey="Chaudhuri K" first="K. Ray" last="Chaudhuri">K. Ray Chaudhuri</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>National Parkinson Foundation Centre of Excellence, Kings College Hospital, Denmark Hill</s1><s2>London</s2><s3>GBR</s3><sZ>1 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Prieto Jurcynska, Cristina" sort="Prieto Jurcynska, Cristina" uniqKey="Prieto Jurcynska C" first="Cristina" last="Prieto-Jurcynska">Cristina Prieto-Jurcynska</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Alzheimer Disease Research Unit, Carlos III Institute of Health</s1><s2>Madrid</s2><s3>ESP</s3><sZ>2 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Neurology, Infanta Elena Hospital (Valdemoro)</s1><s2>Madrid</s2><s3>ESP</s3><sZ>2 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Naidu, Yogini" sort="Naidu, Yogini" uniqKey="Naidu Y" first="Yogini" last="Naidu">Yogini Naidu</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Department of Neurology, University Hospital Lewisham</s1><s2>London</s2><s3>GBR</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Mitra, Tanya" sort="Mitra, Tanya" uniqKey="Mitra T" first="Tanya" last="Mitra">Tanya Mitra</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>Department of Neuroscience, Guy's, King's and St. Thomas' School of Medicine</s1><s2>London</s2><s3>GBR</s3><sZ>4 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Frades Payo, Belen" sort="Frades Payo, Belen" uniqKey="Frades Payo B" first="Belen" last="Frades-Payo">Belen Frades-Payo</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Alzheimer Disease Research Unit, National Center for Epidemiology and CIBERNED, Carlos III Institute of Health</s1><s2>Madrid</s2><s3>ESP</s3><sZ>5 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Tluk, Susanne" sort="Tluk, Susanne" uniqKey="Tluk S" first="Susanne" last="Tluk">Susanne Tluk</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Department of Neurology, University Hospital Lewisham</s1><s2>London</s2><s3>GBR</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Ruessmann, Anne" sort="Ruessmann, Anne" uniqKey="Ruessmann A" first="Anne" last="Ruessmann">Anne Ruessmann</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Neurology, Klinikum-Bremerhaven Reinkenheide</s1><s2>Bremerhaven</s2><s3>DEU</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Bremerhaven</wicri:noRegion><wicri:noRegion>Klinikum-Bremerhaven Reinkenheide</wicri:noRegion><wicri:noRegion>Bremerhaven</wicri:noRegion></affiliation></author><author><name sortKey="Odin, Per" sort="Odin, Per" uniqKey="Odin P" first="Per" last="Odin">Per Odin</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Neurology, Klinikum-Bremerhaven Reinkenheide</s1><s2>Bremerhaven</s2><s3>DEU</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Bremerhaven</wicri:noRegion><wicri:noRegion>Klinikum-Bremerhaven Reinkenheide</wicri:noRegion><wicri:noRegion>Bremerhaven</wicri:noRegion></affiliation></author><author><name sortKey="Macphee, Graeme" sort="Macphee, Graeme" uniqKey="Macphee G" first="Graeme" last="Macphee">Graeme Macphee</name><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Department of Medicine for the Elderly, Southern General Hospital</s1><s2>Glasgow</s2><s3>GBR</s3><sZ>9 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Glasgow</wicri:noRegion></affiliation></author><author><name sortKey="Stocchi, Fabrizio" sort="Stocchi, Fabrizio" uniqKey="Stocchi F" first="Fabrizio" last="Stocchi">Fabrizio Stocchi</name><affiliation wicri:level="3"><inist:fA14 i1="09"><s1>Department of Neurology, IRCCS San Raffaele</s1><s2>Rome</s2><s3>ITA</s3><sZ>10 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Ondo, William" sort="Ondo, William" uniqKey="Ondo W" first="William" last="Ondo">William Ondo</name><affiliation wicri:level="2"><inist:fA14 i1="10"><s1>Department of Neurology, Baylor College of Medicine</s1><s2>Houston, Texas</s2><s3>USA</s3><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Sethi, Kapil" sort="Sethi, Kapil" uniqKey="Sethi K" first="Kapil" last="Sethi">Kapil Sethi</name><affiliation wicri:level="2"><inist:fA14 i1="11"><s1>Department of Neurology, Medical College of Georgia</s1><s2>Athens, Georgia</s2><s3>USA</s3><sZ>12 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Schapira, Anthony H V" sort="Schapira, Anthony H V" uniqKey="Schapira A" first="Anthony H. V." last="Schapira">Anthony H. V. Schapira</name><affiliation wicri:level="3"><inist:fA14 i1="12"><s1>Department of Clinical Neurosciences, Institute of Neurology, Queen Square, UCL</s1><s2>London</s2><s3>GBR</s3><sZ>13 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Martinez Martin, Pablo" sort="Martinez Martin, Pablo" uniqKey="Martinez Martin P" first="Pablo" last="Martinez-Martin">Pablo Martinez-Martin</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Alzheimer Disease Research Unit, National Center for Epidemiology and CIBERNED, Carlos III Institute of Health</s1><s2>Madrid</s2><s3>ESP</s3><sZ>5 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Care</term><term>Nervous system diseases</term><term>Parkinson disease</term><term>Quality of life</term><term>Questionnaire</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Soin</term><term>Questionnaire</term><term>Qualité de vie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The nonmotor symptoms (NMS) of Parkinson's disease (PD) are less well recognised and can be more troublesome to patients and carers than classical motor features. NMS are frequently missed during routine consultations and such under-recognition may have implications on quality of care given that many NMS are treatable. To determine the proportion of patients not declaring NMS to healthcare professional (HCP) as assessed by self completion of the NMS questionnaire (NMSQuest), a validated, self-completing questionnaire with 30 items. Multicentre international study. The data was collected from PD patients across all age groups and stages attending outpatient clinics in specialist and care of the elderly settings. 242 patients recruited and undeclared NMS ranged from 31.8% (diplopia) to 65.2% (delusions). The most frequently nondeclared symptoms were delusions, daytime sleepiness, intense and vivid dreams, and dizziness. In many, appropriate treatments for undeclared NMS were started only after these were recognised following completion of NMSQuest. NMS of PD are frequently undeclared at routine hospital consultation and may be related to the fact that patients often do not link these symptoms with PD or may be too embarrassed to discuss these. Use of NMSQuest allows patients to flag symptoms which may be otherwise undeclared and remain untreated when potential treatments exist.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0885-3185</s0></fA01><fA03 i2="1"><s0>Mov. disord.</s0></fA03><fA05><s2>25</s2></fA05><fA06><s2>6</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>The Nondeclaration of Nonmotor Symptoms of Parkinson's Disease to Health Care Professionals: An International Study Using the Nonmotor Symptoms Questionnaire</s1></fA08><fA11 i1="01" i2="1"><s1>CHAUDHURI (K. Ray)</s1></fA11><fA11 i1="02" i2="1"><s1>PRIETO-JURCYNSKA (Cristina)</s1></fA11><fA11 i1="03" i2="1"><s1>NAIDU (Yogini)</s1></fA11><fA11 i1="04" i2="1"><s1>MITRA (Tanya)</s1></fA11><fA11 i1="05" i2="1"><s1>FRADES-PAYO (Belen)</s1></fA11><fA11 i1="06" i2="1"><s1>TLUK (Susanne)</s1></fA11><fA11 i1="07" i2="1"><s1>RUESSMANN (Anne)</s1></fA11><fA11 i1="08" i2="1"><s1>ODIN (Per)</s1></fA11><fA11 i1="09" i2="1"><s1>MACPHEE (Graeme)</s1></fA11><fA11 i1="10" i2="1"><s1>STOCCHI (Fabrizio)</s1></fA11><fA11 i1="11" i2="1"><s1>ONDO (William)</s1></fA11><fA11 i1="12" i2="1"><s1>SETHI (Kapil)</s1></fA11><fA11 i1="13" i2="1"><s1>SCHAPIRA (Anthony H. V.)</s1></fA11><fA11 i1="14" i2="1"><s1>MARTINEZ-MARTIN (Pablo)</s1></fA11><fA14 i1="01"><s1>National Parkinson Foundation Centre of Excellence, Kings College Hospital, Denmark Hill</s1><s2>London</s2><s3>GBR</s3><sZ>1 aut.</sZ></fA14><fA14 i1="02"><s1>Alzheimer Disease Research Unit, Carlos III Institute of Health</s1><s2>Madrid</s2><s3>ESP</s3><sZ>2 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Neurology, Infanta Elena Hospital (Valdemoro)</s1><s2>Madrid</s2><s3>ESP</s3><sZ>2 aut.</sZ></fA14><fA14 i1="04"><s1>Department of Neurology, University Hospital Lewisham</s1><s2>London</s2><s3>GBR</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ></fA14><fA14 i1="05"><s1>Department of Neuroscience, Guy's, King's and St. Thomas' School of Medicine</s1><s2>London</s2><s3>GBR</s3><sZ>4 aut.</sZ></fA14><fA14 i1="06"><s1>Alzheimer Disease Research Unit, National Center for Epidemiology and CIBERNED, Carlos III Institute of Health</s1><s2>Madrid</s2><s3>ESP</s3><sZ>5 aut.</sZ><sZ>14 aut.</sZ></fA14><fA14 i1="07"><s1>Department of Neurology, Klinikum-Bremerhaven Reinkenheide</s1><s2>Bremerhaven</s2><s3>DEU</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ></fA14><fA14 i1="08"><s1>Department of Medicine for the Elderly, Southern General Hospital</s1><s2>Glasgow</s2><s3>GBR</s3><sZ>9 aut.</sZ></fA14><fA14 i1="09"><s1>Department of Neurology, IRCCS San Raffaele</s1><s2>Rome</s2><s3>ITA</s3><sZ>10 aut.</sZ></fA14><fA14 i1="10"><s1>Department of Neurology, Baylor College of Medicine</s1><s2>Houston, Texas</s2><s3>USA</s3><sZ>11 aut.</sZ></fA14><fA14 i1="11"><s1>Department of Neurology, Medical College of Georgia</s1><s2>Athens, Georgia</s2><s3>USA</s3><sZ>12 aut.</sZ></fA14><fA14 i1="12"><s1>Department of Clinical Neurosciences, Institute of Neurology, Queen Square, UCL</s1><s2>London</s2><s3>GBR</s3><sZ>13 aut.</sZ></fA14><fA20><s1>704-709</s1></fA20><fA21><s1>2010</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000181078480060</s5></fA43><fA44><s0>0000</s0><s1>© 2010 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>14 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>10-0233086</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Movement disorders</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>The nonmotor symptoms (NMS) of Parkinson's disease (PD) are less well recognised and can be more troublesome to patients and carers than classical motor features. NMS are frequently missed during routine consultations and such under-recognition may have implications on quality of care given that many NMS are treatable. To determine the proportion of patients not declaring NMS to healthcare professional (HCP) as assessed by self completion of the NMS questionnaire (NMSQuest), a validated, self-completing questionnaire with 30 items. Multicentre international study. The data was collected from PD patients across all age groups and stages attending outpatient clinics in specialist and care of the elderly settings. 242 patients recruited and undeclared NMS ranged from 31.8% (diplopia) to 65.2% (delusions). The most frequently nondeclared symptoms were delusions, daytime sleepiness, intense and vivid dreams, and dizziness. In many, appropriate treatments for undeclared NMS were started only after these were recognised following completion of NMSQuest. NMS of PD are frequently undeclared at routine hospital consultation and may be related to the fact that patients often do not link these symptoms with PD or may be too embarrassed to discuss these. Use of NMSQuest allows patients to flag symptoms which may be otherwise undeclared and remain untreated when potential treatments exist.</s0></fC01><fC02 i1="01" i2="X"><s0>002B17</s0></fC02><fC02 i1="02" i2="X"><s0>002B17G</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Maladie de Parkinson</s0><s2>NM</s2><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Parkinson disease</s0><s2>NM</s2><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Parkinson enfermedad</s0><s2>NM</s2><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Pathologie du système nerveux</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Nervous system diseases</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Sistema nervioso patología</s0><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Soin</s0><s5>09</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Care</s0><s5>09</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Cuidado</s0><s5>09</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Questionnaire</s0><s5>10</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Questionnaire</s0><s5>10</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Cuestionario</s0><s5>10</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Qualité de vie</s0><s5>11</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Quality of life</s0><s5>11</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Calidad vida</s0><s5>11</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Pathologie de l'encéphale</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Cerebral disorder</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Encéfalo patología</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Syndrome extrapyramidal</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0><s5>38</s5></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Maladie dégénérative</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Degenerative disease</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0><s5>39</s5></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Pathologie du système nerveux central</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Central nervous system disease</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0><s5>40</s5></fC07><fN21><s1>158</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard></inist><affiliations><list><country><li>Allemagne</li><li>Espagne</li><li>Italie</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Communauté de Madrid</li><li>Grand Londres</li><li>Géorgie (États-Unis)</li><li>Latium</li><li>Texas</li></region><settlement><li>Londres</li><li>Madrid</li><li>Rome</li></settlement></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Chaudhuri, K Ray" sort="Chaudhuri, K Ray" uniqKey="Chaudhuri K" first="K. Ray" last="Chaudhuri">K. Ray Chaudhuri</name></region><name sortKey="Macphee, Graeme" sort="Macphee, Graeme" uniqKey="Macphee G" first="Graeme" last="Macphee">Graeme Macphee</name><name sortKey="Mitra, Tanya" sort="Mitra, Tanya" uniqKey="Mitra T" first="Tanya" last="Mitra">Tanya Mitra</name><name sortKey="Naidu, Yogini" sort="Naidu, Yogini" uniqKey="Naidu Y" first="Yogini" last="Naidu">Yogini Naidu</name><name sortKey="Schapira, Anthony H V" sort="Schapira, Anthony H V" uniqKey="Schapira A" first="Anthony H. V." last="Schapira">Anthony H. V. Schapira</name><name sortKey="Tluk, Susanne" sort="Tluk, Susanne" uniqKey="Tluk S" first="Susanne" last="Tluk">Susanne Tluk</name></country><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Prieto Jurcynska, Cristina" sort="Prieto Jurcynska, Cristina" uniqKey="Prieto Jurcynska C" first="Cristina" last="Prieto-Jurcynska">Cristina Prieto-Jurcynska</name></region><name sortKey="Frades Payo, Belen" sort="Frades Payo, Belen" uniqKey="Frades Payo B" first="Belen" last="Frades-Payo">Belen Frades-Payo</name><name sortKey="Martinez Martin, Pablo" sort="Martinez Martin, Pablo" uniqKey="Martinez Martin P" first="Pablo" last="Martinez-Martin">Pablo Martinez-Martin</name><name sortKey="Prieto Jurcynska, Cristina" sort="Prieto Jurcynska, Cristina" uniqKey="Prieto Jurcynska C" first="Cristina" last="Prieto-Jurcynska">Cristina Prieto-Jurcynska</name></country><country name="Allemagne"><noRegion><name sortKey="Ruessmann, Anne" sort="Ruessmann, Anne" uniqKey="Ruessmann A" first="Anne" last="Ruessmann">Anne Ruessmann</name></noRegion><name sortKey="Odin, Per" sort="Odin, Per" uniqKey="Odin P" first="Per" last="Odin">Per Odin</name></country><country name="Italie"><region name="Latium"><name sortKey="Stocchi, Fabrizio" sort="Stocchi, Fabrizio" uniqKey="Stocchi F" first="Fabrizio" last="Stocchi">Fabrizio Stocchi</name></region></country><country name="États-Unis"><region name="Texas"><name sortKey="Ondo, William" sort="Ondo, William" uniqKey="Ondo W" first="William" last="Ondo">William Ondo</name></region><name sortKey="Sethi, Kapil" sort="Sethi, Kapil" uniqKey="Sethi K" first="Kapil" last="Sethi">Kapil Sethi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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