Movement Disorders (revue)

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Health-related quality of life following bilateral intrastriatal transplantation in Parkinson's disease

Identifieur interne : 000066 ( PascalFrancis/Curation ); précédent : 000065; suivant : 000067

Health-related quality of life following bilateral intrastriatal transplantation in Parkinson's disease

Auteurs : P. Hagell [Suède] ; L. Crabb [Royaume-Uni] ; O. Pogarell [Allemagne] ; A. Schrag [Royaume-Uni] ; H. Widner [Suède] ; D. J. Brooks [Royaume-Uni] ; W. H. Oertel [Allemagne] ; N. P. Quinn [Royaume-Uni] ; O. Lindvall [Suède]

Source :

RBID : Pascal:00-0177299

Descripteurs français

English descriptors

Abstract

Intrastriatal transplantation of embryonic dopaminergic tissue is a new, experimental approach for the treatment of Parkinson's disease (PD). Clinical trials have shown long-term graft survival and therapeutically valuable improvements with decreased L-dopa dose and time spent in the "off"-phase, and reduced rigidity and hypokinesia. We have measured health-related quality of life (HRQoL) using the Nottingham Health Profile (NHP) in five patients subjected to bilateral transplantation in the caudate and putamen to explore the influence of intrastriatal grafts on HRQoL and the value of such measures in trials of restorative therapies. The results demonstrate improved HRQoL following transplantation, with individual patients showing striking improvements within different dimensions of the NHP as well as the NHP distress index (NHPD). The most pronounced improvements after grafting were observed for physical mobility along with emotional reactions and energy. These results indicate that intrastriatal transplantation of embryonic dopaminergic tissue can give rise to improvements within most areas of HRQoL, and that HRQoL measurements provide important information additional to that obtained by traditional, symptom-oriented assessment protocols. However, the optimal approach to HRQoL measurement in PD remains to be determined.
pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 15
A06       @2 2
A08 01  1  ENG  @1 Health-related quality of life following bilateral intrastriatal transplantation in Parkinson's disease
A11 01  1    @1 HAGELL (P.)
A11 02  1    @1 CRABB (L.)
A11 03  1    @1 POGARELL (O.)
A11 04  1    @1 SCHRAG (A.)
A11 05  1    @1 WIDNER (H.)
A11 06  1    @1 BROOKS (D. J.)
A11 07  1    @1 OERTEL (W. H.)
A11 08  1    @1 QUINN (N. P.)
A11 09  1    @1 LINDVALL (O.)
A14 01      @1 Section of Restorative Neurology, Department of Clinical Neuroscience, University Hospital, University of Lund @2 Lund @3 SWE @Z 1 aut. @Z 9 aut.
A14 02      @1 Division of Neurology, Department of Clinical Neuroscience, University Hospital, University of Lund @2 Lund @3 SWE @Z 1 aut. @Z 5 aut. @Z 9 aut.
A14 03      @1 Institute of Neurology, Queen Square, Hammersmith Hospital @2 London @3 GBR @Z 2 aut. @Z 4 aut. @Z 8 aut.
A14 04      @1 Department of Neurology, Center of Nervous Diseases, Philipps-University Marburg @2 Marburg @3 DEU @Z 3 aut. @Z 7 aut.
A14 05      @1 Division of Neurobiology, Department of Physiological Sciences, University of Lund @2 Lund @3 SWE @Z 5 aut.
A14 06      @1 MRC Cyclotron Unit, Hammersmith Hospital @2 London @3 GBR @Z 6 aut.
A20       @1 224-229
A21       @1 2000
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A44       @0 0000 @1 © 2000 INIST-CNRS. All rights reserved.
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A47 01  1    @0 00-0177299
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 Intrastriatal transplantation of embryonic dopaminergic tissue is a new, experimental approach for the treatment of Parkinson's disease (PD). Clinical trials have shown long-term graft survival and therapeutically valuable improvements with decreased L-dopa dose and time spent in the "off"-phase, and reduced rigidity and hypokinesia. We have measured health-related quality of life (HRQoL) using the Nottingham Health Profile (NHP) in five patients subjected to bilateral transplantation in the caudate and putamen to explore the influence of intrastriatal grafts on HRQoL and the value of such measures in trials of restorative therapies. The results demonstrate improved HRQoL following transplantation, with individual patients showing striking improvements within different dimensions of the NHP as well as the NHP distress index (NHPD). The most pronounced improvements after grafting were observed for physical mobility along with emotional reactions and energy. These results indicate that intrastriatal transplantation of embryonic dopaminergic tissue can give rise to improvements within most areas of HRQoL, and that HRQoL measurements provide important information additional to that obtained by traditional, symptom-oriented assessment protocols. However, the optimal approach to HRQoL measurement in PD remains to be determined.
C02 01  X    @0 002B25J01
C03 01  X  FRE  @0 Parkinson maladie @5 01
C03 01  X  ENG  @0 Parkinson disease @5 01
C03 01  X  SPA  @0 Parkinson enfermedad @5 01
C03 02  X  FRE  @0 Qualité vie @5 04
C03 02  X  ENG  @0 Quality of life @5 04
C03 02  X  SPA  @0 Calidad vida @5 04
C03 03  X  FRE  @0 Santé @5 05
C03 03  X  ENG  @0 Health @5 05
C03 03  X  SPA  @0 Salud @5 05
C03 04  X  FRE  @0 Homogreffe @5 07
C03 04  X  ENG  @0 Homograft @5 07
C03 04  X  SPA  @0 Homoinjerto @5 07
C03 05  X  FRE  @0 Neurone dopaminergique @5 08
C03 05  X  ENG  @0 Dopaminergic neuron @5 08
C03 05  X  SPA  @0 Neurona dopaminérgica @5 08
C03 06  X  FRE  @0 Embryon @5 09
C03 06  X  ENG  @0 Embryo @5 09
C03 06  X  SPA  @0 Embrión @5 09
C03 07  X  FRE  @0 Corps strié @5 10
C03 07  X  ENG  @0 Corpus striatum @5 10
C03 07  X  SPA  @0 Cuerpo estriado @5 10
C03 08  X  FRE  @0 Bilatéral @5 11
C03 08  X  ENG  @0 Bilateral @5 11
C03 08  X  SPA  @0 Bilateral @5 11
C03 09  X  FRE  @0 Nottingham Health Profile @2 NP @5 13
C03 09  X  ENG  @0 Nottingham Health Profile @2 NP @5 13
C03 09  X  SPA  @0 Nottingham Health Profile @2 NP @5 13
C03 10  X  FRE  @0 Traitement @5 17
C03 10  X  ENG  @0 Treatment @5 17
C03 10  X  SPA  @0 Tratamiento @5 17
C03 11  X  FRE  @0 Evolution @5 18
C03 11  X  ENG  @0 Evolution @5 18
C03 11  X  SPA  @0 Evolución @5 18
C03 12  X  FRE  @0 Psychométrie @5 19
C03 12  X  ENG  @0 Psychometrics @5 19
C03 12  X  SPA  @0 Psicometría @5 19
C03 13  X  FRE  @0 Adulte @5 20
C03 13  X  ENG  @0 Adult @5 20
C03 13  X  SPA  @0 Adulto @5 20
C07 01  X  FRE  @0 Homme
C07 01  X  ENG  @0 Human
C07 01  X  SPA  @0 Hombre
C07 02  X  FRE  @0 Système nerveux pathologie @5 37
C07 02  X  ENG  @0 Nervous system diseases @5 37
C07 02  X  SPA  @0 Sistema nervioso patología @5 37
C07 03  X  FRE  @0 Système nerveux central pathologie @5 38
C07 03  X  ENG  @0 Central nervous system disease @5 38
C07 03  X  SPA  @0 Sistema nervosio central patología @5 38
C07 04  X  FRE  @0 Encéphale pathologie @5 39
C07 04  X  ENG  @0 Cerebral disorder @5 39
C07 04  X  SPA  @0 Encéfalo patología @5 39
C07 05  X  FRE  @0 Extrapyramidal syndrome @5 40
C07 05  X  ENG  @0 Extrapyramidal syndrome @5 40
C07 05  X  SPA  @0 Extrapiramidal síndrome @5 40
C07 06  X  FRE  @0 Maladie dégénérative @5 41
C07 06  X  ENG  @0 Degenerative disease @5 41
C07 06  X  SPA  @0 Enfermedad degenerativa @5 41
C07 07  X  FRE  @0 Greffe @5 53
C07 07  X  ENG  @0 Graft @5 53
C07 07  X  SPA  @0 Injerto @5 53
C07 08  X  FRE  @0 Chirurgie @5 54
C07 08  X  ENG  @0 Surgery @5 54
C07 08  X  SPA  @0 Cirugía @5 54
N21       @1 129

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Pascal:00-0177299

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<div type="abstract" xml:lang="en">Intrastriatal transplantation of embryonic dopaminergic tissue is a new, experimental approach for the treatment of Parkinson's disease (PD). Clinical trials have shown long-term graft survival and therapeutically valuable improvements with decreased L-dopa dose and time spent in the "off"-phase, and reduced rigidity and hypokinesia. We have measured health-related quality of life (HRQoL) using the Nottingham Health Profile (NHP) in five patients subjected to bilateral transplantation in the caudate and putamen to explore the influence of intrastriatal grafts on HRQoL and the value of such measures in trials of restorative therapies. The results demonstrate improved HRQoL following transplantation, with individual patients showing striking improvements within different dimensions of the NHP as well as the NHP distress index (NHPD). The most pronounced improvements after grafting were observed for physical mobility along with emotional reactions and energy. These results indicate that intrastriatal transplantation of embryonic dopaminergic tissue can give rise to improvements within most areas of HRQoL, and that HRQoL measurements provide important information additional to that obtained by traditional, symptom-oriented assessment protocols. However, the optimal approach to HRQoL measurement in PD remains to be determined.</div>
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