Medical Decision-Making Capacity in Cognitively Impaired Parkinson's Disease Patients Without Dementia
Identifieur interne : 000034 ( Pmc/Corpus ); précédent : 000033; suivant : 000035Medical Decision-Making Capacity in Cognitively Impaired Parkinson's Disease Patients Without Dementia
Auteurs : Roy C. Martin ; Ozioma C. Okonkwo ; Joni Hill ; H. Randall Griffith ; Kristen Triebel ; Alfred Bartolucci ; Anthony P. Nicholas ; Ray L. Watts ; Natividad Stover ; Lindy E. Harrell ; David Clark ; Daniel C. MarsonSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2008.
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 non-parametric 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, patients with PDD patients were impaired on the three clinical standards of
Url:
DOI: 10.1002/mds.22170
PubMed: 18759361
PubMed Central: 2579319
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