Impact of belief in neuroprotection on therapeutic intervention in Parkinson disease
Identifieur interne : 000082 ( Pmc/Curation ); précédent : 000081; suivant : 000083Impact of belief in neuroprotection on therapeutic intervention in Parkinson disease
Auteurs : Rodger J. Elble ; Oksana Suchowersky [Canada] ; Stephanie Shaftman ; William J. Weiner ; Peng Huang ; Barbara TilleySource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2010.
Abstract
We explored the hypotheses that an investigator’s belief in a putative neuroprotective agent might influence the timing of symptomatic intervention and the assessment of signs and symptoms of Parkinson patients with the Unified Parkinson Disease Rating Scale (UPDRS). These hypotheses were tested with Cox and general linear modeling, using data from a previously published double-blind placebo-controlled futility trial of coenzyme Q10 and GPI-1485. We found the investigators’ level of confidence in these agents had no effect on the time to symptomatic therapy or on the change in UPDRS during 12 months of treatment.
Url:
DOI: 10.1002/mds.22997
PubMed: 20131372
PubMed Central: 2891220
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Rodger J. Elble<affiliation><nlm:aff id="A1"> Department of Neurology, Southern Illinois University School of Medicine</nlm:aff>
<wicri:noCountry code="subfield">Southern Illinois University School of Medicine</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A3"> Department of Biostatistics, Bioinformatics and Epidemiology, Medical University of South Carolina</nlm:aff>
<wicri:noCountry code="subfield">Medical University of South Carolina</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A4"> Department of Neurology, University of Maryland School of Medicine</nlm:aff>
<wicri:noCountry code="subfield">University of Maryland School of Medicine</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A5"> Department of Oncology, Johns Hopkins University</nlm:aff>
<wicri:noCountry code="subfield">Johns Hopkins University</wicri:noCountry>
</affiliation>
Le document en format XML
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<wicri:noCountry code="subfield">Johns Hopkins University</wicri:noCountry>
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<author><name sortKey="Tilley, Barbara" sort="Tilley, Barbara" uniqKey="Tilley B" first="Barbara" last="Tilley">Barbara Tilley</name>
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<front><div type="abstract" xml:lang="en"><p id="P1">We explored the hypotheses that an investigator’s belief in a putative neuroprotective agent might influence the timing of symptomatic intervention and the assessment of signs and symptoms of Parkinson patients with the Unified Parkinson Disease Rating Scale (UPDRS). These hypotheses were tested with Cox and general linear modeling, using data from a previously published double-blind placebo-controlled futility trial of coenzyme Q<sub>10</sub>
and GPI-1485. We found the investigators’ level of confidence in these agents had no effect on the time to symptomatic therapy or on the change in UPDRS during 12 months of treatment.</p>
</div>
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<journal-id journal-id-type="pubmed-jr-id">5937</journal-id>
<journal-id journal-id-type="nlm-ta">Mov Disord</journal-id>
<journal-title>Movement disorders : official journal of the Movement Disorder Society</journal-title>
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<title-group><article-title>Impact of belief in neuroprotection on therapeutic intervention in Parkinson disease</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Elble</surname>
<given-names>Rodger J.</given-names>
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<degrees>MD, PhD</degrees>
<xref rid="A1" ref-type="aff">1</xref>
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<contrib contrib-type="author"><name><surname>Suchowersky</surname>
<given-names>Oksana</given-names>
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<degrees>MD</degrees>
<xref rid="A2" ref-type="aff">2</xref>
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<contrib contrib-type="author"><name><surname>Shaftman</surname>
<given-names>Stephanie</given-names>
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<degrees>MSc, MS</degrees>
<xref rid="A3" ref-type="aff">3</xref>
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<contrib contrib-type="author"><name><surname>Weiner</surname>
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<xref rid="A5" ref-type="aff">5</xref>
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<contrib contrib-type="author"><name><surname>Tilley</surname>
<given-names>Barbara</given-names>
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<degrees>PhD</degrees>
<xref rid="A6" ref-type="aff">6</xref>
</contrib>
<on-behalf-of>on behalf of the NINDS NET-PD investigators</on-behalf-of>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Neurology, Southern Illinois University School of Medicine</aff>
<aff id="A2"><label>2</label>
Departments of Medical Genetics and Clinical Neurosciences, University of Calgary</aff>
<aff id="A3"><label>3</label>
Department of Biostatistics, Bioinformatics and Epidemiology, Medical University of South Carolina</aff>
<aff id="A4"><label>4</label>
Department of Neurology, University of Maryland School of Medicine</aff>
<aff id="A5"><label>5</label>
Department of Oncology, Johns Hopkins University</aff>
<aff id="A6"><label>6</label>
University of Texas Health Science Center School of Public Health at Houston</aff>
<author-notes><corresp id="FN1">Correspondence: Dr. Elble, Rodger J. Elble, MD, PhD, Department of Neurology, Southern Illinois University School of Medicine, PO Box 19643, Springfield, IL 62794-9643, 217-545-7182 (phone), 217-545-1903 (Fax), <email>relble@siumed.edu</email>
</corresp>
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<pub-date pub-type="nihms-submitted"><day>2</day>
<month>1</month>
<year>2010</year>
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<pub-date pub-type="ppub"><day>15</day>
<month>6</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>15</day>
<month>6</month>
<year>2011</year>
</pub-date>
<volume>25</volume>
<issue>8</issue>
<fpage>1082</fpage>
<lpage>1086</lpage>
<abstract><p id="P1">We explored the hypotheses that an investigator’s belief in a putative neuroprotective agent might influence the timing of symptomatic intervention and the assessment of signs and symptoms of Parkinson patients with the Unified Parkinson Disease Rating Scale (UPDRS). These hypotheses were tested with Cox and general linear modeling, using data from a previously published double-blind placebo-controlled futility trial of coenzyme Q<sub>10</sub>
and GPI-1485. We found the investigators’ level of confidence in these agents had no effect on the time to symptomatic therapy or on the change in UPDRS during 12 months of treatment.</p>
</abstract>
<kwd-group><kwd>Parkinson disease</kwd>
<kwd>bias</kwd>
<kwd>clinical trial</kwd>
<kwd>Unified Parkinson Disease Rating Scale</kwd>
</kwd-group>
<contract-num rid="NS1">U01 NS043127-08
||NS</contract-num>
<contract-sponsor id="NS1">National Institute of Neurological Disorders and Stroke : NINDS</contract-sponsor>
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