Impact of recommendations on the initial therapy of Parkinson's disease: a population-based study in France.
Identifieur interne : 000D26 ( Ncbi/Checkpoint ); précédent : 000D25; suivant : 000D27Impact of recommendations on the initial therapy of Parkinson's disease: a population-based study in France.
Auteurs : Claudine Fayard [France] ; Audrey Bonaventure ; Isabelle Benatru ; Emmanuel Roze ; Julien Dumurgier ; Frédéric Moisan ; Aïcha Soumaré ; Jean Houssinot ; Jean-Luc Dupupet ; Jean-Louis Mazurie ; Irina Balaboi ; Jean-Luc Houeto ; Elsa Krim ; Danièle Ranoux ; Marcel Goldberg ; Ellen Imbernon ; Thibault Moreau ; Maurice Giroud ; Christophe Tzourio ; Alexis ElbazSource :
- Parkinsonism & related disorders [ 1873-5126 ] ; 2011.
Descripteurs français
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Aged, Antiparkinson Agents (therapeutic use), Consensus Development Conferences as Topic, Dopamine Agonists (therapeutic use), Female, France, Guideline Adherence (statistics & numerical data), Humans, Levodopa (therapeutic use), Male, Middle Aged, Parkinson Disease (drug therapy), Practice Guidelines as Topic, Practice Patterns, Physicians' (statistics & numerical data).
- MESH :
- chemical , therapeutic use : Antiparkinson Agents, Dopamine Agonists, Levodopa.
- geographic : France.
- drug therapy : Parkinson Disease.
- statistics & numerical data : Guideline Adherence, Practice Patterns, Physicians'.
- Aged, Consensus Development Conferences as Topic, Female, Humans, Male, Middle Aged, Practice Guidelines as Topic.
Abstract
Levodopa induces long-term motor complications in Parkinson's disease (PD). Therapeutic strategies that prevent motor complications are needed. Our aim was to evaluate the impact of recommendations of a French consensus conference published in 2000 on initial PD therapy. We identified 308 PD patients as part of a population-based study performed within the Mutualité Sociale Agricole in five French districts (2007). Neurologists confirmed PD diagnosis. We compared initial therapy in 102 patients treated before 12/31/2000 to that of 206 patients treated afterwards. Initial treatment was in agreement with the recommendations if dopamine agonists were used in patients <60 years (n = 49) and levodopa in patients ≥70 years (n = 133). Agreement with the recommendations increased after 2000 (66.0%) compared to before (46.3%, p = 0.025). For patients <60 years, agreement increased (64.0% vs 20.2%, p = 0.017) while it remained stable (66.4% vs 70.6%, p = 0.73) in patients ≥70 years. The publication of recommendations has influenced initial treatment choices for PD in France.
DOI: 10.1016/j.parkreldis.2011.04.020
PubMed: 21612970
Affiliations:
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de Médecine de Dijon, Université de Bourgogne, Equipe d'accueil, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Neurologie, CHU Dijon, Faculté de Médecine de Dijon, Université de Bourgogne, Equipe d'accueil</wicri:regionArea><wicri:noRegion>Equipe d'accueil</wicri:noRegion><orgName type="university">Université de Bourgogne</orgName><placeName><settlement type="city">Dijon</settlement><region type="region" nuts="2">Région Bourgogne</region></placeName></affiliation></author><author><name sortKey="Bonaventure, Audrey" sort="Bonaventure, Audrey" uniqKey="Bonaventure A" first="Audrey" last="Bonaventure">Audrey Bonaventure</name></author><author><name sortKey="Benatru, Isabelle" sort="Benatru, Isabelle" uniqKey="Benatru I" first="Isabelle" last="Benatru">Isabelle Benatru</name></author><author><name sortKey="Roze, Emmanuel" sort="Roze, Emmanuel" uniqKey="Roze E" first="Emmanuel" last="Roze">Emmanuel Roze</name></author><author><name 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Balaboi</name></author><author><name sortKey="Houeto, Jean Luc" sort="Houeto, Jean Luc" uniqKey="Houeto J" first="Jean-Luc" last="Houeto">Jean-Luc Houeto</name></author><author><name sortKey="Krim, Elsa" sort="Krim, Elsa" uniqKey="Krim E" first="Elsa" last="Krim">Elsa Krim</name></author><author><name sortKey="Ranoux, Daniele" sort="Ranoux, Daniele" uniqKey="Ranoux D" first="Danièle" last="Ranoux">Danièle Ranoux</name></author><author><name sortKey="Goldberg, Marcel" sort="Goldberg, Marcel" uniqKey="Goldberg M" first="Marcel" last="Goldberg">Marcel Goldberg</name></author><author><name sortKey="Imbernon, Ellen" sort="Imbernon, Ellen" uniqKey="Imbernon E" first="Ellen" last="Imbernon">Ellen Imbernon</name></author><author><name sortKey="Moreau, Thibault" sort="Moreau, Thibault" uniqKey="Moreau T" first="Thibault" last="Moreau">Thibault Moreau</name></author><author><name sortKey="Giroud, Maurice" sort="Giroud, Maurice" uniqKey="Giroud M" first="Maurice" last="Giroud">Maurice Giroud</name></author><author><name sortKey="Tzourio, Christophe" sort="Tzourio, Christophe" uniqKey="Tzourio C" first="Christophe" last="Tzourio">Christophe Tzourio</name></author><author><name sortKey="Elbaz, Alexis" sort="Elbaz, Alexis" uniqKey="Elbaz A" first="Alexis" last="Elbaz">Alexis Elbaz</name></author></analytic><series><title level="j">Parkinsonism & related disorders</title><idno type="eISSN">1873-5126</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Antiparkinson Agents (therapeutic use)</term><term>Consensus Development Conferences as Topic</term><term>Dopamine Agonists (therapeutic use)</term><term>Female</term><term>France</term><term>Guideline Adherence (statistics & numerical data)</term><term>Humans</term><term>Levodopa (therapeutic use)</term><term>Male</term><term>Middle Aged</term><term>Parkinson Disease (drug therapy)</term><term>Practice Guidelines as Topic</term><term>Practice Patterns, Physicians' (statistics & numerical data)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiparkinson Agents</term><term>Dopamine Agonists</term><term>Levodopa</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Guideline Adherence</term><term>Practice Patterns, Physicians'</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Consensus Development Conferences as Topic</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Practice Guidelines as Topic</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Levodopa induces long-term motor complications in Parkinson's disease (PD). Therapeutic strategies that prevent motor complications are needed. Our aim was to evaluate the impact of recommendations of a French consensus conference published in 2000 on initial PD therapy. We identified 308 PD patients as part of a population-based study performed within the Mutualité Sociale Agricole in five French districts (2007). Neurologists confirmed PD diagnosis. We compared initial therapy in 102 patients treated before 12/31/2000 to that of 206 patients treated afterwards. Initial treatment was in agreement with the recommendations if dopamine agonists were used in patients <60 years (n = 49) and levodopa in patients ≥70 years (n = 133). Agreement with the recommendations increased after 2000 (66.0%) compared to before (46.3%, p = 0.025). For patients <60 years, agreement increased (64.0% vs 20.2%, p = 0.017) while it remained stable (66.4% vs 70.6%, p = 0.73) in patients ≥70 years. The publication of recommendations has influenced initial treatment choices for PD in France.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Région Bourgogne</li></region><settlement><li>Dijon</li></settlement><orgName><li>Université de Bourgogne</li></orgName></list><tree><noCountry><name sortKey="Balaboi, Irina" sort="Balaboi, Irina" uniqKey="Balaboi I" first="Irina" last="Balaboi">Irina Balaboi</name><name sortKey="Benatru, Isabelle" sort="Benatru, Isabelle" uniqKey="Benatru I" first="Isabelle" last="Benatru">Isabelle Benatru</name><name sortKey="Bonaventure, Audrey" sort="Bonaventure, Audrey" uniqKey="Bonaventure A" first="Audrey" last="Bonaventure">Audrey Bonaventure</name><name sortKey="Dumurgier, Julien" sort="Dumurgier, Julien" uniqKey="Dumurgier J" first="Julien" last="Dumurgier">Julien Dumurgier</name><name sortKey="Dupupet, Jean Luc" sort="Dupupet, Jean Luc" uniqKey="Dupupet J" first="Jean-Luc" last="Dupupet">Jean-Luc Dupupet</name><name sortKey="Elbaz, Alexis" sort="Elbaz, Alexis" uniqKey="Elbaz A" first="Alexis" last="Elbaz">Alexis Elbaz</name><name sortKey="Giroud, Maurice" sort="Giroud, Maurice" uniqKey="Giroud M" first="Maurice" last="Giroud">Maurice Giroud</name><name sortKey="Goldberg, Marcel" sort="Goldberg, Marcel" uniqKey="Goldberg M" first="Marcel" last="Goldberg">Marcel Goldberg</name><name sortKey="Houeto, Jean Luc" sort="Houeto, Jean Luc" uniqKey="Houeto J" first="Jean-Luc" last="Houeto">Jean-Luc Houeto</name><name sortKey="Houssinot, Jean" sort="Houssinot, Jean" uniqKey="Houssinot J" first="Jean" last="Houssinot">Jean Houssinot</name><name sortKey="Imbernon, Ellen" sort="Imbernon, Ellen" uniqKey="Imbernon E" first="Ellen" last="Imbernon">Ellen Imbernon</name><name sortKey="Krim, Elsa" sort="Krim, Elsa" uniqKey="Krim E" first="Elsa" last="Krim">Elsa Krim</name><name sortKey="Mazurie, Jean Louis" sort="Mazurie, Jean Louis" uniqKey="Mazurie J" first="Jean-Louis" last="Mazurie">Jean-Louis Mazurie</name><name sortKey="Moisan, Frederic" sort="Moisan, Frederic" uniqKey="Moisan F" first="Frédéric" last="Moisan">Frédéric Moisan</name><name sortKey="Moreau, Thibault" sort="Moreau, Thibault" uniqKey="Moreau T" first="Thibault" last="Moreau">Thibault Moreau</name><name sortKey="Ranoux, Daniele" sort="Ranoux, Daniele" uniqKey="Ranoux D" first="Danièle" last="Ranoux">Danièle Ranoux</name><name sortKey="Roze, Emmanuel" sort="Roze, Emmanuel" uniqKey="Roze E" first="Emmanuel" last="Roze">Emmanuel Roze</name><name sortKey="Soumare, Aicha" sort="Soumare, Aicha" uniqKey="Soumare A" first="Aïcha" last="Soumaré">Aïcha Soumaré</name><name sortKey="Tzourio, Christophe" sort="Tzourio, Christophe" uniqKey="Tzourio C" first="Christophe" last="Tzourio">Christophe Tzourio</name></noCountry><country name="France"><region name="Région Bourgogne"><name sortKey="Fayard, Claudine" sort="Fayard, Claudine" uniqKey="Fayard C" first="Claudine" last="Fayard">Claudine Fayard</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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