La maladie de Parkinson en France (serveur d'exploration)

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Clozapine use pattern in persons with and without treatment for Parkinson's disease in real-world conditions: a naturalistic study in a community-based sample.

Identifieur interne : 000567 ( PubMed/Checkpoint ); précédent : 000566; suivant : 000568

Clozapine use pattern in persons with and without treatment for Parkinson's disease in real-world conditions: a naturalistic study in a community-based sample.

Auteurs : H. Verdoux [France] ; E. Pambrun

Source :

RBID : pubmed:25302631

Descripteurs français

English descriptors

Abstract

To explore the pattern of clozapine use in persons with severe mental illness and in persons with Parkinson's disease and the characteristics associated with early discontinuation in naturalistic conditions.

DOI: 10.1111/acps.12344
PubMed: 25302631


Affiliations:


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pubmed:25302631

Le document en format XML

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<title xml:lang="en">Clozapine use pattern in persons with and without treatment for Parkinson's disease in real-world conditions: a naturalistic study in a community-based sample.</title>
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<name sortKey="Verdoux, H" sort="Verdoux, H" uniqKey="Verdoux H" first="H" last="Verdoux">H. Verdoux</name>
<affiliation wicri:level="3">
<nlm:affiliation>University of Bordeaux, U657, Bordeaux, France; INSERM, U657, Bordeaux, France; Centre Hospitalier Charles Perrens, Bordeaux, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>University of Bordeaux, U657, Bordeaux, France; INSERM, U657, Bordeaux, France; Centre Hospitalier Charles Perrens, Bordeaux</wicri:regionArea>
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<region type="region">Nouvelle-Aquitaine</region>
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<name sortKey="Pambrun, E" sort="Pambrun, E" uniqKey="Pambrun E" first="E" last="Pambrun">E. Pambrun</name>
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<term>Antidepressive Agents (therapeutic use)</term>
<term>Antiparkinson Agents (therapeutic use)</term>
<term>Antipsychotic Agents (therapeutic use)</term>
<term>Bipolar Disorder (drug therapy)</term>
<term>Case-Control Studies</term>
<term>Clozapine (therapeutic use)</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>France</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Psychotic Disorders (drug therapy)</term>
<term>Schizophrenia (drug therapy)</term>
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<term>Anti-Anxiety Agents</term>
<term>Antidepressive Agents</term>
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<term>Antipsychotic Agents</term>
<term>Clozapine</term>
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<term>Affective Disorders, Psychotic</term>
<term>Bipolar Disorder</term>
<term>Parkinson Disease</term>
<term>Psychotic Disorders</term>
<term>Schizophrenia</term>
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<term>Adult</term>
<term>Aged</term>
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<term>Cohort Studies</term>
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<div type="abstract" xml:lang="en">To explore the pattern of clozapine use in persons with severe mental illness and in persons with Parkinson's disease and the characteristics associated with early discontinuation in naturalistic conditions.</div>
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<Title>Acta psychiatrica Scandinavica</Title>
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<ArticleTitle>Clozapine use pattern in persons with and without treatment for Parkinson's disease in real-world conditions: a naturalistic study in a community-based sample.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To explore the pattern of clozapine use in persons with severe mental illness and in persons with Parkinson's disease and the characteristics associated with early discontinuation in naturalistic conditions.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">A historical fixed cohort study of persons newly treated with clozapine was performed on a representative community-based sample of persons affiliated to the French health insurance system (n = 611,393). Treatment for Parkinson's disease was used as a proxy for this condition and lack of such treatment as a proxy for severe mental illness (SMI).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The prevalences of antipsychotic and clozapine use were 4.4% and <0.1% respectively. Of the 237 persons with a new outpatient prescription of clozapine, 25% were prescribed an antiparkinsonian treatment. In persons with SMI, the median duration of the index episode of clozapine treatment was 4.9 months (Interquartile range 1.0-20.5). Longer duration was independently associated with coprescription of anxiolytics or antidepressant. Few new additions of antipsychotics were observed during the clozapine episode.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Efforts have to be made to optimize clozapine treatment in real-world conditions. Considering the high frequency of persons with Parkinson's disease among clozapine users, further studies have to be performed in this population.</AbstractText>
<CopyrightInformation>© 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</CopyrightInformation>
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