Patient perception of dyskinesia in Parkinson's disease
Identifieur interne : 000443 ( Main/Exploration ); précédent : 000442; suivant : 000444Patient perception of dyskinesia in Parkinson's disease
Auteurs : S W Hung [Canada, États-Unis] ; G M Adeli [Canada] ; T. Arenovich [Canada] ; S H Fox [Canada] ; A E Lang [Canada]Source :
- Journal of Neurology, Neurosurgery & Psychiatry [ 0022-3050 ] ; 2010-10.
Abstract
Objective To evaluate the perception of patients with Parkinson's disease (PD) regarding dyskinesia. Design Multicentre survey. Setting Tertiary referral centres. Patients Patients with PD participated in a survey: those not on dopaminergic medications (group I), those on dopaminergic medications without dyskinesia (group II) and those on dopaminergic medications with dyskinesia (group III). Intervention After a short standardised description and explanation of dyskinesia was provided, patients were asked about the nature and source of prior knowledge of dyskinesia. They were then asked about their perceptions of dyskinesia. Patients in group III were also asked about the duration, the severity of dyskinesia and whether their perception of this problem had changed since its appearance. Main outcome measures Level of concern regarding dyskinesia and whether their perception of dyskinesia would have changed their preference of treatment. Results 259 PD patients completed the survey (group I, 52; group II, 102; group III, 105). Patients with dyskinesia were significantly less concerned about dyskinesia than patients without dyskinesia and were more likely to choose dyskinesia over being parkinsonian. Patients who required fewer changes in medications because of dyskinesia were more likely to choose dyskinesia over parkinsonism. Conclusion Patients with PD experiencing dyskinesia are less likely to be concerned about dyskinesia and more likely to prefer dyskinesia over parkinsonian symptoms than patients without dyskinesia.
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DOI: 10.1136/jnnp.2009.173286
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Arenovich</name></author><author><name sortKey="Fox, S H" sort="Fox, S H" uniqKey="Fox S" first="S H" last="Fox">S H Fox</name></author><author><name sortKey="Lang, A E" sort="Lang, A E" uniqKey="Lang A" first="A E" last="Lang">A E Lang</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:19AEA9BD7C12BC59A32CCB3ACCB75E293016387D</idno><date when="2010" year="2010">2010</date><idno type="doi">10.1136/jnnp.2009.173286</idno><idno type="url">https://api.istex.fr/document/19AEA9BD7C12BC59A32CCB3ACCB75E293016387D/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">000E79</idno><idno type="wicri:Area/Main/Curation">000D10</idno><idno type="wicri:Area/Main/Exploration">000443</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Patient perception of dyskinesia in Parkinson's disease</title><author><name sortKey="Hung, S W" sort="Hung, S W" uniqKey="Hung S" first="S W" last="Hung">S W Hung</name><affiliation wicri:level="4"><country xml:lang="fr">Canada</country><wicri:regionArea>Movement Disorders Centre, Toronto Western Hospital and the Division of Neurology, University of Toronto, Toronto</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, Medical College of Wisconsin, Milwaukee, Wisconsin</wicri:regionArea><placeName><region type="state">Wisconsin</region></placeName></affiliation></author><author><name sortKey="Adeli, G M" sort="Adeli, G M" uniqKey="Adeli G" first="G M" last="Adeli">G M Adeli</name><affiliation wicri:level="4"><country xml:lang="fr">Canada</country><wicri:regionArea>Movement Disorders Centre, Toronto Western Hospital and the Division of Neurology, University of Toronto, Toronto</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Arenovich, T" sort="Arenovich, T" uniqKey="Arenovich T" first="T" last="Arenovich">T. Arenovich</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Clinical Research Department, Centre of Addiction and Mental Health, Toronto</wicri:regionArea><wicri:noRegion>Toronto</wicri:noRegion></affiliation></author><author><name sortKey="Fox, S H" sort="Fox, S H" uniqKey="Fox S" first="S H" last="Fox">S H Fox</name><affiliation wicri:level="4"><country xml:lang="fr">Canada</country><wicri:regionArea>Movement Disorders Centre, Toronto Western Hospital and the Division of Neurology, University of Toronto, Toronto</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Lang, A E" sort="Lang, A E" uniqKey="Lang A" first="A E" last="Lang">A E Lang</name><affiliation wicri:level="4"><country xml:lang="fr">Canada</country><wicri:regionArea>Movement Disorders Centre, Toronto Western Hospital and the Division of Neurology, University of Toronto, Toronto</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Canada</country></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Neurology, Neurosurgery & Psychiatry</title><title level="j" type="abbrev">J Neurol Neurosurg Psychiatry</title><idno type="ISSN">0022-3050</idno><idno type="eISSN">1468-330X</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2010-10">2010-10</date><biblScope unit="volume">81</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="1112">1112</biblScope></imprint><idno type="ISSN">0022-3050</idno></series><idno type="istex">19AEA9BD7C12BC59A32CCB3ACCB75E293016387D</idno><idno type="DOI">10.1136/jnnp.2009.173286</idno><idno type="href">jnnp-81-1112.pdf</idno><idno type="ArticleID">jnnp173286</idno><idno type="PMID">20667858</idno><idno type="local">jnnp;81/10/1112</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0022-3050</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Objective To evaluate the perception of patients with Parkinson's disease (PD) regarding dyskinesia. Design Multicentre survey. Setting Tertiary referral centres. Patients Patients with PD participated in a survey: those not on dopaminergic medications (group I), those on dopaminergic medications without dyskinesia (group II) and those on dopaminergic medications with dyskinesia (group III). Intervention After a short standardised description and explanation of dyskinesia was provided, patients were asked about the nature and source of prior knowledge of dyskinesia. They were then asked about their perceptions of dyskinesia. Patients in group III were also asked about the duration, the severity of dyskinesia and whether their perception of this problem had changed since its appearance. Main outcome measures Level of concern regarding dyskinesia and whether their perception of dyskinesia would have changed their preference of treatment. Results 259 PD patients completed the survey (group I, 52; group II, 102; group III, 105). Patients with dyskinesia were significantly less concerned about dyskinesia than patients without dyskinesia and were more likely to choose dyskinesia over being parkinsonian. Patients who required fewer changes in medications because of dyskinesia were more likely to choose dyskinesia over parkinsonism. Conclusion Patients with PD experiencing dyskinesia are less likely to be concerned about dyskinesia and more likely to prefer dyskinesia over parkinsonian symptoms than patients without dyskinesia.</div></front></TEI><affiliations><list><country><li>Canada</li><li>États-Unis</li></country><region><li>Ontario</li><li>Wisconsin</li></region><settlement><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><region name="Ontario"><name sortKey="Hung, S W" sort="Hung, S W" uniqKey="Hung S" first="S W" last="Hung">S W Hung</name></region><name sortKey="Adeli, G M" sort="Adeli, G M" uniqKey="Adeli G" first="G M" last="Adeli">G M Adeli</name><name sortKey="Arenovich, T" sort="Arenovich, T" uniqKey="Arenovich T" first="T" last="Arenovich">T. 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