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Parkinsonism & related disorders, 2019-09, Vol.66, p.151-157
2019
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Autor(en) / Beteiligte
Titel
Non-motor symptoms burden, mood, and gait problems are the most significant factors contributing to a poor quality of life in non-demented Parkinson's disease patients: Results from the COPPADIS Study Cohort
Ist Teil von
  • Parkinsonism & related disorders, 2019-09, Vol.66, p.151-157
Ort / Verlag
England: Elsevier Ltd
Erscheinungsjahr
2019
Quelle
Access via ScienceDirect (Elsevier)
Beschreibungen/Notizen
  • To identify factors related to a poor health-related and global quality of life (QoL) in a cohort of non-demented Parkinson's disease (PD) patients and compare to a control group. The data correspond to the baseline evaluation of the COPPADIS-2015 Study, an observational, 5-year follow-up, multicenter, evaluation study. Three instruments were used to assess QoL: (1) the 39-item Parkinson's disease Questionnaire (PDQ-39), (2) a subjective rating of global QoL (PQ-10), and (3) the EUROHIS-QOL 8-item index (EUROHIS-QOL8). Multiple linear regression methods were used to evaluate the direct impact of different variables on these QoL measures. QoL was worse in PD patients (n = 692; 62.6 ± 8.9 years old, 60.3% males) than controls (n = 206; 61 ± 8.3 years old, 49.5% males): PDQ-39, 17.1 ± 13.5 vs 4.4 ± 6.3 (p < 0.0001); PQ-10, 7.3 ± 1.6 vs 8.1 ± 1.2 (p < 0.0001); EUROHIS-QOL8, 3.8 ± 0.6 vs 4.2 ± 0.5 (p < 0.0001). A high correlation was observed between PDQ-39 and Non-Motor Symptoms Scale (NMSS) (r = 0.72; p < 0.0001), and PDQ-39 and Beck Depression Inventory-II (BDI-II) (r = 0.65; p < 0.0001). For health-related QoL (PDQ-39), non-motor symptoms burden (NMSS), mood (BDI-II), and gait problems (Freezing Of Gait Questionnaire [FOGQ]) provided the highest contribution to the model (β = 0.32, 0.28, and 0.27, respectively; p < 0.0001); whereas mood and gait problems contributed the most to global QoL (PQ-10, β = -0.46 and −0.21, respectively; EUROHIS-QOL8, β = -0.44 and −0.23, respectively). QoL is worse in PD patients than in controls. Mood, non-motor symptoms burden, and gait problems seem to be the most relevant factors affecting health-related and global perceived QoL in non-demented PD patients. •Non-motor symptoms (NMS) are frequent in Parkinson's disease (PD) patients during the first steps of the disease.•Health-related and global perceived quality of life (QoL) are worse in PD patients than controls.•Strong correlation was observed between PQ-10 and EUROHIS-QOL8, both scales to provide global QoL.•NMS burden, mood, and gait problems are the most significant factors contributing to a worse QoL.•In practice, it is necessary to ask about NMS, mood, and gait problems in PD patients during their first years of evolution.
Sprache
Englisch
Identifikatoren
ISSN: 1353-8020
eISSN: 1873-5126
DOI: 10.1016/j.parkreldis.2019.07.031
Titel-ID: cdi_proquest_miscellaneous_2273206259

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