Details

Autor(en) / Beteiligte

• Santos‐García, Diego
• Deus, Teresa
• Cores, Carlos
• Feal Painceiras, Maria J.
• Samaniego, Lucía B.
• López Maside, Antón
• Cosgaya, Marina
• García Caldentey, Juan
• Caballol, Nuria
• Hernández‐Vara, Jorge
• López Manzanares, Lydia
• González‐Aramburu, Isabel
• Ávila, Asunción
• Nogueira, Víctor
• Dotor García‐Soto, Julio
• Álvarez Sauco, María
• Vela, Lydia
• Escalante, Sonia
• Cubo, Esther
• Pareés, Isabel
• López‐Ariztegui, Nuria
• Gastón, Itziar
• Valero, Caridad
• Menéndez‐González, Manuel
• Martinez‐Martin, Pablo
• Mir, Pablo
• Almeria, M
• Alonso Losada, MG
• Alonso Frech, F
• Alonso Redondo, R
• Álvarez, I
• Álvarez Sauco, M
• Aneiros Díaz, A
• Arnáiz, S
• Arribas, S
• Ascunce Vidondo, A
• Aguilar, M
• Bernardo Lambrich, N
• Cabello González, C
• Cabo López, I
• Canfield Medina, H
• Carabajal Pendón, E
• Carrillo, F
• Casas, E
• Catalán, MJ
• Cosgaya, M
• Crespo Cuevas, A
• Fábregues‐Boixar, O
• Escalante, S
• García Díez, C
• García Moreno, JM
• Gastón, I
• Gómez Garre, MP
• Gómez Mayordomo, V
• González Aloy, J
• González Toledo, GR
• Guardia, G
• Idoate Calderón, D
• Infante, J
• Jesús, S
• Kulisevsky, J
• Kurtis, M
• Labrador, MA
• Lacruz, F
• Lastres Gómez, S
• Legarda, I
• López Ariztegui, N
• López Seoane, B
• Macías, Y
• Mata, M
• Martí Andres, G
• Martí, MJ
• Martínez Castrillo, JC
• Meitín, MT
• Mendoza Plasencia, Z
• Méndez del Barrio, C
• Mir, P
• Morales Casado, MI
• Moreno Diéguez, A
• Muro García, I
• Nogueira, V
• Novo Ponte, S
• Ordás, C
• Pascual‐Sedano, B
• Pérez Noguera, R
• Planellas, L
• Prieto Jurczynska, C
• Puente, V
• Puig Daví, A
• Redondo Rafales, N
• Rodríguez Pérez, AB
• Roldán, F
• Ruíz Martínez, J
• Sánchez Díez, G
• Sierra Peña, M
• Suárez Castro, E
• Vargas, L
• Vela, L
• Villanueva, C
• Vives, B.

Titel

Levodopa‐Induced Dyskinesias are Frequent and Impact Quality of Life in Parkinson's Disease: A 5‐Year Follow‐Up Study

Ist Teil von

• Movement disorders clinical practice (Hoboken, N.J.), 2024-07, Vol.11 (7), p.830-849

Ort / Verlag

Hoboken, USA: John Wiley & Sons, Inc

Erscheinungsjahr

2024

Quelle

Wiley-Blackwell Journals

Beschreibungen/Notizen

• ABSTRACT Background Levodopa‐induced dyskinesias (LID) are frequent in Parkinson's disease (PD). Objective To analyze the change in the frequency of LID over time, identify LID related factors, and characterize how LID impact on patients’ quality of life (QoL). Patients and Methods PD patients from the 5‐year follow‐up COPPADIS cohort were included. LID were defined as a non‐zero score in the item “Time spent with dyskinesia” of the Unified Parkinson's Disease Rating Scale—part IV (UPDRS‐IV). The UPDRS‐IV was applied at baseline (V0) and annually for 5 years. The 39‐item Parkinson's disease Questionnaire Summary Index (PQ‐39SI) was used to asses QoL. Results The frequency of LID at V0 in 672 PD patients (62.4 ± 8.9 years old; 60.1% males) with a mean disease duration of 5.5 ± 4.3 years was 18.9% (127/672) and increased progressively to 42.6% (185/434) at 5‐year follow‐up (V5). The frequency of disabling LID, painful LID, and morning dystonia increased from 6.9%, 3.3%, and 10.6% at V0 to 17.3%, 5.5%, and 24% at V5, respectively. Significant independent factors associated with LID (P < 0.05) were a longer disease duration and time under levodopa treatment, a higher dose of levodopa, a lower weight and dose of dopamine agonist, pain severity and the presence of motor fluctuations. LID at V0 (β = 0.073; P = 0.027; R2 = 0.62) and to develop disabling LID at V5 (β = 0.088; P = 0.009; R2 = 0.73) were independently associated with a higher score on the PDQ‐39SI. Conclusion LID are frequent in PD patients. A higher dose of levodopa and lower weight were factors associated to LID. LID significantly impact QoL.