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Factors associated with health‐related quality of life in late‐stage Parkinson's disease
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Orientador(es)
Resumo(s)
Background: There is limited knowledge on health-related quality of life (HRQoL) in late-stage Parkinson's disease (PD).
Objective: To assess factors associated with HRQoL in patients with late-stage PD, with a focus on health care provision.
Methods: The Care of Late Stage Parkinsonism (CLaSP) project is the largest study on late-stage PD to date. The current study analyzed data of 401 patients from 6 European countries in whom HRQoL was assessed with the 8-item PD Questionnaire in patients without dementia. Factors potentially associated with HRQoL were assessed and examined in linear regression analyses.
Results: Better HRQoL was associated with living at home, greater independence in activities of daily living (Schwab and England Scale), less severe disease (Hoehn and Yahr stage), better motor function (Unified PD Rating Scale Part III), and lower non-motor symptoms burden (Non-Motor Symptoms Scale [NMSS]) across all NMSS domains. Having a PDspecialist as physician for PD, contact with a PDnurse, and no hospital admission during the past 3 months were associated with better HRQoL, but having seen a physiotherapist or occupational therapist was associated with worse HRQoL.
Conclusions: The results emphasize the importance of optimizing treatment for motor and multiple non-motor symptoms to improve HRQoL in patients with late-stage PD. PD-specific health care resources, particularly PDnurses, are likely important in addressing issues to improve HRQoL in this population. Worse HRQoL in those who had recently seen a physiotherapist or occupational therapist may reflect referral based on factors not measured in this study.
Descrição
© 2021 The Authors. Movement Disorders Clinical Practice published by Wiley Periodicals LLC on behalf of Movement Disorder Society. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Palavras-chave
Parkinsonʼs disease Health care Health‐related quality of life Latestage
Contexto Educativo
Citação
Mov Disord Clin Pract. 2021 Mar 23;8(4):563-570
Editora
John Wiley & Sons, Inc.