1. Clinical Progression of Parkinson’s Disease: Insights from the NINDS Common Data Elements
- Author
-
Mechelle M. Lewis, Bethany Snyder, Xuemei Huang, Christy Stetter, Lan Kong, Eun Young Lee, Elias Harkins, Guangwei Du, and Tyler Corson
- Subjects
Male ,0301 basic medicine ,medicine.medical_specialty ,Parkinson's disease ,Severity of Illness Index ,Article ,03 medical and health sciences ,Cellular and Molecular Neuroscience ,0302 clinical medicine ,Rating scale ,Internal medicine ,medicine ,Humans ,National Institute of Neurological Disorders and Stroke (U.S.) ,Stroke ,Depression (differential diagnoses) ,Aged ,Common Data Elements ,business.industry ,Montreal Cognitive Assessment ,Parkinson Disease ,Middle Aged ,medicine.disease ,United States ,030104 developmental biology ,Cohort ,Disease Progression ,Biomarker (medicine) ,Female ,Neurology (clinical) ,business ,030217 neurology & neurosurgery ,Clinical progression - Abstract
BACKGROUND/OBJECTIVE: To synchronize data collection, the National Institute of Neurological Disorders and Stroke recommended Common Data Elements (CDEs) for use in Parkinson’s disease (PD) research. This study delineated the progression patterns of these CDEs in a cohort of PD patients. METHODS: One hundred-twenty-five PD patients participated in the PD Biomarker Program (PDBP) at Penn State. CDEs, including MDS-Unified PD Rating Scales (UPDRS)-total, questionnaire-based non-motor (-I) and motor (-II), and rater-based motor (-III) subscales; Montreal Cognitive Assessment (MoCA); Hamilton Depression Rating Scale (HDRS); University of Pennsylvania Smell Identification Test (UPSIT); and PD Questionnaire (PDQ-39) were obtained at baseline and three annual follow-ups. Annual change was delineated for PD or subgroups [early=PDE, disease duration (DD)5 y] using mixed effects model analyses. RESULTS: UPDRS-total, -II, and PDQ-39 scores increased significantly, and UPSIT decreased, whereas UPDRS-I, -III, MoCA, and HDRS did not change, over 36 months in the overall PD cohort. In the PDE subgroup, UPDRS-II increased and UPSIT decreased significantly, whereas MoCA and UPSIT decreased significantly in the PDM subgroup. In the PDL subgroup, UPDRS-II and PDQ-39 increased significantly. Other metrics within each individual subgroup did not change. Sensitivity analyses using subjects with complete data confirmed these findings. CONCLUSIONS: Among CDEs, UPDRS-total, –II, PDQ-39, and UPSIT all are sensitive metrics to track PD progression. Subgroup analyses revealed that these CDEs have distinct stage-dependent sensitivities, with UPSIT for DD5 y, UPDRS-II for early (DD 5).
- Published
- 2020
- Full Text
- View/download PDF