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Clinical characteristics and quality of life in Chinese patients with multiple system atrophy.

Authors :
Du JJ
Wang T
Huang P
Cui S
Gao C
Lin Y
Fu R
Zhou H
Chen S
Source :
Brain and behavior [Brain Behav] 2018 Dec; Vol. 8 (12), pp. e01135. Date of Electronic Publication: 2018 Oct 30.
Publication Year :
2018

Abstract

Objectives: Multiple system atrophy (MSA) is a progressive neurodegenerative disorder that causes early sustained disability and poor health-related quality of life (HrQoL). The clinical features and their effects on the HrQoL of patients in China have received little attention in the research literature. We evaluated the clinical characteristics and HrQoL of Chinese patients with MSA.<br />Materials and Methods: A total of 143 patients with MSA from the Department of Neurology, Shanghai Ruijin Hospital, were enrolled in the study from March 2014 to May 2017. Basic demographic data, motor symptoms, non-motor symptoms, and HrQoL were assessed and compared with data from 198 patients with idiopathic Parkinson's disease (PD) who were matched by age, gender, and disease duration. Factors influencing the HrQoL of MSA patients were also analyzed.<br />Results: The ratio of patients with predominant parkinsonism (MSA-P) and prominent cerebellar ataxia (MSA-C) was 95:48 among the 143 MSA patients. MSA-P patients had a longer disease duration (p = 0.002), higher levodopa equivalent daily dose (p < 0.001), higher scores on the Unified Multiple System Atrophy Rating Scale (UMSARS) I (p = 0.026), UMSARS II (p < 0.001), UMSARS IV (p = 0.019), the Hamilton Rating Scale for Depression (p = 0.001), the Hamilton Anxiety Scale (p = 0.013), and lower scores on measures of olfaction (p = 0.021) and cognitive function (p = 0.044) than the MSA-C patients. Stepwise regression analysis showed that depression, anxiety, degree of disability, and disease severity were independent predictors of decreased HrQoL.<br />Conclusions: The results indicate that MSA-P patients have more severe motor impairment, hyposmia, depression, anxiety, cognitive impairment, and lower HrQoL than MSA-C patients. Depression, anxiety, degree of disability, and disease severity are predictors of poor HrQoL among Chinese patients with MSA.<br /> (© 2018 The Authors. Brain and Behavior published by Wiley Periodicals, Inc.)

Details

Language :
English
ISSN :
2162-3279
Volume :
8
Issue :
12
Database :
MEDLINE
Journal :
Brain and behavior
Publication Type :
Academic Journal
Accession number :
30378279
Full Text :
https://doi.org/10.1002/brb3.1135