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Collective physician perspectives on non-oral medication approaches for the management of clinically relevant unresolved issues in Parkinson's disease: Consensus from an international survey and discussion program
- Source :
- Odin, P, Ray Chaudhuri, K, Slevin, J T, Volkmann, J, Dietrichs, E, Martinez-Martin, P, Krauss, J K, Henriksen, T, Katzenschlager, R, Antonini, A, Rascol, O, Poewe, W, National Steering Committees & Karlsborg, M (ed.) 2015, ' Collective physician perspectives on non-oral medication approaches for the management of clinically relevant unresolved issues in Parkinson's disease : Consensus from an international survey and discussion program ', Parkinsonism & Related Disorders, vol. 21, no. 10, pp. 1133-1144 . https://doi.org/10.1016/j.parkreldis.2015.07.020, Repisalud, Instituto de Salud Carlos III (ISCIII), Parkinsonism & Related Disorders; 21(10), pp 1133-1144 (2015), Odin, P, Ray Chaudhuri, K, Slevin, J T, Volkmann, J, Dietrichs, E, Martinez-Martin, P, Krauss, J K, Henriksen, T, Katzenschlager, R, Antonini, A, Rascol, O, Poewe, W 2015, ' Collective physician perspectives on non-oral medication approaches for the management of clinically relevant unresolved issues in Parkinson's disease : Consensus from an international survey and discussion program ', Parkinsonism & Related Disorders, vol. 21, no. 10, pp. 1133-44 . https://doi.org/10.1016/j.parkreldis.2015.07.020
- Publication Year :
- 2015
- Publisher :
- Elsevier, 2015.
-
Abstract
- Navigate PD was an educational program established to supplement existing guidelines and provide recommendations on the management of Parkinson's disease (PD) refractory to oral/transdermal therapies. It involved 103 experts from 13 countries overseen by an International Steering Committee (ISC) of 13 movement disorder specialists. The ISC identified 71 clinical questions important for device-aided management of PD. Fifty-six experts responded to a web-based survey, rating 15 questions as 'critically important;' these were refined to 10 questions by the ISC to be addressed through available evidence and expert opinion. Draft guidance was presented at international/national meetings and revised based on feedback. Key take-home points are: • Patients requiring levodopa >5 times daily who have severe, troublesome 'off' periods (>1-2 h/day) despite optimal oral/transdermal levodopa or non-levodopa-based therapies should be referred for specialist assessment even if disease duration is 70 years who have mild or moderate cognitive impairment, severe depression or other contraindications to DBS. Medical writing support was provided by Emma East and Lindy van den Berghe at Lucid Group and funded by AbbVie. Sí
- Subjects :
- medicine.medical_specialty
Parkinson's disease
Neurology
Consensus
Disease duration
Clinical Neurology
Non-motor symptoms
Disease
Surveys and Questionnaires
medicine
Humans
Device-aided therapies
Dyskinesias
Motor fluctuations
Orthopedic Equipment
Parkinson Disease
Medicine (all)
Geriatrics and Gerontology
Neurology (clinical)
Psychiatry
Cognitive impairment
Depression (differential diagnoses)
business.industry
International survey
medicine.disease
Family medicine
business
Educational program
Subjects
Details
- Language :
- English
- ISSN :
- 18735126 and 13538020
- Database :
- OpenAIRE
- Journal :
- Odin, P, Ray Chaudhuri, K, Slevin, J T, Volkmann, J, Dietrichs, E, Martinez-Martin, P, Krauss, J K, Henriksen, T, Katzenschlager, R, Antonini, A, Rascol, O, Poewe, W, National Steering Committees & Karlsborg, M (ed.) 2015, ' Collective physician perspectives on non-oral medication approaches for the management of clinically relevant unresolved issues in Parkinson's disease : Consensus from an international survey and discussion program ', Parkinsonism & Related Disorders, vol. 21, no. 10, pp. 1133-1144 . https://doi.org/10.1016/j.parkreldis.2015.07.020, Repisalud, Instituto de Salud Carlos III (ISCIII), Parkinsonism & Related Disorders; 21(10), pp 1133-1144 (2015), Odin, P, Ray Chaudhuri, K, Slevin, J T, Volkmann, J, Dietrichs, E, Martinez-Martin, P, Krauss, J K, Henriksen, T, Katzenschlager, R, Antonini, A, Rascol, O, Poewe, W 2015, ' Collective physician perspectives on non-oral medication approaches for the management of clinically relevant unresolved issues in Parkinson's disease : Consensus from an international survey and discussion program ', Parkinsonism & Related Disorders, vol. 21, no. 10, pp. 1133-44 . https://doi.org/10.1016/j.parkreldis.2015.07.020
- Accession number :
- edsair.doi.dedup.....f9d2951e5669389e683c63c0aa8a26b3