2006
DOI: 10.1136/jnnp.2006.098327
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A multicentre longitudinal observational study of changes in self reported health status in people with Parkinson's disease left untreated at diagnosis

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Cited by 154 publications
(98 citation statements)
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“…Most of the study participants were married (30), white (32), with low levels of education -primary school (23), presented a moderate degree of disease impairment (28) and made use of dopamine (26).…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Most of the study participants were married (30), white (32), with low levels of education -primary school (23), presented a moderate degree of disease impairment (28) and made use of dopamine (26).…”
Section: Resultsmentioning
confidence: 99%
“…It is interesting to observe that the motor symptoms were no longer exclusively considered the important determiners of QoL of the PD patients, but also the nonmotor ones, since the progression of the disease brings new alterations that certainly lead to the impairment of other QoL dimensions. The deterioration starts to be observed in the cognition, bodily discomfort, emotions and communication dimensions (5,9,(23)(24) .…”
Section: Discussionmentioning
confidence: 99%
“…First, the rate of clinical deterioration in PD may be rapid in the early stages, with a decline of~8 --10 Unified Parkinson's Disease Rating Scale (UPDRS) points in the first year after diagnosis [6], and patients with lower Hoehn and Yahr (HY) or UPDRS motor scores at baseline have been shown to have greater progression of motor impairment than those with higher disease severity at baseline [7], suggesting this early period after diagnosis is critical for treatment intervention. Moreover, evidence suggests that earlier intervention of PD treatment may lead to better long-term motor benefit [8][9][10]; and has also been shown to maintain PD-related quality of life compared to postponing treatment, which may result in a deterioration of PD-related quality of life [11]. While there are no established disease-modifying or 'neuroprotective' therapies [12], timing of therapy initiation is thus of clinical importance.…”
Section: Introductionmentioning
confidence: 99%
“…The goal of medical management of PD is to provide control of signs and symptoms for as long as possible while minimizing of adverse effects is occurred. Latest studies demonstrate that a patient's quality of life deteriorates quickly if treatment is not instituted at or shortly after diagnosis [15]. The main criterion for the evaluation is the diagnostic accuracy.…”
Section: The General Structure Of the Proposed Modelmentioning
confidence: 99%