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Off Time Independently Affects Quality of Life in Advanced Parkinson's Disease (APD) Patients but Not in Non-APD Patients: Results from the Self-Reported Japanese Quality-of-Life Survey of Parkinson's Disease (JAQPAD) Study

INTRODUCTION: Parkinson's disease (PD) is characterized by a triad of motor symptoms and several nonmotor symptoms (NMS). Identifying the most appropriate treatment is essential for improving patient quality of life (QoL). However, it is still not known which PD symptoms more commonly affect pa...

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Autores principales: Hayashi, Yuka, Nakagawa, Ryoko, Ishido, Miwako, Yoshinaga, Yoko, Watanabe, Jun, Kurihara, Kanako, Nagaki, Koichi, Ogura, Hiromu, Mishima, Takayasu, Fujioka, Shinsuke, Tsuboi, Yoshio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8526216/
https://www.ncbi.nlm.nih.gov/pubmed/34676064
http://dx.doi.org/10.1155/2021/9917539
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author Hayashi, Yuka
Nakagawa, Ryoko
Ishido, Miwako
Yoshinaga, Yoko
Watanabe, Jun
Kurihara, Kanako
Nagaki, Koichi
Ogura, Hiromu
Mishima, Takayasu
Fujioka, Shinsuke
Tsuboi, Yoshio
author_facet Hayashi, Yuka
Nakagawa, Ryoko
Ishido, Miwako
Yoshinaga, Yoko
Watanabe, Jun
Kurihara, Kanako
Nagaki, Koichi
Ogura, Hiromu
Mishima, Takayasu
Fujioka, Shinsuke
Tsuboi, Yoshio
author_sort Hayashi, Yuka
collection PubMed
description INTRODUCTION: Parkinson's disease (PD) is characterized by a triad of motor symptoms and several nonmotor symptoms (NMS). Identifying the most appropriate treatment is essential for improving patient quality of life (QoL). However, it is still not known which PD symptoms more commonly affect patients with advanced PD (APD) versus non-APD. This study examined the factors that most affected the QoL of patients with APD (defined using the 5-2-1 criteria: ≥5 oral levodopa doses a day, off time ≥2 hours a day, or troublesome dyskinesia ≥1 hour a day) versus non-APD in a large Japanese population using the Japanese Quality-of-Life Survey of Parkinson's Disease (JAQPAD) study. METHODS: Participants in this self-reported survey-based study included all members of the Japan Parkinson's Disease Association. Questionnaires assessing NMS and QoL (e.g., the 8-item PD Questionnaire [PDQ-8]) were included. Univariate and multivariate regression analyses were conducted to identify clinical factors impacting QoL using the PDQ-8 Summary Index (PDQ-8 SI). RESULTS: Of the 3022 eligible patients, 864 were classified as having non-APD and 1599 as having APD. QoL as assessed by the PDQ-8 SI was notably worse in patients with APD versus non-APD (39.2 vs. 26.9, p < 0.0001). Although off time affected QoL only in patients with APD, PD duration and the NMS Questionnaire score significantly contributed to the QoL in both patients with APD and non-APD. CONCLUSIONS: This study identified the factors more commonly associated with worse QoL in patients with APD versus non-APD. Our findings offer new insights for providing optimal treatment and improving treatment satisfaction in patients with PD.
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spelling pubmed-85262162021-10-20 Off Time Independently Affects Quality of Life in Advanced Parkinson's Disease (APD) Patients but Not in Non-APD Patients: Results from the Self-Reported Japanese Quality-of-Life Survey of Parkinson's Disease (JAQPAD) Study Hayashi, Yuka Nakagawa, Ryoko Ishido, Miwako Yoshinaga, Yoko Watanabe, Jun Kurihara, Kanako Nagaki, Koichi Ogura, Hiromu Mishima, Takayasu Fujioka, Shinsuke Tsuboi, Yoshio Parkinsons Dis Research Article INTRODUCTION: Parkinson's disease (PD) is characterized by a triad of motor symptoms and several nonmotor symptoms (NMS). Identifying the most appropriate treatment is essential for improving patient quality of life (QoL). However, it is still not known which PD symptoms more commonly affect patients with advanced PD (APD) versus non-APD. This study examined the factors that most affected the QoL of patients with APD (defined using the 5-2-1 criteria: ≥5 oral levodopa doses a day, off time ≥2 hours a day, or troublesome dyskinesia ≥1 hour a day) versus non-APD in a large Japanese population using the Japanese Quality-of-Life Survey of Parkinson's Disease (JAQPAD) study. METHODS: Participants in this self-reported survey-based study included all members of the Japan Parkinson's Disease Association. Questionnaires assessing NMS and QoL (e.g., the 8-item PD Questionnaire [PDQ-8]) were included. Univariate and multivariate regression analyses were conducted to identify clinical factors impacting QoL using the PDQ-8 Summary Index (PDQ-8 SI). RESULTS: Of the 3022 eligible patients, 864 were classified as having non-APD and 1599 as having APD. QoL as assessed by the PDQ-8 SI was notably worse in patients with APD versus non-APD (39.2 vs. 26.9, p < 0.0001). Although off time affected QoL only in patients with APD, PD duration and the NMS Questionnaire score significantly contributed to the QoL in both patients with APD and non-APD. CONCLUSIONS: This study identified the factors more commonly associated with worse QoL in patients with APD versus non-APD. Our findings offer new insights for providing optimal treatment and improving treatment satisfaction in patients with PD. Hindawi 2021-10-12 /pmc/articles/PMC8526216/ /pubmed/34676064 http://dx.doi.org/10.1155/2021/9917539 Text en Copyright © 2021 Yuka Hayashi et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Hayashi, Yuka
Nakagawa, Ryoko
Ishido, Miwako
Yoshinaga, Yoko
Watanabe, Jun
Kurihara, Kanako
Nagaki, Koichi
Ogura, Hiromu
Mishima, Takayasu
Fujioka, Shinsuke
Tsuboi, Yoshio
Off Time Independently Affects Quality of Life in Advanced Parkinson's Disease (APD) Patients but Not in Non-APD Patients: Results from the Self-Reported Japanese Quality-of-Life Survey of Parkinson's Disease (JAQPAD) Study
title Off Time Independently Affects Quality of Life in Advanced Parkinson's Disease (APD) Patients but Not in Non-APD Patients: Results from the Self-Reported Japanese Quality-of-Life Survey of Parkinson's Disease (JAQPAD) Study
title_full Off Time Independently Affects Quality of Life in Advanced Parkinson's Disease (APD) Patients but Not in Non-APD Patients: Results from the Self-Reported Japanese Quality-of-Life Survey of Parkinson's Disease (JAQPAD) Study
title_fullStr Off Time Independently Affects Quality of Life in Advanced Parkinson's Disease (APD) Patients but Not in Non-APD Patients: Results from the Self-Reported Japanese Quality-of-Life Survey of Parkinson's Disease (JAQPAD) Study
title_full_unstemmed Off Time Independently Affects Quality of Life in Advanced Parkinson's Disease (APD) Patients but Not in Non-APD Patients: Results from the Self-Reported Japanese Quality-of-Life Survey of Parkinson's Disease (JAQPAD) Study
title_short Off Time Independently Affects Quality of Life in Advanced Parkinson's Disease (APD) Patients but Not in Non-APD Patients: Results from the Self-Reported Japanese Quality-of-Life Survey of Parkinson's Disease (JAQPAD) Study
title_sort off time independently affects quality of life in advanced parkinson's disease (apd) patients but not in non-apd patients: results from the self-reported japanese quality-of-life survey of parkinson's disease (jaqpad) study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8526216/
https://www.ncbi.nlm.nih.gov/pubmed/34676064
http://dx.doi.org/10.1155/2021/9917539
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