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<title>Outcomes Impacting Quality of Life in Advanced Parkinson’s Disease Patients Treated with Levodopa-Carbidopa Intestinal Gel</title>
<creator>Kovács, Norbert</creator>
<creator>Bergmann, Lars</creator>
<creator>Anca-Herschkovitsch, Marieta</creator>
<creator>Cubo Delgado, Esther</creator>
<creator>Davis, Thomas L.</creator>
<creator>Iansek, Robert</creator>
<creator>Siddiqui, Mustafa S.</creator>
<creator>Simu, Mihaela</creator>
<creator>Standaert, David G.</creator>
<creator>Chaudhuri, K. Ray</creator>
<creator>Bourgeois, Paul</creator>
<creator>Gao, Tianming</creator>
<creator>Kukreja, Pavnit</creator>
<creator>Pontieri, Francesco E.</creator>
<creator>Aldred, Jason</creator>
<subject>Dyskinesia</subject>
<subject>Health-related quality of life</subject>
<subject>Levodopa-carbidopa intestinal gel</subject>
<subject>Non-motor symptoms</subject>
<subject>Parkinson’s disease</subject>
<description>Background:&#xd;
It is believed that motor symptoms, including dyskinesia, and non-motor symptoms impact health-related quality of life (HRQoL) in patients with Parkinson’s disease (PD), and that improvements in these metrics are correlated.&#xd;
&#xd;
Objective:&#xd;
Investigate the relationship between HRQoL and measures of PD severity and treatment efficacy, including motor and non-motor symptoms.&#xd;
&#xd;
Methods:&#xd;
This was a planned investigation of an international, prospective, single-arm, post-marketing observational study of the long-term effectiveness of levodopa-carbidopa intestinal gel (LCIG) in patients with advanced PD. Pearson correlation coefficients (PCC) were calculated for baseline and change from baseline at 12 months between HRQoL and motor and non-motor symptoms.&#xd;
&#xd;
Results:&#xd;
A total of 195 patients were included. At baseline, HRQoL was moderately positively correlated with Activities of Daily Living (UPDRS II, PCC = 0.44), non-motor symptoms (0.48), and measures of sleep (0.50 and 0.40); all p &lt; 0.001. After 12 months of treatment with LCIG, improvements in HRQoL were moderately positively correlated with improvement from baseline in non-motor symptoms (PCC = 0.42), sleep (0.54), and daytime sleepiness (0.40; all p &lt; 0.001), and weakly correlated with improvement in dyskinesia signs and symptoms (PCC = 0.23; p = 0.011). Improvement in HRQoL was not correlated with improvements in OFF time or dyskinesia time.&#xd;
&#xd;
Conclusion:&#xd;
Both at baseline and for change from baseline at 12 months, HRQoL was correlated with baseline and change from baseline in dyskinesia, Activities of Daily Living, and non-motor symptoms, including sleep; but not with baseline or change in OFF time.</description>
<date>2024-03-14</date>
<date>2024-03-14</date>
<date>2022-04</date>
<type>info:eu-repo/semantics/article</type>
<identifier>1877-7171</identifier>
<identifier>http://hdl.handle.net/10259/8820</identifier>
<identifier>10.3233/JPD-212979</identifier>
<identifier>1877-718X</identifier>
<language>eng</language>
<relation>Journal of Parkinson's Disease. 2022, V. 12, n. 3, p. 917-926</relation>
<relation>https://content.iospress.com/articles/journal-of-parkinsons-disease/jpd212979</relation>
<rights>http://creativecommons.org/licenses/by/4.0/</rights>
<rights>info:eu-repo/semantics/openAccess</rights>
<rights>Atribución 4.0 Internacional</rights>
<publisher>IOS Press</publisher>
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