RT info:eu-repo/semantics/article T1 Staging Parkinson’s Disease According to the MNCD (Motor/Non-motor/Cognition/Dependency) Classification Correlates with Disease Severity and Quality of Life A1 Santos García, Diego A1 Deus-Fonticoba, Teresa de A1 Cores Bartolomé, Carlos A1 Feal Painceiras, María A1 Íñiguez Alvarado, María Cristina A1 García Díaz, Iago A1 Jesús, Silvia A1 Buongiorno, María Teresa A1 Planellás, Lluis L. A1 Cosgaya, Marina A1 García Caldentey, Juan A1 Caballol, Núria A1 Legarda, Inés A1 Hernández Vara, Jorge A1 Cabo López, Iria A1 López Manzanares, Lydia A1 González Aramburu, Isabel A1 Ávila Rivera, María A. A1 Gómez Mayordomo, Víctor A1 Nogueira, Víctor A1 Puente, Víctor A1 Dotor, Julio A1 Borrue, Carmen A1 Solano Vila, Berta A1 Álvarez Saúco, María A1 Vela Desojo, Lydia A1 Escalante Arroyo, Sonia A1 Cubo Delgado, Esther A1 Carrillo Padilla, Francisco A1 Martínez Castrillo, Juan Carlos A1 Sánchez Alonso, Pilar A1 Alonso Losada, María Gema A1 López Ariztegui, Nuria A1 Gastón, Itziar A1 Kulisevsky Bojarsky, Jaume A1 Menéndez González, Manuel A1 Seijo, Manuel A1 Ruíz Martínez, Javier A1 Valero, Caridad A1 Kurtis, Mónica M. A1 González Ardura, Jessica A1 Alonso Redondo, Rubén A1 Ordás Bandera, Carlos Manuel A1 López Díaz, Luis M. A1 McAfee, Darrian A1 Calopa, Matilde A1 Carrillo, Fátima A1 Escamilla-Sevilla, Francisco A1 Freire-Alvarez, Eric A1 Gómez Esteban, Juan Carlos A1 García Ramos, Rocío A1 Luquin Piudo, Mª Rosario A1 Martínez Torres, Irene A1 Sesar Ignacio, Ángel A1 Martínez Martín, Pablo A1 Mir, Pablo K1 Axial symptoms K1 Cognition K1 MNCD classification K1 Non-motor symptoms K1 Parkinson’s disease K1 Quality of life K1 Sistema nervioso-Enfermedades K1 Nervous system-Diseases K1 Medicina K1 Medicine K1 Neurología K1 Neurology AB Background:Recently, a novel simple classification called MNCD, based on 4 axes (Motor; Non-motor; Cognition; Dependency) and 5 stages, has been proposed to classify Parkinson's disease (PD).Objective:Our aim was to apply the MNCD classification in a cohort of PD patients for the first time and also to analyze the correlation with quality of life (QoL) and disease severity.Methods:Data from the baseline visit of PD patients recruited from 35 centers in Spain from the COPPADIS cohort fromJanuary 2016 to November 2017 were used to apply the MNCD classification. Three instruments were used to assess QoL:1) the 39-item Parkinson's disease Questionnaire [PDQ-39]); PQ-10; the EUROHIS-QOL 8-item index (EUROHIS-QOL8).Results:Four hundred and thirty-nine PD patients (62.05±7.84 years old; 59% males) were included. MNCD stage was:stage 1, 8.4% (N = 37); stage 2, 62% (N = 272); stage 3, 28.2% (N = 124); stage 4-5, 1.4% (N = 6). A more advancedMNCD stage was associated with a higher score on the PDQ39SI (p < 0.0001) and a lower score on the PQ-10 (p< 0.0001) and EUROHIS-QOL8 (p< 0.0001). In many other aspects of the disease, such as disease duration, levodopa equivalent daily dose, motor symptoms, non-motor symptoms, and autonomy for activities of daily living, an association between the stage and severity was observed, with data indicating a progressive worsening related to disease progression throughout the proposed stages.Conclusion:Staging PD according to the MNCD classification correlated with QoL and disease severity. The MNCD could be a proper tool to monitor the progression of PD. PB IOS Press SN 1877-7171 YR 2023 FD 2023-05 LK http://hdl.handle.net/10259/8826 UL http://hdl.handle.net/10259/8826 LA eng NO The supplementary material is available in the electronic version of this article: https://dx.doi.org/ 10.3233/JPD-225073. DS Repositorio Institucional de la Universidad de Burgos RD 25-dic-2024