Burden of non-motor symptoms of Parkinson's disease: cost-of-illness and quality-of-life estimates through a scoping review.

IF 1.8 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Frank van der Meer, Jesper Jorgensen, Mickael Hiligsmann
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引用次数: 0

Abstract

Introduction: Parkinson's Disease (PD) is a progressive, chronic neurodegenerative disease, representing significant economic and social burdens. It is typically defined by motor symptoms (MSs), however, this does not reflect the full patient burden. Non-motor symptoms (NMSs) are increasingly recognized as central characteristics of PD. However, they still lack recognition in research. Therefore, this study aims to identify relevant NMSs, their prevalence, and the effect they have on Quality-of-Life (QoL) and Cost-of-Illness (COI). Secondly, it aims to identify gaps in the current body of knowledge and propose possible ways future research could bridge those gaps.

Methods: The study employed a scoping review, identifying 60 records for inclusion, using PubMed and Web of Science. It included studies from Spain or Italy, including data on People with Parkinson's Disease. A comparative analysis was performed using Microsoft Excel.

Results: It showed that the body of evidence relevant to NMSs, their prevalence, QoL, and COI is limited, or that estimates vary to an extent where interpretation is difficult.

Conclusion: Most studies suffer from generalization, representation, and standardization issues, stemming from their designs and methodological decisions. Although the findings of this study should be interpreted with caution, several recommendations are made for future research.

帕金森病非运动症状的负担:通过范围审查估算疾病成本和生活质量。
导言:帕金森病(Parkinson's Disease,PD)是一种进行性慢性神经退行性疾病,对经济和社会造成巨大负担。帕金森病通常由运动症状(MSs)定义,但这并不能反映患者的全部负担。非运动症状(NMSs)越来越被认为是帕金森病的核心特征。尽管最近取得了这些进展,但非运动症状在研究中仍未得到患者和临床医生的认可,这可能会导致错误的诊断和治疗。因此,本研究采用了范围综述的方法,以确定相关的 NMSs、其流行程度以及它们对生活质量(QoL)和疾病成本(COI)的影响。其次,本研究旨在确定当前有关帕金森病 NMSs 的知识体系中存在的差距,并提出未来研究弥补这些差距的可能方法:本次范围界定审查使用 PubMed 和 Web of Science 收录了 60 条记录。其中包括来自西班牙或意大利的研究,包括有关帕金森病患者的数据。使用 Microsoft Excel 进行了比较分析:结果表明,与 NMSs、其患病率、QoL 和 COI 相关的证据有限,或者估计值存在差异,难以解释:大多数研究因其设计和方法决定而存在普遍性、代表性和标准化问题。尽管由于采用了范围综述的设计,因此在解释本研究的结果时应谨慎从事,但我们还是为今后的研究提出了几项建议,以生成更可靠的数据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Expert Review of Pharmacoeconomics & Outcomes Research
Expert Review of Pharmacoeconomics & Outcomes Research HEALTH CARE SCIENCES & SERVICES-PHARMACOLOGY & PHARMACY
CiteScore
4.00
自引率
4.30%
发文量
68
审稿时长
6-12 weeks
期刊介绍: Expert Review of Pharmacoeconomics & Outcomes Research (ISSN 1473-7167) provides expert reviews on cost-benefit and pharmacoeconomic issues relating to the clinical use of drugs and therapeutic approaches. Coverage includes pharmacoeconomics and quality-of-life research, therapeutic outcomes, evidence-based medicine and cost-benefit research. All articles are subject to rigorous peer-review. The journal adopts the unique Expert Review article format, offering a complete overview of current thinking in a key technology area, research or clinical practice, augmented by the following sections: Expert Opinion – a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results Article Highlights – an executive summary of the author’s most critical points.
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