Underutilization of Injectable Parkinson's Disease Medication: An Analysis of Neurologist and Patient Perspectives.

IF 2.6 4区医学 Q2 CLINICAL NEUROLOGY

Movement Disorders Clinical Practice Pub Date : 2024-09-26 DOI:10.1002/mdc3.14213

Gianni Solis, Jordan Patierno, Josh Rossol, Rajeev Kumar

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引用次数: 0

Abstract

Background: We hypothesized that many neurologists underestimate patients' willingness to self-administer injectable Parkinson's disease (PD) medication.

Objective: To evaluate patient and physician perceptions contributing to underutilization of PD medications for acute OFF episodes.

Analytic method: Data were collected using an online survey including n = 4063 PD patients experiencing OFF episodes and n = 200 neurologists.

Results: 89% of patients were willing to self-inject rescue therapies to treat acute OFF episodes. After reviewing patient survey data, 54% of general neurologists and 37% of movement disorder specialist (MDS) demonstrated a change in perceptions about patients' willingness to use self-injected therapies (P < 0.05). 37% of general neurologists and 21% of MDS indicated a greater likelihood of prescribing these treatments (P < 0.05).

Conclusions: Most patients suffering from OFF episodes would be willing to self-inject to abort their symptoms. Neurologists underestimate this patient acceptance. Understanding patient attitudes and further education about rescue therapies is likely to increase use of these therapies.

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帕金森病注射药物使用不足：对神经科医生和患者观点的分析。

背景：我们假设许多神经科医生低估了患者自行注射帕金森病药物的意愿：我们假设许多神经科医生低估了患者自行注射帕金森病（PD）药物的意愿：目的：评估患者和医生对导致帕金森病急性发作时未充分利用帕金森病药物的看法：分析方法：通过在线调查收集数据，调查对象包括4063名出现关断发作的帕金森病患者和200名神经科医生：结果：89%的患者愿意自行注射抢救疗法来治疗急性OFF发作。回顾患者调查数据后，54%的普通神经科医生和37%的运动障碍专科医生（MDS）对患者是否愿意使用自我注射疗法的看法发生了变化（P 结论：大多数关断发作患者都愿意使用自我注射疗法：大多数偏离发作患者都愿意自行注射药物来缓解症状。神经科医生低估了患者的接受程度。了解患者的态度并进一步开展有关抢救疗法的教育可能会提高这些疗法的使用率。

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

Movement Disorders Clinical Practice CLINICAL NEUROLOGY-

CiteScore

4.00

自引率

7.50%

发文量

218

期刊介绍： Movement Disorders Clinical Practice- is an online-only journal committed to publishing high quality peer reviewed articles related to clinical aspects of movement disorders which broadly include phenomenology (interesting case/case series/rarities), investigative (for e.g- genetics, imaging), translational (phenotype-genotype or other) and treatment aspects (clinical guidelines, diagnostic and treatment algorithms)