Pranav Singh, Jane Alty, Michele Callisaya, Lauren Giles, Frank Nicklason, Harley Stanton, Jan(ette) Radford
{"title":"把病人放在第一位:全科医生是否应该在等待诊断确认的同时让可能患有帕金森病的人服用左旋多巴?","authors":"Pranav Singh, Jane Alty, Michele Callisaya, Lauren Giles, Frank Nicklason, Harley Stanton, Jan(ette) Radford","doi":"10.31128/AJGP-07-24-7345","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Parkinson's disease poses challenges for timely diagnosis and specialist care, particularly in rural areas.</p><p><strong>Objective: </strong>This paper aims to assist general practitioners (GPs) who wish to collaborate with their patient with probable Parkinson's disease to improve access to appropriate medication when there might be a delay in obtaining a confirmatory diagnosis from a Parkinson's disease specialist. The feasibility and rationale for commencing levodopa as well as an approach to initiating and monitoring its response are discussed. The importance of educating patients and caregivers, encouraging exercise and building a multidisciplinary team to optimise care is also discussed.</p><p><strong>Discussion: </strong>The literature supports early levodopa initiation in probable Parkinson's disease to improve a patient's quality of life. The presented approach offers GPs effective management strategies that enhance patient care and mitigate the risks of delayed treatment.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 7","pages":"427-430"},"PeriodicalIF":1.6000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Putting the patient first: Should general practitioners start people with probable Parkinson's disease on levodopa while awaiting diagnostic confirmation?\",\"authors\":\"Pranav Singh, Jane Alty, Michele Callisaya, Lauren Giles, Frank Nicklason, Harley Stanton, Jan(ette) Radford\",\"doi\":\"10.31128/AJGP-07-24-7345\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Parkinson's disease poses challenges for timely diagnosis and specialist care, particularly in rural areas.</p><p><strong>Objective: </strong>This paper aims to assist general practitioners (GPs) who wish to collaborate with their patient with probable Parkinson's disease to improve access to appropriate medication when there might be a delay in obtaining a confirmatory diagnosis from a Parkinson's disease specialist. The feasibility and rationale for commencing levodopa as well as an approach to initiating and monitoring its response are discussed. The importance of educating patients and caregivers, encouraging exercise and building a multidisciplinary team to optimise care is also discussed.</p><p><strong>Discussion: </strong>The literature supports early levodopa initiation in probable Parkinson's disease to improve a patient's quality of life. The presented approach offers GPs effective management strategies that enhance patient care and mitigate the risks of delayed treatment.</p>\",\"PeriodicalId\":54241,\"journal\":{\"name\":\"Australian Journal of General Practice\",\"volume\":\"54 7\",\"pages\":\"427-430\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Australian Journal of General Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.31128/AJGP-07-24-7345\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australian Journal of General Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.31128/AJGP-07-24-7345","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Putting the patient first: Should general practitioners start people with probable Parkinson's disease on levodopa while awaiting diagnostic confirmation?
Background: Parkinson's disease poses challenges for timely diagnosis and specialist care, particularly in rural areas.
Objective: This paper aims to assist general practitioners (GPs) who wish to collaborate with their patient with probable Parkinson's disease to improve access to appropriate medication when there might be a delay in obtaining a confirmatory diagnosis from a Parkinson's disease specialist. The feasibility and rationale for commencing levodopa as well as an approach to initiating and monitoring its response are discussed. The importance of educating patients and caregivers, encouraging exercise and building a multidisciplinary team to optimise care is also discussed.
Discussion: The literature supports early levodopa initiation in probable Parkinson's disease to improve a patient's quality of life. The presented approach offers GPs effective management strategies that enhance patient care and mitigate the risks of delayed treatment.
期刊介绍:
The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.