Descriptive analysis of the french ns-park ...
Document type :
Article dans une revue scientifique: Article original
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Title :
Descriptive analysis of the french ns-park registry: towards a nation-wide parkinson''s disease cohort?
Author(s) :
Mariani, Louise-Laure [Auteur]
Doulazmi, Mohamed [Auteur]
Chaigneau, Veronique [Auteur]
Brefel-Courbon, Christine [Auteur]
Carriere, Nicolas [Auteur]
Danaila, Teodor [Auteur]
DEFEBVRE, Luc [Auteur]
Troubles cognitifs dégénératifs et vasculaires - U 1171 - EA 1046 [TCDV]
Troubles cognitifs dégénératifs et vasculaires - U 1171 - EA 1046 [TCDV]
Troubles cognitifs dégénératifs et vasculaires - U1171
Defer, Gilles [Auteur]
Dellapina, Estelle [Auteur]
Doe De Maindreville, Anne [Auteur]
Geny, Christian [Auteur]
Maltete, David [Auteur]
Meissner, Wassilios G. [Auteur]
Rascol, Olivier [Auteur]
Thobois, Stéphane [Auteur]
Torny, Frederic [Auteur]
Tranchant, Christine [Auteur]
Vidailhet, Marie [Auteur]
Corvol, Jean-Christophe [Auteur]
Degos, Bertrand [Auteur]
Doulazmi, Mohamed [Auteur]
Chaigneau, Veronique [Auteur]
Brefel-Courbon, Christine [Auteur]
Carriere, Nicolas [Auteur]
Danaila, Teodor [Auteur]
DEFEBVRE, Luc [Auteur]
Troubles cognitifs dégénératifs et vasculaires - U 1171 - EA 1046 [TCDV]
Troubles cognitifs dégénératifs et vasculaires - U 1171 - EA 1046 [TCDV]
Troubles cognitifs dégénératifs et vasculaires - U1171
Defer, Gilles [Auteur]
Dellapina, Estelle [Auteur]
Doe De Maindreville, Anne [Auteur]
Geny, Christian [Auteur]
Maltete, David [Auteur]
Meissner, Wassilios G. [Auteur]
Rascol, Olivier [Auteur]
Thobois, Stéphane [Auteur]
Torny, Frederic [Auteur]
Tranchant, Christine [Auteur]
Vidailhet, Marie [Auteur]
Corvol, Jean-Christophe [Auteur]
Degos, Bertrand [Auteur]
Journal title :
Parkinsonism & related disorders
Abbreviated title :
Parkinsonism Relat. Disord.
Publication date :
2019-04-25
ISSN :
1873-5126
English keyword(s) :
National database registry
Parkinson disease
Parkinson disease
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
BACKGROUND: Parkinson's disease (PD) is the second most common neurodegenerative disorder after Alzheimer's. The French clinical research network for PD (NS-Park) has created a national patient registry to i)report medical ...
Show more >BACKGROUND: Parkinson's disease (PD) is the second most common neurodegenerative disorder after Alzheimer's. The French clinical research network for PD (NS-Park) has created a national patient registry to i)report medical activity of Parkinson Expert Centers (PECs) to the Ministry of Health, ii)facilitate PD patients pre-screening for clinical trials, iii) provide a source for pharmaco-epidemiology studies. OBJECTIVE: Assess the French Parkinsonian population at a nation-wide level and discover new clinical characteristics. METHODS: In this feasibility study, PECs prospectively collected clinical data in a standardized manner. The population main clinical characteristics are described, focusing on motor and non-motor symptoms and treatments, assessing its representativeness. By using an unbiased clustering with multiple correspondence analysis (MCA), we also investigate potential relationships between multiple variables like symptoms and treatments, as clues for future studies. RESULTS: Between 2012 and 2016, among 11,157 included parkinsonian syndromes, 9454 (85%) had PD. MCA identified various profiles depending on disease duration. Occurrences of motor complications, axial signs, cognitive disorders and Levodopa use increase over time. Neurovegetative symptoms, psychiatric disorders, sleep disturbances and impulse control disorders (ICDs) seem stable over time. As expected, ICDs were associated to dopaminergic agonist use but other associations, such as ICDs and sleep disturbances for instance, or anxiety and depression, were found. CONCLUSIONS: Our results report one of the biggest PD registries ever reported and demonstrate the feasibility of implementing a nation-wide registry of PD patients in France, a potent tool for future longitudinal studies and clinical trials' population selection, and for pharmaco-epidemiology and cost-effectiveness studies.Show less >
Show more >BACKGROUND: Parkinson's disease (PD) is the second most common neurodegenerative disorder after Alzheimer's. The French clinical research network for PD (NS-Park) has created a national patient registry to i)report medical activity of Parkinson Expert Centers (PECs) to the Ministry of Health, ii)facilitate PD patients pre-screening for clinical trials, iii) provide a source for pharmaco-epidemiology studies. OBJECTIVE: Assess the French Parkinsonian population at a nation-wide level and discover new clinical characteristics. METHODS: In this feasibility study, PECs prospectively collected clinical data in a standardized manner. The population main clinical characteristics are described, focusing on motor and non-motor symptoms and treatments, assessing its representativeness. By using an unbiased clustering with multiple correspondence analysis (MCA), we also investigate potential relationships between multiple variables like symptoms and treatments, as clues for future studies. RESULTS: Between 2012 and 2016, among 11,157 included parkinsonian syndromes, 9454 (85%) had PD. MCA identified various profiles depending on disease duration. Occurrences of motor complications, axial signs, cognitive disorders and Levodopa use increase over time. Neurovegetative symptoms, psychiatric disorders, sleep disturbances and impulse control disorders (ICDs) seem stable over time. As expected, ICDs were associated to dopaminergic agonist use but other associations, such as ICDs and sleep disturbances for instance, or anxiety and depression, were found. CONCLUSIONS: Our results report one of the biggest PD registries ever reported and demonstrate the feasibility of implementing a nation-wide registry of PD patients in France, a potent tool for future longitudinal studies and clinical trials' population selection, and for pharmaco-epidemiology and cost-effectiveness studies.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
CHU Lille
CNRS
Inserm
Université de Lille
CNRS
Inserm
Université de Lille
Collections :
Research team(s) :
Troubles cognitifs dégénératifs et vasculaires
Submission date :
2019-11-27T14:29:55Z