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September 20, 2017European Journal of NeurologyOpen Access

L‐DOPA‐induced dyskinesias, motor fluctuations and health‐related quality of life: the COPARK survey

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Authors

SPSantiago Perez‐LloretLNLaurence Nègre‐PagèsPDPhilippe Damier

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Overview

Cross-sectional study finds that dyskinesia severity and motor fluctuation duration independently degrade quality of life in Parkinson's disease, highlighting distinct therapeutic targets.

Key Points

  • To assess the independent associations of L-DOPA-induced dyskinesias and motor fluctuations, including their respective severity and daily duration, with health-related quality of life in Parkinson's disease.
  • Cross-sectional analysis of N=683 patients with Parkinson's disease enrolled in the COPARK survey.
  • Health-related quality of life was evaluated using the 39-Item Parkinson's Disease Questionnaire (PDQ-39) as the primary outcome and the SF-36 survey.
  • Daily duration and severity of dyskinesias and motor fluctuations were quantified using items from the Unified Parkinson's Disease Rating Scale (UPDRS) sections II and IV.
  • Motor fluctuations occurred in 35% of patients (n=235) and L-DOPA-induced dyskinesias occurred in 27% (n=182).
  • Both dyskinesias and motor fluctuations were significantly associated with worse PDQ-39 total scores after adjusting for one another.
  • Dyskinesia severity and motor fluctuation duration independently worsened PDQ-39 scores, whereas SF-36 physical scores were impaired exclusively by motor fluctuation severity.

Cite This Study

Perez‐Lloret et al. (2017) studied this question.

synapsesocial.com/papers/6a83a71a4b7d31ae448dcbd4https://doi.org/10.1111/ene.13466
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Worsening of levodopa-induced dyskinesias by motor and mental tasks1999 · 42 citations
  2. 2Frequency of levodopa‐related dyskinesias and motor fluctuations as estimated from the cumulative literature2001 · 1,455 citations
  3. 3Effects of dyskinesias in Parkinson's disease on quality of life and health‐related costs: a prospective European study2005 · 198 citations