The nondeclaration of nonmotor symptoms of Parkinson's disease to health care professionals: An international study using the nonmotor symptoms questionnaire
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- 29 March 2010
- journal article
- research article
- Published by Wiley in Movement Disorders
- Vol. 25 (6), 704-709
- https://doi.org/10.1002/mds.22868
Abstract
The nonmotor symptoms (NMS) of Parkinson's disease (PD) are less well recognised and can be more troublesome to patients and carers than classical motor features. NMS are frequently missed during routine consultations and such under‐recognition may have implications on quality of care given that many NMS are treatable. To determine the proportion of patients not declaring NMS to healthcare professional (HCP) as assessed by self completion of the NMS questionnaire (NMSQuest), a validated, self‐completing questionnaire with 30 items. Multicentre international study. The data was collected from PD patients across all age groups and stages attending outpatient clinics in specialist and care of the elderly settings. 242 patients recruited and undeclared NMS ranged from 31.8% (diplopia) to 65.2% (delusions). The most frequently nondeclared symptoms were delusions, daytime sleepiness, intense and vivid dreams, and dizziness. In many, appropriate treatments for undeclared NMS were started only after these were recognised following completion of NMSQuest. NMS of PD are frequently undeclared at routine hospital consultation and may be related to the fact that patients often do not link these symptoms with PD or may be too embarrassed to discuss these. Use of NMSQuest allows patients to flag symptoms which may be otherwise undeclared and remain untreated when potential treatments exist.This publication has 12 references indexed in Scilit:
- Non-motor symptoms of Parkinson's disease: dopaminergic pathophysiology and treatmentThe Lancet Neurology, 2009
- Nonmotor symptoms as presenting complaints in Parkinson's disease: A clinicopathological studyMovement Disorders, 2008
- Prevalence of nonmotor symptoms in Parkinson's disease in an international setting; Study using nonmotor symptoms questionnaire in 545 patientsMovement Disorders, 2007
- Two questionnaires for Parkinson’s disease: are the PDQ-39 and PDQL equivalent?Quality of Life Research, 2007
- International multicenter pilot study of the first comprehensive self‐completed nonmotor symptoms questionnaire for Parkinson's disease: The NMSQuest studyMovement Disorders, 2006
- Non-motor symptoms of Parkinson's disease: diagnosis and managementThe Lancet Neurology, 2006
- Direct economic impact of Parkinson's disease: A research survey in the United KingdomMovement Disorders, 2003
- Factors impacting on quality of life in Parkinson's disease: Results from an international surveyMovement Disorders, 2002
- What contributes to quality of life in patients with Parkinson's disease?Journal of Neurology, Neurosurgery & Psychiatry, 2000
- Accuracy of clinical diagnosis of idiopathic Parkinson's disease: a clinico-pathological study of 100 cases.Journal of Neurology, Neurosurgery & Psychiatry, 1992