Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Factors associated with self-rated health in people with late-stage parkinson’s and cognitive impairment

Pigott, Jennifer S. ; Armstrong, Megan ; Davies, Nathan ; Davis, Daniel ; Bloem, Bastiaan R. ; Lorenzl, Stefan ; Meissner, Wassilios G. ; Odin, Per LU orcid ; Ferreira, Joaquim J. and Dodel, Richard , et al. (2024) In Quality of Life Research
Abstract

Purpose: To investigate the contributors to self-rated health in people with late-stage Parkinson’s disease (PD) and cognitive impairment. Methods: A secondary analysis of baseline data from the international Care of Late-Stage Parkinsonism (CLaSP) cohort study was conducted. Participants with PD and either dementia or mild cognitive impairment or MMSE < 24/30 in the absence of major depression were included if they had completed the EQ-5D-3L assessment (n = 277). Factors associated with self-rated health (EQ-5D-3L Index and Visual Analogue Scale) were investigated through multivariable linear regression. Results: More severe PD (motor and non-motor) was associated with worse self-rated health. The EQ-5D-3L dimensions of Mobility,... (More)

Purpose: To investigate the contributors to self-rated health in people with late-stage Parkinson’s disease (PD) and cognitive impairment. Methods: A secondary analysis of baseline data from the international Care of Late-Stage Parkinsonism (CLaSP) cohort study was conducted. Participants with PD and either dementia or mild cognitive impairment or MMSE < 24/30 in the absence of major depression were included if they had completed the EQ-5D-3L assessment (n = 277). Factors associated with self-rated health (EQ-5D-3L Index and Visual Analogue Scale) were investigated through multivariable linear regression. Results: More severe PD (motor and non-motor) was associated with worse self-rated health. The EQ-5D-3L dimensions of Mobility, Self-Care and Usual Activities were almost universally affected; the latter two particularly severely. Being unable to perform usual activities or having moderate to extreme anxiety or depression were significantly associated with EQ-5D-3L Visual Analogue Scale, suggesting these are particularly valued. Worse motor impairment and function and the non-motor symptom domains of mood, perception, sexual function, and miscellaneous (e.g., pain) were associated with worse self-rated health, whereas greater burden of gastrointestinal symptoms was associated with better self-rated health in multivariate analysis. Better self-rated health was associated with recent PD nurse consultation, and higher doses of dopaminergic medication. Conclusion: Improvement of activities of daily living, mood and anxiety should be prioritised in clinical practice, with consideration of perception and sexual function in this population. Recent nurse consultations and higher antiparkinsonian doses are associated with better self-rated health, suggesting there is no room for a therapeutic nihilism in this population of people within a complex phase of PD.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; ; ; ; and , et al. (More)
; ; ; ; ; ; ; ; ; and (Less)
organization
publishing date
type
Contribution to journal
publication status
in press
subject
keywords
Cognitive impairment, Parkinson’s disease, Parkinson’s disease dementia, Self-rated health
in
Quality of Life Research
publisher
Springer
external identifiers
  • pmid:38888672
  • scopus:85196220963
ISSN
0962-9343
DOI
10.1007/s11136-024-03703-2
language
English
LU publication?
yes
id
5eb6b9c2-60e3-4fd2-a98b-687917aaa24c
date added to LUP
2024-09-09 09:45:27
date last changed
2024-09-10 03:00:16
@article{5eb6b9c2-60e3-4fd2-a98b-687917aaa24c,
  abstract     = {{<p>Purpose: To investigate the contributors to self-rated health in people with late-stage Parkinson’s disease (PD) and cognitive impairment. Methods: A secondary analysis of baseline data from the international Care of Late-Stage Parkinsonism (CLaSP) cohort study was conducted. Participants with PD and either dementia or mild cognitive impairment or MMSE &lt; 24/30 in the absence of major depression were included if they had completed the EQ-5D-3L assessment (n = 277). Factors associated with self-rated health (EQ-5D-3L Index and Visual Analogue Scale) were investigated through multivariable linear regression. Results: More severe PD (motor and non-motor) was associated with worse self-rated health. The EQ-5D-3L dimensions of Mobility, Self-Care and Usual Activities were almost universally affected; the latter two particularly severely. Being unable to perform usual activities or having moderate to extreme anxiety or depression were significantly associated with EQ-5D-3L Visual Analogue Scale, suggesting these are particularly valued. Worse motor impairment and function and the non-motor symptom domains of mood, perception, sexual function, and miscellaneous (e.g., pain) were associated with worse self-rated health, whereas greater burden of gastrointestinal symptoms was associated with better self-rated health in multivariate analysis. Better self-rated health was associated with recent PD nurse consultation, and higher doses of dopaminergic medication. Conclusion: Improvement of activities of daily living, mood and anxiety should be prioritised in clinical practice, with consideration of perception and sexual function in this population. Recent nurse consultations and higher antiparkinsonian doses are associated with better self-rated health, suggesting there is no room for a therapeutic nihilism in this population of people within a complex phase of PD.</p>}},
  author       = {{Pigott, Jennifer S. and Armstrong, Megan and Davies, Nathan and Davis, Daniel and Bloem, Bastiaan R. and Lorenzl, Stefan and Meissner, Wassilios G. and Odin, Per and Ferreira, Joaquim J. and Dodel, Richard and Schrag, Anette}},
  issn         = {{0962-9343}},
  keywords     = {{Cognitive impairment; Parkinson’s disease; Parkinson’s disease dementia; Self-rated health}},
  language     = {{eng}},
  publisher    = {{Springer}},
  series       = {{Quality of Life Research}},
  title        = {{Factors associated with self-rated health in people with late-stage parkinson’s and cognitive impairment}},
  url          = {{http://dx.doi.org/10.1007/s11136-024-03703-2}},
  doi          = {{10.1007/s11136-024-03703-2}},
  year         = {{2024}},
}