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Patients’ Perspective in Hereditary Ataxia

Gorcenco, Sorina LU ; Karremo, Christin LU and Puschmann, Andreas LU orcid (2022) In Cerebellum
Abstract

Hereditary ataxia represents a heterogeneous group of rare disorders with the chronic progression of motor symptoms that often become debilitating. Many forms include additional neurological, cognitive, or other symptoms. Most of these disorders lack specific treatment. We aimed to investigate aspects of patients’ quality of life, experiences, and expectations. Patients with a diagnosis of hereditary ataxia were identified from our center’s diagnostic register, direct referrals, and from a patient organization. We designed a questionnaire with 32 multiple-choice or open-ended questions on disability and impairment of daily life activities, the perceived effect of symptomatic and supportive therapies, coping strategies, and how they used... (More)

Hereditary ataxia represents a heterogeneous group of rare disorders with the chronic progression of motor symptoms that often become debilitating. Many forms include additional neurological, cognitive, or other symptoms. Most of these disorders lack specific treatment. We aimed to investigate aspects of patients’ quality of life, experiences, and expectations. Patients with a diagnosis of hereditary ataxia were identified from our center’s diagnostic register, direct referrals, and from a patient organization. We designed a questionnaire with 32 multiple-choice or open-ended questions on disability and impairment of daily life activities, the perceived effect of symptomatic and supportive therapies, coping strategies, and how they used and experienced various sources of information about their neurological disease. We also included the EQ-5D-3L quality-of-life instrument. Results were analyzed statistically for gender, age, and groups with and without a genetic diagnosis, and were compared to published data from the general population. Seventy-five patients returned the questionnaire. Patients reported considerable disease-related disability and impairment and had significantly lower quality-of-life scores than the general population. Physiotherapy and support from family or friends were important for patients’ overall well-being. Patients with a genetic diagnosis had a lower average age at onset and felt more well-informed about their disease than patients without a genetic diagnosis. Patients used internet sources but relied primarily on their doctors to obtain information about their disease. Our study provides insights into hereditary ataxia patients’ experiences that can lead to improvements in medical and nursing care for these patients.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
in press
subject
keywords
Hereditary ataxia, Neurodegenerative disorders, Patients, Quality of life, Questionnaire
in
Cerebellum
publisher
Informa Healthcare
external identifiers
  • scopus:85144137460
  • pmid:36525215
ISSN
1473-4222
DOI
10.1007/s12311-022-01505-1
language
English
LU publication?
yes
id
6dfb3ce1-4336-4f8a-92f8-0ed536a08429
date added to LUP
2023-01-24 13:53:36
date last changed
2024-06-14 12:35:19
@article{6dfb3ce1-4336-4f8a-92f8-0ed536a08429,
  abstract     = {{<p>Hereditary ataxia represents a heterogeneous group of rare disorders with the chronic progression of motor symptoms that often become debilitating. Many forms include additional neurological, cognitive, or other symptoms. Most of these disorders lack specific treatment. We aimed to investigate aspects of patients’ quality of life, experiences, and expectations. Patients with a diagnosis of hereditary ataxia were identified from our center’s diagnostic register, direct referrals, and from a patient organization. We designed a questionnaire with 32 multiple-choice or open-ended questions on disability and impairment of daily life activities, the perceived effect of symptomatic and supportive therapies, coping strategies, and how they used and experienced various sources of information about their neurological disease. We also included the EQ-5D-3L quality-of-life instrument. Results were analyzed statistically for gender, age, and groups with and without a genetic diagnosis, and were compared to published data from the general population. Seventy-five patients returned the questionnaire. Patients reported considerable disease-related disability and impairment and had significantly lower quality-of-life scores than the general population. Physiotherapy and support from family or friends were important for patients’ overall well-being. Patients with a genetic diagnosis had a lower average age at onset and felt more well-informed about their disease than patients without a genetic diagnosis. Patients used internet sources but relied primarily on their doctors to obtain information about their disease. Our study provides insights into hereditary ataxia patients’ experiences that can lead to improvements in medical and nursing care for these patients.</p>}},
  author       = {{Gorcenco, Sorina and Karremo, Christin and Puschmann, Andreas}},
  issn         = {{1473-4222}},
  keywords     = {{Hereditary ataxia; Neurodegenerative disorders; Patients; Quality of life; Questionnaire}},
  language     = {{eng}},
  publisher    = {{Informa Healthcare}},
  series       = {{Cerebellum}},
  title        = {{Patients’ Perspective in Hereditary Ataxia}},
  url          = {{http://dx.doi.org/10.1007/s12311-022-01505-1}},
  doi          = {{10.1007/s12311-022-01505-1}},
  year         = {{2022}},
}