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The KMDS-NATION Study: Korean Movement Disorders Society Multicenter Assessment of Non-Motor Symptoms and Quality of Life in Parkinson's Disease NATION Study Group.


ABSTRACT:

Background and purpose

Nonmotor symptoms (NMS) in Parkinson's disease (PD) have multisystem origins with heterogeneous manifestations that develop throughout the course of PD. NMS are increasingly recognized as having a significant impact on the health-related quality of life (HrQoL). We aimed to determine the NMS presentation according to PD status, and the associations of NMS with other clinical variables and the HrQoL of Korean PD patients.

Methods

We surveyed patients in 37 movement-disorders clinics throughout Korea. In total, 323 PD patients were recruited for assessment of disease severity and duration, NMS, HrQoL, and other clinical variables including demographics, cognition, sleep scale, fatigability, and symptoms.

Results

In total, 98.1% of enrolled PD subjects suffered from various kinds of NMS. The prevalence of NMS and scores in each NMS domain were significantly higher in the PD group, and the NMS worsened as the disease progressed. Among clinical variables, disease duration and depressive mood showed significant correlations with all NMS domains (p<0.001). NMS status impacted HrQoL in PD (rS=0.329, p<0.01), and the association patterns differed with the disease stage.

Conclusions

The results of our survey suggest that NMS in PD are not simply isolated symptoms of degenerative disease, but rather exert significant influences throughout the disease course. A novel clinical approach focused on NMS to develop tailored management strategies is warranted to improve the HrQoL in PD patients.

SUBMITTER: Kwon DY 

PROVIDER: S-EPMC5063863 | biostudies-literature | 2016 Oct

REPOSITORIES: biostudies-literature

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Publications

The KMDS-NATION Study: Korean Movement Disorders Society Multicenter Assessment of Non-Motor Symptoms and Quality of Life in Parkinson's Disease NATION Study Group.

Kwon Do Young DY   Koh Seong Beom SB   Lee Jae Hyeok JH   Park Hee Kyung HK   Kim Han Joon HJ   Shin Hae Won HW   Youn Jinyoung J   Park Kun Woo KW   Choi Sun Ah SA   Kim Sang Jin SJ   Choi Seong Min SM   Park Ji Yun JY   Jeon Beom S BS   Kim Ji Young JY   Chung Sun Ju SJ   Lee Chong Sik CS   Park Jeong Ho JH   Ahn Tae Beom TB   Kim Won Chan WC   Kim Hyun Sook HS   Cheon Sang Myung SM   Kim Hee Tae HT   Lee Jee Young JY   Kim Ji Sun JS   Kim Eun Joo EJ   Kim Jong Min JM   Lee Kwang Soo KS   Kim Joong Seok JS   Kim Min Jeong MJ   Baik Jong Sam JS   Park Ki Jong KJ   Kim Hee Jin HJ   Park Mee Young MY   Kang Ji Hoon JH   Song Sook Kun SK   Kim Yong Duk YD   Yun Ji Young JY   Lee Ho Won HW   Oh Hyung Geun HG   Cho Jinwhan J   Song In Uk IU   Sohn Young H YH   Lee Phil Hyu PH   Kim Jae Woo JW  

Journal of clinical neurology (Seoul, Korea) 20161001 4


<h4>Background and purpose</h4>Nonmotor symptoms (NMS) in Parkinson's disease (PD) have multisystem origins with heterogeneous manifestations that develop throughout the course of PD. NMS are increasingly recognized as having a significant impact on the health-related quality of life (HrQoL). We aimed to determine the NMS presentation according to PD status, and the associations of NMS with other clinical variables and the HrQoL of Korean PD patients.<h4>Methods</h4>We surveyed patients in 37 mo  ...[more]

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