Current approaches for the management of Parkinson's disease in Chinese hospitals: a cross-sectional survey.
Current approaches for the management of Parkinson's disease in Chinese hospitals: a cross-sectional survey.
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DOI：
10.1186/s12883-018-1122-4
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发表时间：
2018-08-22
期刊：
影响因子：
2.6
通讯作者：
Chinese Movement Disorders Society
中科院分区：
文献类型：
--
作者：
Wang G;Cui HL;Liu J;Xiao Q;Wang Y;Ma JF;Zhou HY;Pan J;Tan YY;Chen SD;Chinese Movement Disorders Society
中国帕金森氏病(PD)治疗指南自2006年以来一直在定期发布和更新。我们进行了一项横断面调查，以评估最新版本(2014)在先前试点工作的基础上对目前PD管理方法的影响。717名参与者被分成3组(全科医生、神经科医生和专科医生)，从中国全境30个城市的138家医院随机招募，完成了指南发布前和指南发布后他们目前采取的方法的问卷。这三个类别的管理明显不同，帕金森病患者首选药物的选择不同。在同时出现的精神症状和痴呆症的处理上也存在差异。值得注意的是，超过50%的参与者报告说，通过遵循指南，帕金森病的认识和管理有所改善。越来越多的中国临床实践指南被用于PD管理，这对优化护理产生了积极的影响，进而提供了重要的经济效益。
Chinese guidelines for management of Parkinson’s disease (PD) have been issued and updated regularly since 2006. We undertook a cross-sectional survey to evaluate the impact of the latest edition (2014) on current approaches to the management of PD based on previous pilot works. Seven hundred and seventeen participants, divided into 3 groups (GPs, Neurologists, and Specialists), recruited from 138 randomly chosen hospitals from 30 cities across China, participated by completing the questionnaire describing their current approaches before and after the guidelines were issued. Considerable discrepancies in management were apparent across the three categories, with different selection of first-choice medication for PD patients. There were also variations in management of concurrent psychiatric symptoms and dementia. Notably, over 50% of participants reported improvements in PD recognition and management by following the guidelines. The increasing use of Chinese clinical practice guidelines for PD management is having a positive impact on the optimization of care, which in turn offers important economic benefits.
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