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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004736naa a2200745 4500
001oai:lup.lub.lu.se:1a6c1a35-7c9d-44fd-bbd7-aeeaa419be59
003SwePub
008160401s2006 | |||||||||||000 ||eng|
024a https://lup.lub.lu.se/record/4047932 URI
024a https://doi.org/10.1002/mds.208082 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Schrag, A4 aut
2451 0a Health-related quality of life in multiple system atrophy
264 c 2006-02-24
264 1b Wiley,c 2006
520 a Although multiple system atrophy (MSA) is a neurodegenerative disorder leading to progressive disability and decreased life expectancy, little is known about patients' own evaluation of their illness and factors associated with poor health-related quality of life (Hr-QoL). We, therefore, assessed Hr-QoL and its determinants in MSA. The following scales were applied to 115 patients in the European MSA-Study Group (EMSA-SG) Natural History Study: Medical Outcome Study Short Form (SF-36), EQ-513, Beck Depression Inventory (BDI), Mini-Mental state examination (MMSE), Unified MSA Rating Scale (UMSARS), Hoehn & Yahr (H&Y) Parkinson's disease staging scale, Composite Autonomic Symptom Scale (COMPASS), and Parkinson's Disease Sleep Scale (PDSS). Forty-six percent of patients had moderate to severe depression (BDI >= 17); Hr-QoL scores on the SF-36 and EQ-5D were significantly impaired. Pain, the only domain with similar scores in MSA and published PD patients, was reported more frequently in patients with MSA-P (predominantly parkinsonian motor subtype) than MSA-C (predominantly cerebellar motor subtype; 76% vs. 50%; P = 0.005). Hr-QoL scores correlated most strongly with UMSARS motor, COMPASS, and BDI scores but not with MMSE scores, age at onset, or disease duration. The COMPASS and UMSARS activities of daily living scores were moderate-to-strong predictors for the SF-36 physical summary score and the BDI and UMSARS motor scores for the SF-36 mental summary score. This report is the first study to show that Hr-QoL is significantly impaired in MSA. Although not all possible factors related to impaired Hr-QoL in MSA could be assessed, autonomic dysfunction, motor impairment, and depression were most closely associated with poor Hr-QoL, and therapeutic management, therefore, should concentrate upon these aspects of the disease. (c) 2006 Movement Disorder Society.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Neurologi0 (SwePub)302072 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Neurology0 (SwePub)302072 hsv//eng
653 a health-related quality of life
653 a multiple system atrophy
653 a autonomic dysfunction
653 a depression
700a Geser, F4 aut
700a Stampfer-Kountchev, M4 aut
700a Seppi, K4 aut
700a Sawires, M4 aut
700a Kollensperger, M4 aut
700a Scherfler, C4 aut
700a Quinn, N4 aut
700a Pellecchia, MT4 aut
700a Barone, P4 aut
700a del Sorbo, F4 aut
700a Albanese, A4 aut
700a Ostergaard, K4 aut
700a Dupont, E4 aut
700a Cardozo, A4 aut
700a Tolosa, E4 aut
700a Nilsson, C4 aut
700a Widner, Håkanu Lund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)mphy-hwi
700a Lindvall, Olleu Lund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)neur-oli
700a Giladi, N4 aut
700a Gurevich, T4 aut
700a Daniels, C4 aut
700a Deuschl, G4 aut
700a Coelho, M4 aut
700a Sampaio, C4 aut
700a Abele, M4 aut
700a Klockgether, T4 aut
700a Schimke, N4 aut
700a Eggert, KM4 aut
700a Oertel, W4 aut
700a Djaldetti, R4 aut
700a Colosimo, C4 aut
700a Meco, G4 aut
700a Poewe, W4 aut
700a Wenning, GK4 aut
710a Neurologi, Lundb Sektion IV4 org
773t Movement Disordersd : Wileyg 21:6, s. 809-815q 21:6<809-815x 0885-3185
856u http://dx.doi.org/10.1002/mds.20808y FULLTEXT
8564 8u https://lup.lub.lu.se/record/404793
8564 8u https://doi.org/10.1002/mds.20808

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