| Title: |
Multidisciplinary care use in neurodegenerative complex diseases: The example of progressive supranuclear palsy and advanced Parkinson's disease in real-life |
| Authors: |
Fabbri M.; Ledda C.; Schirinzi T.; Artusi C. A.; Avallone A. R.; Zenuni H.; De Micco R.; Aloisio S.; Cani I.; Malaguti M. C.; Di Biasio F.; Calandra-Buonaura G.; Stefani A.; Lopiano L.; Barone P.; Picillo M.; Serio M.; Zibetti M.; Bissacco J.; Satolli S.; Sambati L.; Bacchin R.; Longo C.; Marchese R.; Panetta S.; Magistrelli L.; Contaldi E.; Moschella V.; Altavista M. C.; Costanzo M.; Fabbrini G.; Olivola E.; Modugno N.; Cincotta M.; Piccininni M.; Capecci M.; Baldini N.; Ciammola A.; Ticozzi N.; Raffaella D. G.; De Togni L.; Sala F.; Nicoletti A.; Cicero E.; Ceravolo R.; Del Prete E. |
| Contributors: |
M. Fabbri; C. Ledda; T. Schirinzi; C.A. Artusi; A.R. Avallone; H. Zenuni; R. De Micco; S. Aloisio; I. Cani; M.C. Malaguti; F. Di Biasio; G. Calandra-Buonaura; A. Stefani; L. Lopiano; P. Barone; M. Picillo; M. Serio; M. Zibetti; J. Bissacco; S. Satolli; L. Sambati; R. Bacchin; C. Longo; R. Marchese; S. Panetta; L. Magistrelli; E. Contaldi; V. Moschella; M.C. Altavista; M. Costanzo; G. Fabbrini; E. Olivola; N. Modugno; M. Cincotta; M. Piccininni; M. Capecci; N. Baldini; A. Ciammola; N. Ticozzi; D.G. Raffaella; L. De Togni; F. Sala; A. Nicoletti; E. Cicero; R. Ceravolo; E. Del Prete |
| Publisher Information: |
Elsevier |
| Publication Year: |
2024 |
| Collection: |
The University of Milan: Archivio Istituzionale della Ricerca (AIR) |
| Subject Terms: |
Advanced Parkinson's disease; Home care; Multidisciplinary; Progressive supranuclear palsy; Settore MEDS-12/A - Neurologia |
| Description: |
Background: In spite of being considered the gold-standard of care, little is known about the real-life use of in-home and multidisciplinary care in atypical parkinsonism. Objective: Primary: Examine real-life multidisciplinary care use for Progressive Supranuclear Palsy (PSP). Secondary: a) Compare PSP care to advanced Parkinson's disease (APD) care; (b) Explore demographic and clinical variables associated with care needs in both groups. Methods: A cross-sectional multicenter observational study enrolled 129 PSP patients and 65 APD patients (Hoehn and Yahr ≥3), matched for sex and age. Univariate and multivariate regression analysis were performed. Results: Over the previous year, 40 % of PSP patients did not encounter a physical therapist, while only one-third met a speech and language therapist and 5 % an occupational therapist. More than 20 % received in-home care and 32 % needed home structural changes. Compared to APD, PSP patients required more day-time, night-time and home structural changes. When considering both PSP and APD in multivariate analysis, reduced functional autonomy and living without a family caregiver were both related to day-time home assistance and to the need of at least one home care service. A PSP diagnosis compared to APD was a risk factor for having at least four multidisciplinary visits in a year. Finally, PSP diagnosis and being from the Northern Italy were significantly related with home structural changes. Conclusions: There's a significant gap in providing multidisciplinary care for PSP patients. Our findings emphasize the need for a shared, integrated care plan at a national level for patients with atypical parkinsonism. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/38964017; info:eu-repo/semantics/altIdentifier/wos/WOS:001265258400001; volume:125; firstpage:1; lastpage:7; numberofpages:7; journal:PARKINSONISM & RELATED DISORDERS; https://hdl.handle.net/2434/1206155 |
| DOI: |
10.1016/j.parkreldis.2024.107047 |
| Availability: |
https://hdl.handle.net/2434/1206155; https://doi.org/10.1016/j.parkreldis.2024.107047 |
| Rights: |
info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| Accession Number: |
edsbas.6F76CF0D |
| Database: |
BASE |