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个性化长期监测设备在帕金森病真实临床实践环境中的临床效用:关于STAT-ON™的专家意见调查

Clinical utility of a personalized and long-term monitoring device for Parkinson's disease in a real clinical practice setting: An expert opinion survey on STAT-ON™.

作者信息

Santos García D, López Ariztegui N, Cubo E, Vinagre Aragón A, García-Ramos R, Borrué C, Fernández-Pajarín G, Caballol N, Cabo I, Barrios-López J M, Hernández Vara J, Ávila Rivera M A, Gasca-Salas C, Escalante S, Manrique de Lara P, Pérez Noguera R, Álvarez Sauco M, Sierra M, Monje M H G, Sánchez Ferro A, Novo Ponte S, Alonso-Frech F, Macías-García D, Legarda I, Rojo A, Álvarez Fernández I, Buongiorno M T, Pastor P, García Ruíz P

机构信息

CHUAC, Complejo Hospitalario Universitario de A Coruña, Spain.

Complejo Hospitalario de Toledo, Toledo, Spain.

出版信息

Neurologia (Engl Ed). 2020 Dec 24. doi: 10.1016/j.nrl.2020.10.013.

Abstract

BACKGROUND

STAT-ON™ is an objective tool that registers ON-OFF fluctuations making possible to know the state of the patient at every moment of the day in normal life. Our aim was to analyze the opinion of different Parkinson's disease experts about the STAT-ON™ tool after using the device in a real clinical practice setting (RCPS).

METHODS

STAT-ON™ was provided by the Company Sense4Care to Spanish neurologists for using it in a RCPS. Each neurologist had the device for at least three months and could use it in PD patients at his/her own discretion. In February 2020, a survey with 30 questions was sent to all participants.

RESULTS

Two thirds of neurologists (53.8% females; mean age 44.9±9 years old) worked in a Movement Disorders Unit, the average experience in PD was 16±6.9 years, and 40.7% of them had previously used other devices. A total of 119 evaluations were performed in 114 patients (range 2-9 by neurologist; mean 4.5±2.3). STAT-ON™ was considered "quite" to "very useful" by 74% of the neurologists with an overall opinion of 6.9±1.7 (0, worst; 10, best). STAT-ON™ was considered better than diaries by 70.3% of neurologists and a useful tool for the identification of patients with advanced PD by 81.5%. Proper identification of freezing of gait episodes and falls were frequent limitations reported.

CONCLUSION

STAT-ON™ could be a useful device for using in PD patients in clinical practice.

摘要

背景

STAT-ON™是一种客观工具,可记录开-关波动情况,从而有可能了解患者在日常生活中每时每刻的状态。我们的目的是在真实临床实践环境(RCPS)中使用该设备后,分析不同帕金森病专家对STAT-ON™工具的看法。

方法

Sense4Care公司向西班牙神经科医生提供了STAT-ON™,以便在RCPS中使用。每位神经科医生使用该设备至少三个月,并可自行决定在帕金森病患者中使用。2020年2月,向所有参与者发送了一份包含30个问题的调查问卷。

结果

三分之二的神经科医生(53.8%为女性;平均年龄44.9±9岁)在运动障碍科工作,他们治疗帕金森病的平均经验为16±6.9年,其中40.7%的人此前曾使用过其他设备。共对114名患者进行了119次评估(每位神经科医生评估2 - 9例;平均4.5±2.3例)。74%的神经科医生认为STAT-ON™“相当”至“非常有用”,总体评分为6.9±1.7(0为最差;10为最佳)。70.3%的神经科医生认为STAT-ON™比日记更好,81.5%的神经科医生认为它是识别晚期帕金森病患者的有用工具。步态冻结发作和跌倒的正确识别是经常报告的局限性。

结论

STAT-ON™在临床实践中可能是一种用于帕金森病患者的有用设备。

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