CHUAC, Complejo Hospitalario Universitario de A Coruña, Spain.
Complejo Hospitalario de Toledo, Toledo, Spain.
Neurologia (Engl Ed). 2023 Jun;38(5):326-333. doi: 10.1016/j.nrleng.2020.10.014.
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).
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.
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.
STAT-ON™ could be a useful device for using in PD patients in clinical practice.
STAT-ON™ 是一种客观工具,可记录 ON-OFF 波动,使我们能够在日常生活中随时了解患者的状态。我们的目的是在真实临床实践环境(RCPS)中使用 STAT-ON™ 工具后,分析不同帕金森病专家对该工具的看法。
由 Sense4Care 公司向西班牙神经科医生提供 STAT-ON™,让他们在 RCPS 中使用。每位神经科医生至少使用该设备三个月,并可以自行决定在 PD 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。
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,平均 PD 经验为 16±6.9 年,40.7%的医生曾使用过其他设备。共有 114 名患者的 119 次评估(每位医生评估 2-9 次,平均 4.5±2.3 次)。74%的神经科医生认为 STAT-ON™“相当”到“非常有用”,总体评价为 6.9±1.7(0 分最差,10 分最好)。70.3%的神经科医生认为 STAT-ON™优于日记,81.5%的神经科医生认为它是识别晚期 PD 患者的有用工具。常报告的局限性是正确识别冻结步态发作和跌倒。
STAT-ON™ 可能是一种在临床实践中用于 PD 患者的有用工具。