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Journal of Parkinson’s Disease
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Staging Parkinson’s Disease According to the MNCD (Motor/Non-motor/Cognition/Dependency) Classification Correlates with Disease Severity and Quality of Life

Authors: Santos García, Diego; Deus Fonticoba, Teresa de; Cores Bartolomé, Carlos; Feal Painceiras, Maria J.; Íñiguez Alvarado, Maria Cristina; García Díaz, Iago; Jesús, Silvia; +50 Authors

Staging Parkinson’s Disease According to the MNCD (Motor/Non-motor/Cognition/Dependency) Classification Correlates with Disease Severity and Quality of Life

Abstract

Background: Recently, a novel simple classification called MNCD, based on 4 axes (Motor; Non-motor; Cognition; Dependency) and 5 stages, has been proposed to classify Parkinson's disease (PD). Objective: Our aim was to apply the MNCD classification in a cohort of PD patients for the first time and also to analyze the correlation with quality of life (QoL) and disease severity. Methods: Data from the baseline visit of PD patients recruited from 35 centers in Spain from the COPPADIS cohort fromJanuary 2016 to November 2017 were used to apply the MNCD classification. Three instruments were used to assess QoL:1) the 39-item Parkinson's disease Questionnaire [PDQ-39]); PQ-10; the EUROHIS-QOL 8-item index (EUROHIS-QOL8). Results: Four hundred and thirty-nine PD patients (62.05±7.84 years old; 59% males) were included. MNCD stage was:stage 1, 8.4% (N = 37); stage 2, 62% (N = 272); stage 3, 28.2% (N = 124); stage 4-5, 1.4% (N = 6). A more advancedMNCD stage was associated with a higher score on the PDQ39SI (p < 0.0001) and a lower score on the PQ-10 (p< 0.0001) and EUROHIS-QOL8 (p< 0.0001). In many other aspects of the disease, such as disease duration, levodopa equivalent daily dose, motor symptoms, non-motor symptoms, and autonomy for activities of daily living, an association between the stage and severity was observed, with data indicating a progressive worsening related to disease progression throughout the proposed stages. Conclusion: Staging PD according to the MNCD classification correlated with QoL and disease severity. The MNCD could be a proper tool to monitor the progression of PD.

Country
Spain
Keywords

cognition, Quality of life, Research Report, Male, Medicina, Parkinson's disease, Anciano, Índice de Severidad de la Enfermedad, Non-motor symptoms, Símptomes, Severity of Illness Index, s disease, Cognition, Malaltia de Parkinson, Activities of Daily Living, Humans, Masculino, Neurología, Aged, Persona de Mediana Edad, Axial symptoms, MNCD classification, Femenino, Patient Acuity, Parkinson Disease, Parkinson&apos, Middle Aged, non-motor symptoms, Nervous system-Diseases, Humanos, Neurology, quality of life, Qualitat de vida, Enfermedad de Parkinson, Symptoms, Parkinson’s disease, Quality of Life, Sistema nervioso-Enfermedades, Medicine, Female, Calidad de Vida, Gravedad del Paciente, Actividades Cotidianas

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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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impulse
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