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- ArticleTu XJ, Hwang WJ, Ma HI, Chang LH, Hsu SP.PLoS One. 2017;12(6):e0178896.OBJECTIVES: Generic and disease-specific health-related quality of life (HRQoL) instruments may reflect different aspects of lives in patients with Parkinson's disease (PD) and thus be associated with different determinants. We used the same cluster of predictors for the generic and disease-specific HRQoL instruments to examine and compare the determinants of HRQoL.
METHOD: HRQoL was measured in 92 patients with PD by the 36-item Short-Form Health Survey (SF-36) and the 39-item Parkinson's Disease Questionnaire (PDQ-39). The predictors included demographic and disease characteristics, and motor and non-motor symptoms. Multiple regression analyses were used to identify HRQoL determinants.
RESULTS: Depressive symptoms and motor difficulties of daily living were the first two significant determinants for both instruments. The other significant determinant for the SF-36 was fatigue and non-motor difficulties of daily living, and for the PDQ-39 was motor signs of PD.
CONCLUSIONS: The results suggest the importance of the evaluation and intervention focused on depressive symptoms and motor difficulties of daily living in patients with PD. In addition, the SF-36 seems more related to non-motor symptoms, while the PDQ-39 appears more associated with motor symptoms. This information is important for understanding results from these two instruments and for choosing which to use. - Bookeditors, Bernard R. Bendok, ... Show More MD William J. and Charles H. Mayo Professor and Chair of Neurological Surgery Mayo Clinic Phoenix, Arizona, USA H. Hunt Batjer, MD Professor Emeritus and Past Chair Department of Neurological Surgery University of Texas Southwestern Medical Center Dallas, Texas, USA Associate Editors Brian W. Chong Bart M. Demaerschalk Chandan Krishna Devi P. Patra Rudy J. Rahme Ayan Sen Evelyn L. Turcotte Andrej Urumov Mathew E. Welz.Summary: "In the last decade, advances in interventional, microsurgcial, radiosurgical techniques, medical approaches and imaging technology have dramatically changed the management of ischemic stroke. Perhaps the most important advance has been the increasing collaboration between multispecialty clinicians to deliver team-based stroke care. Hemorrhagic and Ischemic Stroke: Medical, Imaging, Surgical, and Interventional Approaches, Second Edition by renowned neurosurgeons Bernard R. Bendok and H. Hunt Batjer and acclaimed contributors provides a user-friendly, single resource for managing ischemic and hemorrhagic stroke. The second edition has been updated to reflect progress, most notably acute evaluation and triage, advanced imaging, critical care and medical support, and endovascular and surgical interventions. In addition to scientifically supported content, readers will benefit from pragmatic, real-world applications and concise, practical reviews. Organized into four sections and 41 chapters, the text starts with the section Acute Triage, which includes early diagnosis and medical decision-making, advances in medical imaging, innovations in prehospital management of stroke, and the promise of telestroke networks. The second section, Critical Care, covers the importance of astute clinical examination, stabilization, and advanced neuromonitoring techniques. The third section, Open Surgical, Minimally Invasive, and Microsurgical Approaches, reviews recent surgical innovations that have the potential to be lifesaving and enhance quality of life in select patients. The fourth and final section, Neurointerventional Approaches, explores recent innovations in image-guided catheter techniques to deliver new therapies for stroke treatment and prevention"-- Provided by publisher.
Contents:
Clinical presentation and acute triage of ischemic stroke, intracranial hemorrhage, and subarachnoid hemorrhage / Devi P. Patra, Onur Açiş, Miles Hudson, Benzion Blech, Gyanendra Kumar, Vanesa K. Vanderhye, Lynda M. Christel, and Bernard R. BendokDigital Access