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Titolo:
Gender differences in the frequency and treatment of behavior problems in Parkinson's disease
Autore:
Fernandez, HH; Lapane, KL; Ott, BR; Friedman, JH;
Indirizzi:
Brown Univ, Dept Clin Neurosci, Providence, RI 02912 USA Brown Univ Providence RI USA 02912 lin Neurosci, Providence, RI 02912 USA Brown Univ, Ctr Gerontol & Hlth Care Res, Providence, RI 02912 USA Brown Univ Providence RI USA 02912 lth Care Res, Providence, RI 02912 USA Brown Univ, Dept Community Hlth, Providence, RI 02912 USA Brown Univ Providence RI USA 02912 mmunity Hlth, Providence, RI 02912 USA
Titolo Testata:
MOVEMENT DISORDERS
fascicolo: 3, volume: 15, anno: 2000,
pagine: 490 - 496
SICI:
0885-3185(200005)15:3<490:GDITFA>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
MINIMUM DATA SET; NURSING-HOME RESIDENTS; LONG-TERM-CARE; GERIATRIC PHARMACOEPIDEMIOLOGY; ASSESSMENT INSTRUMENT; ALZHEIMERS-DISEASE; SAGE DATABASE; DEPRESSION; MDS; MANIFESTATIONS;
Keywords:
gender; behavior; treatment; Parkinson; dementia; nursing home; long-term care; pharmacoepidemiology;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: Fernandez, HH Mem Hosp Rhode Isl, Div Neurol, 111 Brewster St, Pawtucket, RI 02860 USA Mem Hosp Rhode Isl 111 Brewster St Pawtucket RI USA 02860 SA
Citazione:
H.H. Fernandez et al., "Gender differences in the frequency and treatment of behavior problems in Parkinson's disease", MOVEMENT D, 15(3), 2000, pp. 490-496

Abstract

OBJECTIVE: To determine gender differences in the prevalence, survival rates, and management of noncognitive behavioral problems of patients with Parkinson's disease (PD) in nursing homes (NH). METHODS: We performed an observational study on 24,402 residents with PD using the Systematic Assessment and Geriatric drug use via Epidemiology (SAGE) database collected from the Minimum Data Set on a cross-section of over 400,000 NH residents in five US states. Gender differences in behavior wereused to predict differences in pharmacologic and nonpharmacologic therapies using logistic regression. Similar analyses were done to evaluate gender differences in 1-year survival rates among patients with PD with and without behavioral problems. RESULTS: 36% of men and 33% of women exhibited behavioral problems. Wandering, verbal and physical abusiveness, and inappropriate behavior tended to be more common in men, especially among PD residents with severe cognitive impairment. Hallucinations and delusions were equally prevalent between genders and depressive symptoms were more common in women. Regardless of behavioral manifestation, men were more likely to receive antipsychotic drugs, whereas women were more likely to receive antidepressants. This gender difference in treatment was also widest among the severely demented group. Although women lived longer, no difference in survival curves were noted betweenPD residents with and without behavioral problems. CONCLUSION: Gender appears to play an important role in determining the frequency and treatment of behavioral problems of NH residents with PD.

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Documento generato il 18/01/20 alle ore 01:59:02