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Dodaj S, Fabbri M, Doe de Maindreville A, Foubert-Samier A, Toussaint MC, Carriere N, Lopez J, Giroud M, Sattler V, Gerdelat A, Baille G, Turc JD, Barthelemy C, Scotto d Apollonia C, Fabre MH, Eytier E, Thiriez C, Fluchère F, Ory-Magne F. Survey on Parkinson's Disease Diagnosis Impact: Patients, Caregivers and Health Care Professionals' Perspectives. J Clin Med 2024; 13:4118. [PMID: 39064158 PMCID: PMC11278167 DOI: 10.3390/jcm13144118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2024] [Revised: 07/08/2024] [Accepted: 07/11/2024] [Indexed: 07/28/2024] Open
Abstract
Background: The announcement of Parkinson's disease (PD) diagnosis may provoke negative feelings that impact the ability to cope with the disease and all life changes related to this new condition. There are scarce data on how to improve communication about PD diagnosis and which factors may influence this outcome. Methods: We performed a national French survey, investigating the diagnosis announcement impact on a large population of people living with PD (PwPD), who recently received the diagnosis (≤1 year since PD diagnosis), and on related caregivers and health care professionals (HCPs), from tertiary and community-based hospitals. Results: A total of 397 PwPD (45% female and 82% > 50 years old), 192 caregivers and 120 HCPs (69% neurologists) completed the questionnaire. The diagnosis was not expected by about 60% of PwPD and induced negative feelings in the majority (82%) of them. Negative feelings that PwPD experience in the moment of the diagnosis announcement were related with male gender [OR = 2.034, CI 95% 1.09-3.78; p = 0.025] and older age [OR = 1.05, CI 95% 1.01-1.08; p = 0.004], while tremor as the first symptom had a threshold significance [OR = 1.78, CI 95% 0.994-3.187; p = 0.052]. Half of the PwPD and caregivers considered that they did not receive enough information and one third had a short-term appointment to rediscuss the diagnosis. A total of 82% of PwPD expressed the willingness to have a multidisciplinary follow-up (PD nurse, psychologists). Only 24% of the HCPs had been trained for PD announcement. Conclusions: The way a PD diagnosis is delivered represents a pivotal moment in the journey of PwPD and caregivers. This process requires improvement in addressing the gaps expressed by PwPD, caregivers, and HCPs through a participatory approach.
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Affiliation(s)
- Stela Dodaj
- Department of Neurology, University Hospital of Toulouse, 31300 Toulouse, France; (S.D.); (C.S.d.A.); (F.O.-M.)
| | - Margherita Fabbri
- Department of Neurology, University Hospital of Toulouse, 31300 Toulouse, France; (S.D.); (C.S.d.A.); (F.O.-M.)
- Department of Clinical Pharmacology and Neurosciences, Clinical Investigation Center CIC1436, Toulouse Parkinson Expert Centre, Toulouse NeuroToul Center of Excellence in Neurodegeneration (COEN), French NS-Park/F-CRIN Network, University of Toulouse 3, CHU of Toulouse, INSERM, 31000 Toulouse, France
| | | | - Alexandra Foubert-Samier
- Institut des Maladies Neurodégénératives, University Bordeaux, CNRS, IMN, UMR5293, 33000 Bordeaux, France;
- CHU Bordeaux, Service de Neurologie des Maladies Neurodégénératives, IMNc, CRMR AMS, NS-Park/FCRIN Network, 33000 Bordeaux, France; (M.-C.T.); (E.E.)
- Bordeaux Population Health Research Center, University Bordeaux, INSERM, BPH, U1219, IPSED, 33000 Bordeaux, France
| | - Marie-Claire Toussaint
- CHU Bordeaux, Service de Neurologie des Maladies Neurodégénératives, IMNc, CRMR AMS, NS-Park/FCRIN Network, 33000 Bordeaux, France; (M.-C.T.); (E.E.)
| | - Nicolas Carriere
- Department of Neurology, University Hospital of Lille, 59000 Lille, France
| | - Jeanne Lopez
- Department of Neurology, Hôpital Maison Blanche, 51092 Reims, France; (A.D.d.M.); (J.L.)
| | | | | | | | - Guillaume Baille
- Service de neurologie, Hôpital Delafontaine, 93200 St. Denis, France;
| | - Jean Denis Turc
- Professional Consultant in Neurology, 13500 Martigues, France;
| | - Christel Barthelemy
- Department of Neurology, University Hospital of Toulouse, 31300 Toulouse, France; (S.D.); (C.S.d.A.); (F.O.-M.)
| | | | - Marie Helene Fabre
- Department of Neurology, University Hospital of Toulouse, 31300 Toulouse, France; (S.D.); (C.S.d.A.); (F.O.-M.)
| | - Elina Eytier
- CHU Bordeaux, Service de Neurologie des Maladies Neurodégénératives, IMNc, CRMR AMS, NS-Park/FCRIN Network, 33000 Bordeaux, France; (M.-C.T.); (E.E.)
| | - Claire Thiriez
- Department of Neurology and Parkinson Expert Centre, Caen University-Hospital, 14000 Caen, France;
| | - Frederique Fluchère
- Service de Neurologie, Neurology Department, CHU Marseille, Hôpital de la Timone, 13000 Marseille, France;
| | - Fabienne Ory-Magne
- Department of Neurology, University Hospital of Toulouse, 31300 Toulouse, France; (S.D.); (C.S.d.A.); (F.O.-M.)
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Subramanian I, Pushparatnam K, McDaniels B, Mathur S, Post B, Schrag A. Delivering the diagnosis of Parkinson's disease- setting the stage with hope and compassion. Parkinsonism Relat Disord 2024; 118:105926. [PMID: 38129230 DOI: 10.1016/j.parkreldis.2023.105926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Revised: 10/28/2023] [Accepted: 11/01/2023] [Indexed: 12/23/2023]
Affiliation(s)
- Indu Subramanian
- Department of Neurology, David Geffen School of Medicine, Los Angeles, CA, USA; Parkinson's Disease Research, Education, and Clinical Center (PADRECC), Veterans Administration Greater Los Angeles Health Care System, Los Angeles, CA, USA
| | | | - Bradley McDaniels
- Department of Rehabilitation and Health Services, University of North Texas, Denton, TX, USA
| | | | - Bart Post
- Radboud University Medical Center, Donders Institute for Brain, Cognition and Behavior, Department of Neurology, Center of Expertise for Parkinson & Movement Disorders, Nijmegen, the Netherlands
| | - Anette Schrag
- UCL Queen Square Institute of Neurology, University College London, London, UK.
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