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- Title
Personalised Advanced Therapies in Parkinson's Disease: The Role of Non-Motor Symptoms Profile.
- Authors
Leta, Valentina; Dafsari, Haidar S.; Sauerbier, Anna; Metta, Vinod; Titova, Nataliya; Timmermann, Lars; Ashkan, Keyoumars; Samuel, Michael; Pekkonen, Eero; Odin, Per; Antonini, Angelo; Martinez-Martin, Pablo; Parry, Miriam; van Wamelen, Daniel J.; Ray Chaudhuri, K.
- Abstract
Device-aided therapies, including levodopa-carbidopa intestinal gel infusion, apomorphine subcutaneous infusion, and deep brain stimulation, are available in many countries for the management of the advanced stage of Parkinson's disease (PD). Currently, selection of device-aided therapies is mainly focused on patients' motor profile while non-motor symptoms play a role limited to being regarded as possible exclusion criteria in the decision-making process for the delivery and sustenance of a successful treatment. Differential beneficial effects on specific non-motor symptoms of the currently available device-aided therapies for PD are emerging and these could hold relevant clinical implications. In this viewpoint, we suggest that specific non-motor symptoms could be used as an additional anchor to motor symptoms and not merely as exclusion criteria to deliver bespoke and patient-specific personalised therapy for advanced PD.
- Subjects
DEEP brain stimulation; PARKINSON'S disease; SUBCUTANEOUS infusions; SYMPTOMS; INTESTINES; INSULIN pumps; TREATMENT effectiveness
- Publication
Journal of Personalized Medicine, 2021, Vol 11, Issue 8, p773
- ISSN
2075-4426
- Publication type
Article
- DOI
10.3390/jpm11080773