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Quality of life in Parkinson’s disease improved by apomorphine pump: the OPTIPUMP cohort study
by
Fraix, Valérie
, Andre, Karine
, Drapier, Sophie
, Tranchant, Christine
, Viallet, François
, Roze, Emmanuel
, Eusebio, Alexandre
, Defebvre, Luc
, Durif, Franck
, Rouaud, Tiphaine
, Moreau, Caroline
, Brefel Courbon, Christine
, Devos, David
, Vérin, Marc
, Degos, Bertrand
, Azulay, Jean Philippe
in
[SDV]Life Sciences [q-bio]
/ Aged
/ Antiparkinson Agents
/ Antiparkinson Agents - administration & dosage
/ Antiparkinson Agents - adverse effects
/ Apomorphine
/ Apomorphine - administration & dosage
/ Apomorphine - adverse effects
/ Apomorphine pump
/ Cohort analysis
/ Dopamine Agonists
/ Dopamine Agonists - administration & dosage
/ Dopamine Agonists - adverse effects
/ Female
/ Follow-Up Studies
/ France
/ Hospitals
/ Humans
/ Infusion Pumps
/ Infusion Pumps - adverse effects
/ Infusions, Subcutaneous
/ Infusions, Subcutaneous - adverse effects
/ Life Sciences
/ Male
/ Medicine
/ Medicine & Public Health
/ Movement disorders
/ Neurology
/ Neuroradiology
/ Neurosciences
/ Original Communication
/ Parkinson Disease
/ Parkinson Disease - drug therapy
/ Parkinson Disease - psychology
/ Parkinson's disease
/ Prospective Studies
/ Quality of Life
/ Treatment Outcome
2016
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Quality of life in Parkinson’s disease improved by apomorphine pump: the OPTIPUMP cohort study
by
Fraix, Valérie
, Andre, Karine
, Drapier, Sophie
, Tranchant, Christine
, Viallet, François
, Roze, Emmanuel
, Eusebio, Alexandre
, Defebvre, Luc
, Durif, Franck
, Rouaud, Tiphaine
, Moreau, Caroline
, Brefel Courbon, Christine
, Devos, David
, Vérin, Marc
, Degos, Bertrand
, Azulay, Jean Philippe
in
[SDV]Life Sciences [q-bio]
/ Aged
/ Antiparkinson Agents
/ Antiparkinson Agents - administration & dosage
/ Antiparkinson Agents - adverse effects
/ Apomorphine
/ Apomorphine - administration & dosage
/ Apomorphine - adverse effects
/ Apomorphine pump
/ Cohort analysis
/ Dopamine Agonists
/ Dopamine Agonists - administration & dosage
/ Dopamine Agonists - adverse effects
/ Female
/ Follow-Up Studies
/ France
/ Hospitals
/ Humans
/ Infusion Pumps
/ Infusion Pumps - adverse effects
/ Infusions, Subcutaneous
/ Infusions, Subcutaneous - adverse effects
/ Life Sciences
/ Male
/ Medicine
/ Medicine & Public Health
/ Movement disorders
/ Neurology
/ Neuroradiology
/ Neurosciences
/ Original Communication
/ Parkinson Disease
/ Parkinson Disease - drug therapy
/ Parkinson Disease - psychology
/ Parkinson's disease
/ Prospective Studies
/ Quality of Life
/ Treatment Outcome
2016
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Quality of life in Parkinson’s disease improved by apomorphine pump: the OPTIPUMP cohort study
by
Fraix, Valérie
, Andre, Karine
, Drapier, Sophie
, Tranchant, Christine
, Viallet, François
, Roze, Emmanuel
, Eusebio, Alexandre
, Defebvre, Luc
, Durif, Franck
, Rouaud, Tiphaine
, Moreau, Caroline
, Brefel Courbon, Christine
, Devos, David
, Vérin, Marc
, Degos, Bertrand
, Azulay, Jean Philippe
in
[SDV]Life Sciences [q-bio]
/ Aged
/ Antiparkinson Agents
/ Antiparkinson Agents - administration & dosage
/ Antiparkinson Agents - adverse effects
/ Apomorphine
/ Apomorphine - administration & dosage
/ Apomorphine - adverse effects
/ Apomorphine pump
/ Cohort analysis
/ Dopamine Agonists
/ Dopamine Agonists - administration & dosage
/ Dopamine Agonists - adverse effects
/ Female
/ Follow-Up Studies
/ France
/ Hospitals
/ Humans
/ Infusion Pumps
/ Infusion Pumps - adverse effects
/ Infusions, Subcutaneous
/ Infusions, Subcutaneous - adverse effects
/ Life Sciences
/ Male
/ Medicine
/ Medicine & Public Health
/ Movement disorders
/ Neurology
/ Neuroradiology
/ Neurosciences
/ Original Communication
/ Parkinson Disease
/ Parkinson Disease - drug therapy
/ Parkinson Disease - psychology
/ Parkinson's disease
/ Prospective Studies
/ Quality of Life
/ Treatment Outcome
2016
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Quality of life in Parkinson’s disease improved by apomorphine pump: the OPTIPUMP cohort study
Journal Article
Quality of life in Parkinson’s disease improved by apomorphine pump: the OPTIPUMP cohort study
2016
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Overview
To report on OPTIPUMP, a cohort study, investigating the impact in real-life clinical settings of continuous subcutaneous apomorphine infusion (CSAI) on the quality of life (HRQoL) of patients with Parkinson’s disease. OPTIPUMP was a prospective, open-label, observational cohort study involving 30 investigational sites in France. CSAI was proposed as part of routine clinical care to patients aged ≥18 years, in absence of dementia, with a PD diagnosis and based on the presence of motor fluctuations not controlled by oral treatments. The impact of APO-pump on quality of life was evaluated as the difference in PDQ-39 scores between the initiation treatment and the follow-up visit after 6 months’ treatment. All adverse events were recorded. Hyper- and hypodopaminergic behavioral tolerance was assessed on the Ardouin Scale of Behavior in Parkinson’s Disease. Between September 2011 and January 2013, we enrolled 142 patients: 42 patients were withdrawn due to pump removal (33), death (4), lost of follow-up (4), no available data (1). 100 completed the study. At 6 months, their HRQoL had significantly improved (
p
= 0.011), as had their total UPDRS score (
p
< 0.001). Regarding the safety profile, Ardouin scale scores indicated that their hyperdopaminergic behaviors had not increased. CSAI had a favorable impact on HRQoL, with benefits outweighing risks. The analysis of the withdrawn patients highlights the heterogeneity of the use of the pump having an impact on its efficacy and tolerability.
Publisher
Springer Science and Business Media LLC,Springer Berlin Heidelberg,Springer Nature B.V,Springer Verlag
Subject
/ Aged
/ Antiparkinson Agents - administration & dosage
/ Antiparkinson Agents - adverse effects
/ Apomorphine - administration & dosage
/ Apomorphine - adverse effects
/ Dopamine Agonists - administration & dosage
/ Dopamine Agonists - adverse effects
/ Female
/ France
/ Humans
/ Infusion Pumps - adverse effects
/ Infusions, Subcutaneous - adverse effects
/ Male
/ Medicine
/ Parkinson Disease - drug therapy
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