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Disease progression in Parkinson‘s disease patients with subjective cognitive complaint

Objective Little is known about the disease progression of Parkinson's disease patients with subjective cognitive complaint (PD‐SCC). This longitudinal cohort study aims to compare the progression of clinical features and quality of life (QoL) in PD patients with normal cognition (NC), SCC, and...

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Published in:Annals of clinical and translational neurology 2021-10, Vol.8 (10), p.2096-2104
Main Authors: Han, Lin‐Lin, Wang, Lan, Xu, Zhi‐Heng, Liang, Xiao‐Niu, Zhang, Meng‐Wei, Fan, Yun, Sun, Yi‐Min, Liu, Feng‐Tao, Yu, Wen‐Bo, Tang, Yi‐Lin
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creator Han, Lin‐Lin
Wang, Lan
Xu, Zhi‐Heng
Liang, Xiao‐Niu
Zhang, Meng‐Wei
Fan, Yun
Sun, Yi‐Min
Liu, Feng‐Tao
Yu, Wen‐Bo
Tang, Yi‐Lin
description Objective Little is known about the disease progression of Parkinson's disease patients with subjective cognitive complaint (PD‐SCC). This longitudinal cohort study aims to compare the progression of clinical features and quality of life (QoL) in PD patients with normal cognition (NC), SCC, and mild cognitive impairment (MCI). Methods A total of 383 PD patients were enrolled, including 189 PD‐NC patients, 59 PD‐SCC patients, and 135 PD‐MCI patients, with 1–7 years of follow‐up. Linear mixed models were applied to evaluate longitudinal changes in motor symptoms, nonmotor features (cognitive impairment, depression, and excessive daytime sleepiness), and QoL in PD. Results At baseline, PD‐SCC patients had lower Beck Depression Inventory (BDI) scores and Parkinson's Disease Questionnaire‐39 (PDQ‐39) scores than PD‐NC patients (all p 
doi_str_mv 10.1002/acn3.51461
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This longitudinal cohort study aims to compare the progression of clinical features and quality of life (QoL) in PD patients with normal cognition (NC), SCC, and mild cognitive impairment (MCI). Methods A total of 383 PD patients were enrolled, including 189 PD‐NC patients, 59 PD‐SCC patients, and 135 PD‐MCI patients, with 1–7 years of follow‐up. Linear mixed models were applied to evaluate longitudinal changes in motor symptoms, nonmotor features (cognitive impairment, depression, and excessive daytime sleepiness), and QoL in PD. Results At baseline, PD‐SCC patients had lower Beck Depression Inventory (BDI) scores and Parkinson's Disease Questionnaire‐39 (PDQ‐39) scores than PD‐NC patients (all p &lt; 0.05). Longitudinal analyses revealed that the PD‐SCC group exhibited faster progression in terms of BDI scores (p = 0.042) and PDQ‐39 scores (p = 0.035) than the PD‐NC group. The PD‐MCI group exhibited faster progression rates in the Epworth Sleepiness Scale scores (p = 0.001) and PDQ‐39 scores (p = 0.005) than the PD‐NC group. In addition, the PD‐SCC group exhibited a greater reduction in attention (Trail Making Test Part A, p = 0.047) and executive function (Stroop Color‐Word Test, p = 0.037) than the PD‐NC group. Interpretation PD‐SCC patients exhibited faster deterioration of depression and QoL than PD‐NC patients, and SCC may be an indicator of initial attention and executive function decline in PD. Our findings provided a more accurate prognosis in PD‐SCC patients.</description><identifier>ISSN: 2328-9503</identifier><identifier>EISSN: 2328-9503</identifier><identifier>DOI: 10.1002/acn3.51461</identifier><identifier>PMID: 34595848</identifier><language>eng</language><publisher>Bognor Regis: John Wiley &amp; Sons, Inc</publisher><subject>Alzheimer's disease ; Cognition &amp; reasoning ; Cognitive ability ; Dementia ; Education ; Longitudinal studies ; Neuropsychology ; Parkinson's disease ; Patients ; Questionnaires ; Task forces ; Variance analysis</subject><ispartof>Annals of clinical and translational neurology, 2021-10, Vol.8 (10), p.2096-2104</ispartof><rights>2021 The Authors. published by Wiley Periodicals LLC on behalf of American Neurological Association</rights><rights>2021. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3731-c12a21b0567893da082609ffd03c2fa1ce1d53dc253bed72f31f433f4c9e3e9a3</citedby><cites>FETCH-LOGICAL-c3731-c12a21b0567893da082609ffd03c2fa1ce1d53dc253bed72f31f433f4c9e3e9a3</cites><orcidid>0000-0003-2819-6554 ; 0000-0001-7688-1631</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2583552453/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2583552453?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,11541,25731,27901,27902,36989,44566,46027,46451,53766,53768,74869</link.rule.ids></links><search><creatorcontrib>Han, Lin‐Lin</creatorcontrib><creatorcontrib>Wang, Lan</creatorcontrib><creatorcontrib>Xu, Zhi‐Heng</creatorcontrib><creatorcontrib>Liang, Xiao‐Niu</creatorcontrib><creatorcontrib>Zhang, Meng‐Wei</creatorcontrib><creatorcontrib>Fan, Yun</creatorcontrib><creatorcontrib>Sun, Yi‐Min</creatorcontrib><creatorcontrib>Liu, Feng‐Tao</creatorcontrib><creatorcontrib>Yu, Wen‐Bo</creatorcontrib><creatorcontrib>Tang, Yi‐Lin</creatorcontrib><title>Disease progression in Parkinson‘s disease patients with subjective cognitive complaint</title><title>Annals of clinical and translational neurology</title><description>Objective Little is known about the disease progression of Parkinson's disease patients with subjective cognitive complaint (PD‐SCC). This longitudinal cohort study aims to compare the progression of clinical features and quality of life (QoL) in PD patients with normal cognition (NC), SCC, and mild cognitive impairment (MCI). Methods A total of 383 PD patients were enrolled, including 189 PD‐NC patients, 59 PD‐SCC patients, and 135 PD‐MCI patients, with 1–7 years of follow‐up. Linear mixed models were applied to evaluate longitudinal changes in motor symptoms, nonmotor features (cognitive impairment, depression, and excessive daytime sleepiness), and QoL in PD. Results At baseline, PD‐SCC patients had lower Beck Depression Inventory (BDI) scores and Parkinson's Disease Questionnaire‐39 (PDQ‐39) scores than PD‐NC patients (all p &lt; 0.05). Longitudinal analyses revealed that the PD‐SCC group exhibited faster progression in terms of BDI scores (p = 0.042) and PDQ‐39 scores (p = 0.035) than the PD‐NC group. The PD‐MCI group exhibited faster progression rates in the Epworth Sleepiness Scale scores (p = 0.001) and PDQ‐39 scores (p = 0.005) than the PD‐NC group. In addition, the PD‐SCC group exhibited a greater reduction in attention (Trail Making Test Part A, p = 0.047) and executive function (Stroop Color‐Word Test, p = 0.037) than the PD‐NC group. Interpretation PD‐SCC patients exhibited faster deterioration of depression and QoL than PD‐NC patients, and SCC may be an indicator of initial attention and executive function decline in PD. 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This longitudinal cohort study aims to compare the progression of clinical features and quality of life (QoL) in PD patients with normal cognition (NC), SCC, and mild cognitive impairment (MCI). Methods A total of 383 PD patients were enrolled, including 189 PD‐NC patients, 59 PD‐SCC patients, and 135 PD‐MCI patients, with 1–7 years of follow‐up. Linear mixed models were applied to evaluate longitudinal changes in motor symptoms, nonmotor features (cognitive impairment, depression, and excessive daytime sleepiness), and QoL in PD. Results At baseline, PD‐SCC patients had lower Beck Depression Inventory (BDI) scores and Parkinson's Disease Questionnaire‐39 (PDQ‐39) scores than PD‐NC patients (all p &lt; 0.05). Longitudinal analyses revealed that the PD‐SCC group exhibited faster progression in terms of BDI scores (p = 0.042) and PDQ‐39 scores (p = 0.035) than the PD‐NC group. The PD‐MCI group exhibited faster progression rates in the Epworth Sleepiness Scale scores (p = 0.001) and PDQ‐39 scores (p = 0.005) than the PD‐NC group. In addition, the PD‐SCC group exhibited a greater reduction in attention (Trail Making Test Part A, p = 0.047) and executive function (Stroop Color‐Word Test, p = 0.037) than the PD‐NC group. Interpretation PD‐SCC patients exhibited faster deterioration of depression and QoL than PD‐NC patients, and SCC may be an indicator of initial attention and executive function decline in PD. Our findings provided a more accurate prognosis in PD‐SCC patients.</abstract><cop>Bognor Regis</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>34595848</pmid><doi>10.1002/acn3.51461</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-2819-6554</orcidid><orcidid>https://orcid.org/0000-0001-7688-1631</orcidid><oa>free_for_read</oa></addata></record>
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subjects Alzheimer's disease
Cognition & reasoning
Cognitive ability
Dementia
Education
Longitudinal studies
Neuropsychology
Parkinson's disease
Patients
Questionnaires
Task forces
Variance analysis
title Disease progression in Parkinson‘s disease patients with subjective cognitive complaint
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