Continuous Subcutaneous Apomorphine Infusion in Parkinson’s Disease: A Single-Center, Long-Term Follow-Up Study of the Causes for Discontinuation
| Autor: | Harry Staines, Tove Henriksen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty Parkinson's disease Medicine (miscellaneous) Disease Single Center apomorphine Article 03 medical and health sciences 0302 clinical medicine Medicine 030212 general & internal medicine adherence Adverse effect advanced Parkinson’s disease business.industry Medical record medicine.disease Discontinuation Apomorphine medicine.symptom business 030217 neurology & neurosurgery Somnolence medicine.drug |
| Zdroj: | Journal of Personalized Medicine Volume 11 Issue 6 Journal of Personalized Medicine, Vol 11, Iss 525, p 525 (2021) |
| ISSN: | 2075-4426 |
| Popis: | (1) Background: Subcutaneous apomorphine infusion (SCAI) is one of the three main treatment options for motor fluctuations in advanced Parkinson’s disease (PD). The adherence to SCAI is generally considered to be low due to adverse events and because it is perceived as a treatment option to be used for a limited period only. We evaluated the reasons for discontinuation of SCAI in relation to when patients stopped treatment. (2) Methods: We reviewed the medical records of PD patients treated with SCAI at a single center, capturing patient demographics and the reasons for cessation of SCAI. (3) Results: 101 patients were included in the analysis, with a median time on treatment of 6.34 years. The main reasons for stopping SCAI were adverse events, death, and dissatisfaction with treatment. In the first 6 years of treatment, the predominant side effects leading to discontinuation were somnolence and hallucinations. (4) Conclusions: We suggest that SCAI can be an effective long-term treatment option for advanced PD, but it requires careful patient selection, a high level of communication with the patient and carer, and rigorous monitoring of the effects of treatment and for any adverse events so they can be promptly managed. |
| Databáze: | OpenAIRE |
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