The “Gender Factor” in Wearing-Off among Patients with Parkinson's Disease: A Post Hoc Analysis of DEEP Study

Background. The early detection of wearing-off in Parkinson disease (DEEP) observational study demonstrated that women with Parkinson's disease (PD) carry an increased risk (80.1%) for wearing-off (WO). This post hoc analysis of DEEP study evaluates gender differences on WO and associated phen...

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Main Authors: Colombo, Delia, Abbruzzese, Giovanni, Antonini, Angelo, Barone, Paolo, Bellia, Gilberto, Franconi, Flavia, Simoni, Lucia, Attar, Mahmood, Zagni, Emanuela, Haggiag, Shalom, Stocchi, Fabrizio
Format: Online
Language:English
Published: Hindawi Publishing Corporation 2015
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4320843/
id pubmed-4320843
recordtype oai_dc
spelling pubmed-43208432015-02-15 The “Gender Factor” in Wearing-Off among Patients with Parkinson's Disease: A Post Hoc Analysis of DEEP Study Colombo, Delia Abbruzzese, Giovanni Antonini, Angelo Barone, Paolo Bellia, Gilberto Franconi, Flavia Simoni, Lucia Attar, Mahmood Zagni, Emanuela Haggiag, Shalom Stocchi, Fabrizio Research Article Background. The early detection of wearing-off in Parkinson disease (DEEP) observational study demonstrated that women with Parkinson's disease (PD) carry an increased risk (80.1%) for wearing-off (WO). This post hoc analysis of DEEP study evaluates gender differences on WO and associated phenomena. Methods. Patients on dopaminergic treatment for ≥1 year were included in this multicenter observational cross-sectional study. In a single visit, WO was diagnosed based on neurologist assessment as well as the use of the 19-item wearing-off questionnaire (WOQ-19); WO was defined for scores ≥2. Post hoc analyses were conducted to investigate gender difference for demographic and clinical features with respect to WO. Results. Of 617 patients enrolled, 236 were women and 381 were men. Prevalence of WO was higher among women, according to both neurologists' judgment (61.9% versus 53.8%, P = 0.045) and the WOQ-19 analysis (72.5% versus 64.0%, P = 0.034). In patients with WO (WOQ-19), women experienced ≥1 motor symptom in 72.5% versus 64.0% in men and ≥1 nonmotor symptom in 44.5% versus 36.7%, in men. Conclusions. Our results suggest WO as more common among women, for both motor and nonmotor symptoms. Prospective studies are warranted to investigate this potential gender-effect. Hindawi Publishing Corporation 2015 2015-01-20 /pmc/articles/PMC4320843/ /pubmed/25685848 http://dx.doi.org/10.1155/2015/787451 Text en Copyright © 2015 Delia Colombo et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Colombo, Delia
Abbruzzese, Giovanni
Antonini, Angelo
Barone, Paolo
Bellia, Gilberto
Franconi, Flavia
Simoni, Lucia
Attar, Mahmood
Zagni, Emanuela
Haggiag, Shalom
Stocchi, Fabrizio
spellingShingle Colombo, Delia
Abbruzzese, Giovanni
Antonini, Angelo
Barone, Paolo
Bellia, Gilberto
Franconi, Flavia
Simoni, Lucia
Attar, Mahmood
Zagni, Emanuela
Haggiag, Shalom
Stocchi, Fabrizio
The “Gender Factor” in Wearing-Off among Patients with Parkinson's Disease: A Post Hoc Analysis of DEEP Study
author_facet Colombo, Delia
Abbruzzese, Giovanni
Antonini, Angelo
Barone, Paolo
Bellia, Gilberto
Franconi, Flavia
Simoni, Lucia
Attar, Mahmood
Zagni, Emanuela
Haggiag, Shalom
Stocchi, Fabrizio
author_sort Colombo, Delia
title The “Gender Factor” in Wearing-Off among Patients with Parkinson's Disease: A Post Hoc Analysis of DEEP Study
title_short The “Gender Factor” in Wearing-Off among Patients with Parkinson's Disease: A Post Hoc Analysis of DEEP Study
title_full The “Gender Factor” in Wearing-Off among Patients with Parkinson's Disease: A Post Hoc Analysis of DEEP Study
title_fullStr The “Gender Factor” in Wearing-Off among Patients with Parkinson's Disease: A Post Hoc Analysis of DEEP Study
title_full_unstemmed The “Gender Factor” in Wearing-Off among Patients with Parkinson's Disease: A Post Hoc Analysis of DEEP Study
title_sort “gender factor” in wearing-off among patients with parkinson's disease: a post hoc analysis of deep study
description Background. The early detection of wearing-off in Parkinson disease (DEEP) observational study demonstrated that women with Parkinson's disease (PD) carry an increased risk (80.1%) for wearing-off (WO). This post hoc analysis of DEEP study evaluates gender differences on WO and associated phenomena. Methods. Patients on dopaminergic treatment for ≥1 year were included in this multicenter observational cross-sectional study. In a single visit, WO was diagnosed based on neurologist assessment as well as the use of the 19-item wearing-off questionnaire (WOQ-19); WO was defined for scores ≥2. Post hoc analyses were conducted to investigate gender difference for demographic and clinical features with respect to WO. Results. Of 617 patients enrolled, 236 were women and 381 were men. Prevalence of WO was higher among women, according to both neurologists' judgment (61.9% versus 53.8%, P = 0.045) and the WOQ-19 analysis (72.5% versus 64.0%, P = 0.034). In patients with WO (WOQ-19), women experienced ≥1 motor symptom in 72.5% versus 64.0% in men and ≥1 nonmotor symptom in 44.5% versus 36.7%, in men. Conclusions. Our results suggest WO as more common among women, for both motor and nonmotor symptoms. Prospective studies are warranted to investigate this potential gender-effect.
publisher Hindawi Publishing Corporation
publishDate 2015
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4320843/
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