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BMC Neurology

, 12:155

Movement disorders

Abstract

BackgroundTo explore current status and choices regarding diagnosis and treatment of Parkinson’s disease PD among physicians, general neurologists and movement disorders specialists in China via a national survey.

MethodsThe cross-sectional questionnaire-based survey was conducted from November, 2010 to July, 2011. Six hundreds and twelve doctors from different cities in China were recruited for this study.

Results68.6% n=420 and 23.9% n=146 of doctors have read the national and international guidelines, respectively. There was a larger proportion of movement disorders specialists reading the guidelines, in contrast to physicians and general neurologists P<0.001. Up to 76.4% n=465 and 81.8% n=498 of doctors would choose standard oral levodopa test and conventional MRIwith T1 and T2, respectively; Whereas susceptibility weighed imagingSWI16.1%; n=98, transcranial sonography TCS 1.8%; n=11 and functional neuroimaging test, such as single photon emission computed tomographySPECT 10.2%; n=62 and positron emission tomographyPET13.3%; n=81 were less used for suspected patients with PD in clinical practice. Doctors at different levels or from different hospitals and cities would choose different medication for motor complications and non-motor symptoms of patients with PD, in addition to initial drug selection for newly diagnosed PD. Doctors who had read the guidelines had significantly better knowledge of medication selections for PD under specific circumstances.

ConclusionsCompared with commonly employed standard oral levodopa test and conventional MRI, SWI complements MRI, TCS and functional neuroimaging were less performed for diagnosis of PD in clinical practice in China. The choices of diagnostic methods and therapeutic strategy of PD vary among physicians, general neurologists and movement disorders specialists. Guideline awareness is markedly beneficial to reasonable PD medications strategy in China.

KeywordsParkinson’s disease National survey Clinical practice guideline Medication AbbreviationsPDParkinson’s disease

NMSsNon-motor symptoms

CMEContinuing medical educations

SWISusceptibility weighed imaging

TCSTranscranial sonography

SPECTSingle photon emission computed tomography

PETPositron emission tomography

RBDREM sleep behavior disorder

CICognitive impairments.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2377-12-155 contains supplementary material, which is available to authorized users.

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Autor: Wei Chen - Shuai Chen - Qin Xiao - Gang Wang - Sheng-Di Chen

Fuente: https://link.springer.com/







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