Artículo
MNCD: A New Tool for Classifying Parkinson’s Disease in Daily Clinical Practice
Autor/es | Santos García, Diego
Álvarez Sauco, María Calopa, Matilde Carrillo, Fátima Escamilla-Sevilla, Francisco Freire, Eric Mir Rivera, Pablo Sesar Ignacio, Ángel |
Departamento | Universidad de Sevilla. Departamento de Medicina |
Fecha de publicación | 2022 |
Fecha de depósito | 2022-11-30 |
Publicado en |
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Resumen | Background and objective: Parkinson’s disease (PD) is a clinically heterogeneous disorder
in which the symptoms and prognosis can be very different among patients. We propose a new simple
classification to identify key ... Background and objective: Parkinson’s disease (PD) is a clinically heterogeneous disorder in which the symptoms and prognosis can be very different among patients. We propose a new simple classification to identify key symptoms and staging in PD. Patients and Methods: Sixteen movement disorders specialists from Spain participated in this project. The classification was consensually approved after a discussion and review process from June to October 2021. The TNM classification and the National Institutes of Health Stroke Scale (NIHSS) were considered as models in the design. Results: The classification was named MNCD and included 4 major axes: (1) motor symptoms; (2) non-motor symptoms; (3) cognition; (4) dependency for activities of daily living (ADL). Motor axis included 4 sub-axes: (1) motor fluctuations; (2) dyskinesia; (3) axial symptoms; (4) tremor. Four other sub-axes were included in the non-motor axis: (1) neuropsychiatric symptoms; (2) autonomic dysfunction; (3) sleep disturbances and fatigue; (4) pain and sensory disorders. According to the MNCD, 5 stages were considered, from stage 1 (no disabling motor or non-motor symptoms with normal cognition and independency for ADL) to 5 (dementia and dependency for basic ADL). Conclusions: A new simple classification of PD is proposed. The MNCD classification includes 4 major axes and 5 stages to identify key symptoms and monitor the evolution of the disease in patients with PD. It is necessary to apply this proof of concept in a properly designed study |
Cita | Santos García, D., Álvarez Sauco, M., Calopa, M., Carrillo, F., Escamilla-Sevilla, F., Freire, E.,...,Sesar Ignacio, Á. (2022). MNCD: A New Tool for Classifying Parkinson’s Disease in Daily Clinical Practice. Diagnostics, 12 (1), 55. https://doi.org/10.3390/diagnostics12010055. |
Ficheros | Tamaño | Formato | Ver | Descripción |
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MNCD A New.pdf | 2.957Mb | [PDF] | Ver/ | |