Back to Journals » Neuropsychiatric Disease and Treatment » Volume 15

Patient and physician perceptions of disease management in Parkinson’s disease: results from a US-based multicenter survey

Authors Hermanowicz N, Castillo-Shell M, McMean A, Fishman J, D’Souza J

Received 4 December 2018

Accepted for publication 4 April 2019

Published 30 May 2019 Volume 2019:15 Pages 1487—1495

DOI https://doi.org/10.2147/NDT.S196930

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Roger Pinder


Neal Hermanowicz,1 Michelle Castillo-Shell,2 Angela McMean,3 Jesse Fishman,2 Joseph D’Souza2

1Movement Disorders Program and Department of Neurology, University of California-Irvine, Irvine, CA, USA; 2UCB Pharma, Smyrna, GA, USA; 3Ashfield Insight & Performance, part of Ashfield Healthcare Communications Group Ltd, Macclesfield, Cheshire, UK

†Dr. Joseph D’Souza passed away on February 16, 2019

Background: Clinical care for patients with Parkinson’s disease (PD) is complex, and disconnect may exist between patient and physician perceptions of treatment, disease awareness, and impact on quality of life (QoL). Relatively few studies have analyzed patient and physician perspectives of disease management concurrently, and even fewer have compared responses between corresponding patients and their physicians. This study aimed to characterize these aspects and identify opportunities to improve alignment.
Methods: This cross-sectional study used an online survey and chart review. Participating physicians completed a profiling survey, followed by patient record forms (PRFs) for their next five patients with PD. Patients completed paper questionnaires. PRFs were matched with patient questionnaires, and patient and physician responses compared.
Results: Of 107 participating physicians, 70 completed 350 PRFs. Patients completed 71 questionnaires; 66 were matched to PRFs. From a physician perspective, there was alignment between the motor symptoms that were most bothersome for patients and those that were most discussed (physicians felt tremor was most bothersome for most patients [71%]; 77% of physicians included tremor among top three most discussed), but disconnect between the most bothersome and most discussed nonmotor symptoms (physicians felt fatigue was most bothersome for most patients [35%]; cognitive impairment was the most discussed nonmotor symptom, with 52% of physicians including it in top three most discussed). Patients and physicians reported moderate satisfaction with current PD medication. Patients considered form of delivery more important than did physicians. Physicians showed a strong level of awareness of PD’s impact on patient QoL, although validated QoL instruments were not widely used. Physicians were more confident than patients about patients’ awareness of support resources for patients with PD.
Conclusion: Nonmotor symptoms, form of medication delivery, and awareness of support services are areas where PD physician and patient alignment could be increased to improve outcomes.

Keywords: Parkinson’s disease, survey, disease awareness, quality of life, patients, physicians

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]