Mobiele menu

Care for Late Stage Parkinsonicm (CLaSP)

Projectomschrijving

De CLaSP studie bracht de problemen en het zorggebruik in kaart van mensen in de late fase van de ziekte van Parkinson. 

Aanpak

In 6 Europese landen namen 692 patiënten en hun naasten deel. Bij 91 van hen is gekeken of aanbevelingen van een expert om de medische problemen te behandelen tot een verbetering van de Parkinson symptomen leiden. 

Resultaten

Het onderzoek toonde dat mensen in de late fase van de ziekte van Parkinson veel en ernstige problemen ervaren, waaronder langdurige OFF perioden, geheugenstoornissen, waanideeën, hallucinaties, apathie en depressie. Dit vereist complexe zorg, die op dit moment onvoldoende geboden wordt. Aanbevelingen van een expert lijken effectief: na 6 maanden was de kwaliteit van leven beter bij mensen waarvan de behandelend arts aanbevelingen had ontvangen, vergeleken met mensen waarvan de arts geen aanbevelingen hadden gekregen. Deze resultaten tonen de complexiteit van de late fase van de ziekte van Parkinson, maar bieden ook diverse aanknopingspunten voor het verbeteren van de zorg.

Meer informatie

Verslagen


Samenvatting van de aanvraag

The aim of this project is to evaluate the needs and provision of care for patients with late stage Parkinsonism and their carers in several European countries, compare the effectiveness of different health and social care systems, and to lay the foundation for improved outcomes in this population. We will undertake a multimodal assessment of patients and their care arrangements in a population recruited through networks in six European countries, and evaluate effective management strategies through systematic literature review, cross-sectional and longitudinal assessments, and an open label trial of specialist review with management suggestions, guidance and access to telephone advice. Through interviews, questionnaire assessment and review of current health-care and social care arrangement, we will assess the needs, provision of care and use of health-care resources, and their impact on patient and carer outcomes in different countries. National and regional databases will also be interrogated to identify current practice and use of health-care resources and drug usage. A systematic literature review of the evidence for effective management strategies, analysis of the baseline and longitudinal data, and evaluation of change in outcomes following specialist review will provide the basis for recommendations in the management of late stage Parkinsonism. We will also evaluate potentially useful outcome measures for use in this patient group. In addition to charting the needs and current care provision for late stage Parkinsonism in different European countries, its cost and effectiveness, and an analysis of health-care and social care predictors of improved outcome, the project will produce a platform for the assessment of patients with late stage Parkinsonism, their current treatment and care provision, as well as guidelines on the management of this late disease phase.

Kenmerken

Projectnummer:
733051003
Looptijd: 100%
Looptijd: 100 %
2014
2019
Gerelateerde subsidieronde:
Projectleider en penvoerder:
Dr. M.J. Meinders
Verantwoordelijke organisatie:
Radboudumc