Clinical utility of a personalized and long-term monitoring device for Parkinson's disease in a real clinical practice setting: An expert opinion survey on STAT-ON™.

Complicaciones motoras Device Dispositivo Enfermedad de Parkinson Fluctuaciones Fluctuations Holter Monitoreo Monitoring Motor complications Parkinson's disease

Journal

Neurologia
ISSN: 2173-5808
Titre abrégé: Neurologia (Engl Ed)
Pays: Spain
ID NLM: 101778590

Informations de publication

Date de publication:
24 Dec 2020
Historique:
received: 06 08 2020
revised: 01 10 2020
accepted: 05 10 2020
entrez: 28 12 2020
pubmed: 29 12 2020
medline: 29 12 2020
Statut: aheadofprint

Résumé

STAT-ON™ is an objective tool that registers ON-OFF fluctuations making possible to know the state of the patient at every moment of the day in normal life. Our aim was to analyze the opinion of different Parkinson's disease experts about the STAT-ON™ tool after using the device in a real clinical practice setting (RCPS). STAT-ON™ was provided by the Company Sense4Care to Spanish neurologists for using it in a RCPS. Each neurologist had the device for at least three months and could use it in PD patients at his/her own discretion. In February 2020, a survey with 30 questions was sent to all participants. Two thirds of neurologists (53.8% females; mean age 44.9±9 years old) worked in a Movement Disorders Unit, the average experience in PD was 16±6.9 years, and 40.7% of them had previously used other devices. A total of 119 evaluations were performed in 114 patients (range 2-9 by neurologist; mean 4.5±2.3). STAT-ON™ was considered "quite" to "very useful" by 74% of the neurologists with an overall opinion of 6.9±1.7 (0, worst; 10, best). STAT-ON™ was considered better than diaries by 70.3% of neurologists and a useful tool for the identification of patients with advanced PD by 81.5%. Proper identification of freezing of gait episodes and falls were frequent limitations reported. STAT-ON™ could be a useful device for using in PD patients in clinical practice.

Sections du résumé

BACKGROUND BACKGROUND
STAT-ON™ is an objective tool that registers ON-OFF fluctuations making possible to know the state of the patient at every moment of the day in normal life. Our aim was to analyze the opinion of different Parkinson's disease experts about the STAT-ON™ tool after using the device in a real clinical practice setting (RCPS).
METHODS METHODS
STAT-ON™ was provided by the Company Sense4Care to Spanish neurologists for using it in a RCPS. Each neurologist had the device for at least three months and could use it in PD patients at his/her own discretion. In February 2020, a survey with 30 questions was sent to all participants.
RESULTS RESULTS
Two thirds of neurologists (53.8% females; mean age 44.9±9 years old) worked in a Movement Disorders Unit, the average experience in PD was 16±6.9 years, and 40.7% of them had previously used other devices. A total of 119 evaluations were performed in 114 patients (range 2-9 by neurologist; mean 4.5±2.3). STAT-ON™ was considered "quite" to "very useful" by 74% of the neurologists with an overall opinion of 6.9±1.7 (0, worst; 10, best). STAT-ON™ was considered better than diaries by 70.3% of neurologists and a useful tool for the identification of patients with advanced PD by 81.5%. Proper identification of freezing of gait episodes and falls were frequent limitations reported.
CONCLUSION CONCLUSIONS
STAT-ON™ could be a useful device for using in PD patients in clinical practice.

Identifiants

pubmed: 33358530
pii: S0213-4853(20)30339-X
doi: 10.1016/j.nrl.2020.10.013
pii:
doi:

Types de publication

Journal Article

Langues

eng spa

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2020 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.

Auteurs

D Santos García (D)

CHUAC, Complejo Hospitalario Universitario de A Coruña, Spain. Electronic address: diegosangar@yahoo.es.

N López Ariztegui (N)

Complejo Hospitalario de Toledo, Toledo, Spain.

E Cubo (E)

Complejo Asistencial Universitario de Burgos, Burgos, Spain.

A Vinagre Aragón (A)

Hospital Donostia, San Sebastián, Spain.

R García-Ramos (R)

Hospital Clínico San Carlos, Madrid, Spain.

C Borrué (C)

Hospital Infanta Sofía, Madrid, Spain.

G Fernández-Pajarín (G)

Complejo Hospitalario Universitario de Santiago de Compostela (CHUS), Spain.

N Caballol (N)

Consorci Sanitari Integral, Hospital Moisés Broggi, Sant Joan Despí, Barcelona, Spain.

I Cabo (I)

Complejo Hospitalario Universitario de Pontevedra (CHOP), Pontevedra, Spain.

J M Barrios-López (JM)

Hospital Universitario Virgen de las Nieves, Granada, Spain.

J Hernández Vara (J)

Hospital Universitario Vall d'Hebron, Barcelona, Spain.

M A Ávila Rivera (MA)

Consorci Sanitari Integral, Hospital General de L'Hospitalet, L'Hospitalet de Llobregat, Barcelona, Spain.

C Gasca-Salas (C)

CINAC, Hospital Puerta del Sur, Madrid, Spain.

S Escalante (S)

Hospital de Tortosa Verge de la Cinta (HTVC), Tortosa, Tarragona, Spain.

P Manrique de Lara (P)

Clínica Universidad de Navarra, Pamplona, Spain.

R Pérez Noguera (R)

Hospital Universitario Virgen Macarena, Sevilla, Spain.

M Álvarez Sauco (M)

Hospital Universitario de Elche, Spain.

M Sierra (M)

Hospital Universitario Marqués de Valdecilla, Santander, Spain.

M H G Monje (MHG)

CINAC, Hospital Puerta del Sur, Madrid, Spain.

A Sánchez Ferro (A)

CINAC, Hospital Puerta del Sur, Madrid, Spain.

S Novo Ponte (S)

Hospital Puerta de Hierro, Madrid, Spain.

F Alonso-Frech (F)

Hospital Clínico San Carlos, Madrid, Spain.

D Macías-García (D)

Hospital Universitario Virgen del Rocío, Sevilla, Spain.

I Legarda (I)

Hospital Universitario Son Espases, Palma de Mallorca, Spain.

A Rojo (A)

Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain.

I Álvarez Fernández (I)

Hospital Universitari Mutua de Terrassa, Terrassa, Barcelona, Spain.

M T Buongiorno (MT)

Hospital Universitari Mutua de Terrassa, Terrassa, Barcelona, Spain.

P Pastor (P)

Hospital Universitari Mutua de Terrassa, Terrassa, Barcelona, Spain.

P García Ruíz (P)

Hospital Fundación Jiménez Díaz, Madrid, Spain.

Classifications MeSH