Date: Thursday, June 23, 2016
Session Time: 12:00pm-1:30pm
Location: Exhibit Hall located in Hall B, Level 2
Objective: To evaluate the effectiveness of a multidisciplinary PD clinic in a tertiary hospital in Hong Kong.
Background: Parkinson’s disease (PD) has been recognized as a multi-dimensional disease with motor and non-motor problems. Besides, it is more than a neurodegenerative disease of dopaminergic deficiency. Unfortunately, people still practices mono-disciplinary doctor-centered approach which heavily relies on medical treatment acting on the dopaminergic pathway. Therefore, multidisciplinary management approach may be useful in improving daily functioning and quality of life of PD patients.
Methods: All Chinese PD patients referred to the multidisciplinary PD clinic of Queen Elizabeth Hospital were recruited. Those who failed to make a valid consent were excluded from the study. All subjects received a comprehensive baseline assessment by different disciplines in their first visit. Their demographic information were documented. Their motor and non-motor function, daily functioning and quality of life were assessed. The patient then received a tailor made management plan with referral to the appropriate disciplines. The primary outcome was the quality of life score (Parkinson’s disease questionnaire (PDQ39)) measured at 1 year while the secondary outcomes were the Unified Parkinson’s disease Rating Scale (UPDRS) motor score, Non-Motor Symptom Scale (NMSS) and Hospital Anxiety and Depression Scale (HADS) measured at 1 year.
Results: We recruited 131 patients between Nov 2013 and June 2015. The mean PDQ39 score improved from 74.18 at baseline to 63.55 at 1 year (p=0.05). As for the secondary outcome, there was no significant difference in the motor and non-motor function between baseline and at 1 year follow-up. However, there was a trend towards better mood, which might account for the improvement of quality of life.
Conclusions: This study suggested that a multidisciplinary program might be useful in improving the quality of life of PD patients.
Previously presented in the Hong Kong Neurological Society Annual Scientific Meeting 2015 and Kowloon Central Cluster Convention 2015.
To cite this abstract in AMA style:H.F. Chan, D.K.W. Chau, T. Fung, I. Chan, Y.F. Cheung, W.C. Fong. Effectiveness of a multidisciplinary PD clinic in improving quality of life [abstract]. Mov Disord. 2016; 31 (suppl 2). https://www.mdsabstracts.org/abstract/effectiveness-of-a-multidisciplinary-pd-clinic-in-improving-quality-of-life/. Accessed September 28, 2023.
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