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Parkinson Matters
Sirwan K L Darweesh1,2,3,4, Karen G Raphael5,6, Patrik Brundin7
1Department of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
Journal of Parkinson'S Disease
|August 29, 2018
Summary
Parkinson's disease mortality is rising, driven by aging populations and potential risk factor changes. Future care should focus on community support to improve quality of life for elderly Parkinson's patients.
Area of Science:
- Neurology
- Epidemiology
- Public Health
Background:
- Recent epidemiological data highlight a significant increase in Parkinson's disease (PD) burden.
- A Public Health England report reveals a substantial rise in mortality linked to PD and related disorders between 2001 and 2014.
Purpose of the Study:
- To analyze trends in Parkinson's disease mortality.
- To identify factors contributing to increased PD-related deaths.
- To propose strategies for improving care for elderly PD patients.
Main Methods:
- Analysis of epidemiological data and mortality trends in England (2001-2014).
- Review of factors influencing mortality, including longevity, risk factors, and healthcare improvements.
- Examination of end-of-life care preferences and outcomes for PD patients.
Main Results:
- Mortality associated with Parkinson's disease and related disorders significantly increased from 2001 to 2014.
- Increased population longevity is a contributing factor, alongside potential changes in risk factors and improved diagnostics/care.
- The majority of Parkinson's patients die in institutional settings, contrary to their preference for home-based end-of-life care.
Conclusions:
- The rising mortality trend in Parkinson's disease necessitates focused interventions.
- Enhanced community-based support, including allied health professionals and case managers, is crucial.
- Improving care delivery models and supporting elderly PD patients' preference for home-based end-of-life care are key future objectives.
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